Table 3.
Unadjusted rates, % [95% CI] | 2009 | 2010 | 2011 | 2012 | 2013 | Pooled1. | Pooled2. |
---|---|---|---|---|---|---|---|
HPV initiation | |||||||
No mandate | 45 [42, 49] | 49 [46, 51] | 52 [49, 55] | 54 [51, 57] | 57 [55, 60] | 51 [49, 54] | 51 [49, 54] |
Education mandate | 46 [40, 53] | 49 [44, 55] | 51 [45, 56] | 54 [50, 59] | 56 [51, 60] | 51 [46, 56] | 51 [46, 56] |
School entry mandate | 49 [34, 63] | 59 [46, 71] | 54 [41, 66] | 58 [47, 69] | 58 [48, 69] | 56 [45, 67] | 56 [45, 67] |
HPV completion | |||||||
No mandate | 29 [26, 32] | 34 [31, 37] | 36 [33, 39] | 36 [34, 38] | 38 [36, 40] | 35 [32, 37] | 35 [32, 37] |
Education mandate | 29 [23, 35] | 34 [29, 40] | 35 [29, 40] | 36 [31, 41] | 37 [33, 42] | 34 [30, 39] | 34 [30, 39] |
School entry mandate |
28 [15, 40] |
39 [28, 51] |
36 [24, 48] |
37 [27, 48] |
39 [28, 50] |
36 [26, 46] |
36 [26, 46] |
Adjusted rates, % [95% CI] |
2009 |
2010 |
2011 |
2012 |
2013 |
Pooled1. |
Pooled2. |
HPV initiation | |||||||
No mandate | 46 [44, 48] | 49 [47, 51] | 53 [51, 55] | 55 [52, 57] | 58 [56, 60] | 52 [51, 53] | 52 [51, 53] |
Education mandate | 45 [41, 50] | 49 [45, 52] | 51 [47, 54] | 54 [50, 58] | 55 [51, 59] | 51 [48, 53] | 51 [49, 53] |
School entry mandate | 46 [36, 56] | 56 [48, 64] | 52 [43, 60] | 56 [47, 65] | 57 [47, 67] | 53 [48, 59] | 54 [49, 59] |
HPV completion | |||||||
No mandate | 29 [28, 31] | 34 [32, 36] | 37 [35, 39] | 36 [34, 38] | 39 [37, 41] | 35 [34, 36] | 35 [34, 36] |
Education mandate | 28 [25, 32] | 34 [30, 38] | 34 [31, 37] | 36 [32, 39] | 37 [33, 40] | 34 [31, 37] | 34 [31, 36] |
School entry mandate | 27 [19, 35] | 37 [29, 46] | 36 [28, 43] | 36 [28, 44] | 38 [29, 47] | 35 [28, 41] | 35 [29, 41] |
estimates using pooled data & year dummy variables
estimates using pooled data & continuous time variable
No statistically significant differences were noted between girls living in states with school-entry, education, or no mandates for any year, in adjusted or unadjusted analyses.
All girls who were aged 13–14 in 2012 and 2013 would have been affected by the school entry mandate laws in DC and VA. HPV vaccine initiation rates in 2012 and 2013 were 41% and 46% respectively, indicating that more than half of parents were opting out.