Are state laws granting pharmacists authority to vaccinate associated with HPV vaccination rates among adolescents?

Justin G. Trogdon, Paul R. Shafer, Parth D. Shah, William A. Calo

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objectives We explored whether state laws allowing pharmacists to administer human papillomavirus (HPV) vaccinations to adolescents are associated with a higher likelihood of HPV vaccine uptake. Methods We examined provider-reported HPV vaccination among 13–17 year olds in the National Immunization Survey-Teen: 2008–2014 for girls (N = 48,754) and 2010–2014 for boys (N = 31,802). Outcome variables were HPV vaccine initiation (⩾1 dose) and completion (⩾3 doses). The explanatory variable of interest was a categorical variable for the type of pharmacist authority regarding HPV vaccination for adolescents (<18 years) in the state: not permitted (reference), by prescription, by collaborative practice protocol, or independent authority. We ran separate difference-in-difference regression models by sex. Results During 2008–2014, 15 states passed laws allowing pharmacists to administer HPV vaccine to adolescents. Pharmacist authority laws were not statistically significantly associated with increased HPV vaccine initiation or completion. Conclusions As currently implemented, state laws allowing pharmacists to administer HPV vaccine to adolescents were not associated with uptake. Possible explanations that need further research include restrictions on pharmacists’ third-party billing ability and the lack of promotion of pharmacy vaccination services to age-eligible adolescents.

Original languageEnglish (US)
Pages (from-to)4514-4519
Number of pages6
JournalVaccine
Volume34
Issue number38
DOIs
StatePublished - Aug 31 2016

All Science Journal Classification (ASJC) codes

  • Molecular Medicine
  • Immunology and Microbiology(all)
  • veterinary(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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