Identifying the Utility of Dental Providers in Human Papillomavirus Prevention Efforts: Results From the National Health and Nutrition Examination Survey 2015–2018,Journal of Adolescent Health

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Identifying the Utility of Dental Providers in Human Papillomavirus Prevention Efforts: Results From the National Health and Nutrition Examination Survey 2015–2018
Journal of Adolescent Health ( IF 5.5 ) Pub Date : 2021-12-11 , DOI: 10.1016/j.jadohealth.2021.10.030
Megan Cloidt ₁ , Abigail Kelly ₂ , Madhuli Thakkar-Samtani ₂ , Eric P Tranby ₂ , Julie Frantsve-Hawley ₂ , Parth D Shah ₁ , Nadia Laniado ₁ , Victor Badner ₁

Affiliation

Purpose

The aim of this study is to (1) examine the prevalence of human papillomavirus (HPV) vaccination in adolescents and young adults in the U.S., including those who had a dental visit in the last year but not a medical visit and (2) to determine an association between last visit to the dentist and HPV vaccination status.

Methods

We conducted a cross-sectional study using data from the National Health and Nutrition Examination Survey from 2015 to 2018, including participants 9–26 years. Descriptive statistical analyses were conducted to characterize the study population and calculate the prevalence of HPV vaccination in adolescents and young adults, including those who had a dental visit in the last year but not a medical visit. Logistic regression analyses were performed to examine the association between last visit to the dentist and HPV vaccination status.

Results

In total, 38.6% of participants were vaccinated for HPV, with higher prevalence of vaccination in those with the following characteristics: female, older age, higher income, higher education level, and having medical insurance. Participants who had a dental visit in the last year had an HPV vaccination rate of 40.8%. Of those who had a dental visit and were not vaccinated for HPV, 12.5% did not have a medical visit. Having a dental visit in the last year increased the odds of being vaccinated for HPV (odds ratio 1.69, confidence interval 1.26–2.28).

Conclusions

Dentists see a significant number of adolescents and young adults who are unvaccinated for HPV in a given year and could serve as an access point for HPV vaccine delivery in the future.

中文翻译：

确定牙科提供者在人乳头瘤病毒预防工作中的效用：2015-2018 年全国健康和营养检查调查结果

目的

本研究的目的是 (1) 检查美国青少年和年轻人中人乳头瘤病毒 (HPV) 疫苗接种的流行率，包括那些在去年进行牙科检查但未就诊的人；以及 (2)确定最后一次看牙医与 HPV 疫苗接种状态之间的关联。

方法

我们使用 2015 年至 2018 年全国健康和营养检查调查的数据进行了一项横断面研究，包括 9-26 岁的参与者。进行描述性统计分析以表征研究人群并计算青少年和年轻人中 HPV 疫苗接种的流行率，包括那些在去年进行牙科检查但没有就诊的人。进行逻辑回归分析以检查最后一次去看牙医与 HPV 疫苗接种状态之间的关联。

结果

总共有 38.6% 的参与者接种了 HPV 疫苗，具有以下特征的人群中疫苗接种率较高：女性、年龄较大、收入较高、受教育程度较高和有医疗保险。去年进行牙科检查的参与者的 HPV 疫苗接种率为 40.8%。在进行过牙科检查但未接种 HPV 疫苗的人群中，12.5% 的人未进行过医疗检查。去年进行牙科检查增加了接种 HPV 疫苗的几率（优势比 1.69，置信区间 1.26-2.28）。