Human papillomavirus vaccination rates and state mandates for tetanus-containing vaccines.

Dempsey, Amanda F; Schaffer, Sarah E · Prev Med · 2011

cross_sectional · Level IV

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Abstract

We sought to examine nationally the association between school mandates for adolescent tetanus-containing vaccines (Td and/or Tdap) and adolescent female human papillomavirus (HPV) vaccination. Each state was categorized by whether a school mandate for adolescent Td and/or Tdap vaccines was enacted. Mean HPV vaccine series initiation levels among adolescent females were compared between each mandate category. Mean HPV vaccine series initiation levels were significantly lower in states without Td/Tdap vaccine mandates than in those with mandates (42.9% vs. 47.3%; p=0.004). School mandates for adolescent Td/Tdap vaccination may have a carry-over effect on HPV vaccination.

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