Influences on college health provider practice for routinely screening female college students’ HPV vaccination status
Abstract Background HPV vaccination is highly effective in preventing HPV infection and subsequent precancers and invasive cancers related to HPV. Unfortunately, vaccine coverage in the U.S. lags behind national and global targets. College students are an important audience for catch-up vaccination...
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BMC
2025-06-01
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| Online Access: | https://doi.org/10.1186/s12889-025-23234-w |
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| author | Erica Liebermann Bing Si M. Katherine Hutchinson Bo Li Melissa A. Sutherland |
| author_facet | Erica Liebermann Bing Si M. Katherine Hutchinson Bo Li Melissa A. Sutherland |
| author_sort | Erica Liebermann |
| collection | DOAJ |
| description | Abstract Background HPV vaccination is highly effective in preventing HPV infection and subsequent precancers and invasive cancers related to HPV. Unfortunately, vaccine coverage in the U.S. lags behind national and global targets. College students are an important audience for catch-up vaccination given suboptimal population coverage in adolescents. This study examined factors associated with college healthcare provider (HCP) practices for routinely screening HPV vaccination history of female college students. Methods One thousand two hundred twenty-one U.S. college HCPs completed surveys and reported on a variety of screening practices in college health centers, including assessing the HPV vaccination status of female college students. Participants included nurse practitioners, physicians, and physician assistants. Results Forty-five percent of college HCPs reported routinely screening the HPV vaccination histories of most (≥ 70%) of their female students. Nurse practitioners (NPs) were more likely than other providers to consistently assess HPV vaccination status. In multivariable logistic regression modeling, high rates of routine HPV vaccination screening were associated with NP role, more positive provider attitudes and self-efficacy toward screening, larger institutions, college-level policies, in-service trainings and electronic health record prompts that supported HPV vaccination history screening. No differences were found by other provider demographic factors, institution type or region. Conclusions College health centers present unique opportunities to identify unvaccinated female students and offer or refer them for vaccination. Future research needs to examine HPV vaccination status and screening among other types of college students and identify the multi-level factors that act as facilitators and barriers to assessing HPV vaccination status and offering the HPV vaccine. |
| format | Article |
| id | doaj-art-53df6b439fe144e48b8c26e1dcac1d7d |
| institution | DOAJ |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-53df6b439fe144e48b8c26e1dcac1d7d2025-08-20T03:10:41ZengBMCBMC Public Health1471-24582025-06-012511910.1186/s12889-025-23234-wInfluences on college health provider practice for routinely screening female college students’ HPV vaccination statusErica Liebermann0Bing Si1M. Katherine Hutchinson2Bo Li3Melissa A. Sutherland4College of Nursing, University of Rhode IslandSchool of Computing and Augmented Intelligence, Arizona State UniversityCollege of Nursing, University of Rhode IslandSchool of Computing and Augmented Intelligence, Arizona State UniversityCollege of Nursing, University of Rhode IslandAbstract Background HPV vaccination is highly effective in preventing HPV infection and subsequent precancers and invasive cancers related to HPV. Unfortunately, vaccine coverage in the U.S. lags behind national and global targets. College students are an important audience for catch-up vaccination given suboptimal population coverage in adolescents. This study examined factors associated with college healthcare provider (HCP) practices for routinely screening HPV vaccination history of female college students. Methods One thousand two hundred twenty-one U.S. college HCPs completed surveys and reported on a variety of screening practices in college health centers, including assessing the HPV vaccination status of female college students. Participants included nurse practitioners, physicians, and physician assistants. Results Forty-five percent of college HCPs reported routinely screening the HPV vaccination histories of most (≥ 70%) of their female students. Nurse practitioners (NPs) were more likely than other providers to consistently assess HPV vaccination status. In multivariable logistic regression modeling, high rates of routine HPV vaccination screening were associated with NP role, more positive provider attitudes and self-efficacy toward screening, larger institutions, college-level policies, in-service trainings and electronic health record prompts that supported HPV vaccination history screening. No differences were found by other provider demographic factors, institution type or region. Conclusions College health centers present unique opportunities to identify unvaccinated female students and offer or refer them for vaccination. Future research needs to examine HPV vaccination status and screening among other types of college students and identify the multi-level factors that act as facilitators and barriers to assessing HPV vaccination status and offering the HPV vaccine.https://doi.org/10.1186/s12889-025-23234-wCollege healthHPV vaccinationFemale college students |
| spellingShingle | Erica Liebermann Bing Si M. Katherine Hutchinson Bo Li Melissa A. Sutherland Influences on college health provider practice for routinely screening female college students’ HPV vaccination status BMC Public Health College health HPV vaccination Female college students |
| title | Influences on college health provider practice for routinely screening female college students’ HPV vaccination status |
| title_full | Influences on college health provider practice for routinely screening female college students’ HPV vaccination status |
| title_fullStr | Influences on college health provider practice for routinely screening female college students’ HPV vaccination status |
| title_full_unstemmed | Influences on college health provider practice for routinely screening female college students’ HPV vaccination status |
| title_short | Influences on college health provider practice for routinely screening female college students’ HPV vaccination status |
| title_sort | influences on college health provider practice for routinely screening female college students hpv vaccination status |
| topic | College health HPV vaccination Female college students |
| url | https://doi.org/10.1186/s12889-025-23234-w |
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