{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:48:26Z","timestamp":1775954906448,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,4,20]],"date-time":"2015-04-20T00:00:00Z","timestamp":1429488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Cancer Center Support","award":["CA21765"],"award-info":[{"award-number":["CA21765"]}]},{"DOI":"10.13039\/100012524","name":"The American Lebanese Syrian Associated Charities","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012524","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Among those 9\u201326 years of age, vaccination can prevent specific types of genital human papillomavirus (HPV), the most common sexually transmitted infection and cause of cervical and other cancers. The objective of this study was to estimate the prevalence of and factors associated with HPV vaccine initiation and completion among females surviving childhood cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Procedure<\/jats:title><jats:p>One\u2010hundred fourteen young adults and 230 mothers with daughters surviving childhood cancer completed surveys querying HPV vaccination history along with medical and sociodemographic factors potentially associated with vaccination outcomes. Vaccination rate differences by age necessitated analysis of outcomes by age group: 9\u201313 years (preadolescents), 14\u201317 years (adolescents), and 18\u201326 years (young adults). Multivariable logistic regression was utilized to identify factors associated with HPV vaccination outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 34.6% (119\/344) of survivors initiated and 20.9% (72\/344) completed HPV vaccination. Preadolescents were least likely to have initiated vaccination (<jats:italic>P\u2009<\/jats:italic>&lt;\u20090.001). Physician recommendation was associated with initiation across age groups (OR\u2009=\u20096.81\u201311.96, <jats:italic>P<\/jats:italic>s\u2009&lt;\u20090.001\u2013.01), whereas older age at diagnosis (\u226512 years of age) was associated with lower vaccination initiation among young adults only (OR\u2009=\u20090.28; 95%CI, 0.10\u20130.76, <jats:italic>P\u2009<\/jats:italic>=\u20090.012). Physician recommendation (OR\u2009=\u20097.54; 95%CI, 1.19\u201347.69, <jats:italic>P\u2009<\/jats:italic>=\u20090.032; adolescent group) and greater treatment intensity (OR\u2009=\u20095.25; 95%CI, 1.00\u201327.61, <jats:italic>P<\/jats:italic>\u2009=\u20090.050; young adult group) were associated with vaccine completion, whereas being non\u2010White was associated with decreased vaccination completion (OR\u2009=\u20090.17; 95%CI, 0.05\u20130.66, <jats:italic>P\u2009=\u2009<\/jats:italic>0.010; adolescent group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A minority of youths surviving childhood cancer have initiated or completed HPV vaccination. Strategies to increase vaccination among survivors are discussed. Pediatr Blood Cancer 2015;62:1630\u20131636. \u00a9 2015 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.25539","type":"journal-article","created":{"date-parts":[[2015,4,20]],"date-time":"2015-04-20T10:52:03Z","timestamp":1429527123000},"page":"1630-1636","source":"Crossref","is-referenced-by-count":18,"title":["Medical and sociodemographic factors associated with human papillomavirus (HPV) vaccination adherence among female survivors of childhood cancer"],"prefix":"10.1002","volume":"62","author":[{"given":"James L.","family":"Klosky","sequence":"first","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn M.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica L.","family":"Simmons","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca H.","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Louis Children's Hospital St. Louis Missouri"},{"name":"Department of Pediatrics Washington University School of Medicine St. Louis Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Peck","sequence":"additional","affiliation":[{"name":"Department of Psychology St. Jude Children's Research Hospital Memphis Tennessee"},{"name":"Department of Psychology University of Mississippi Oxford Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel M.","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Oncology St. Jude Children's Research Hospital Memphis Tennessee"},{"name":"Department of Epidemiology &amp; Cancer Control St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa M.","family":"Hudson","sequence":"additional","affiliation":[{"name":"Department of Oncology St. Jude Children's Research Hospital Memphis Tennessee"},{"name":"Department of Epidemiology &amp; Cancer Control St. Jude Children's Research Hospital Memphis Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1363\/3600604"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(05)70086-3"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.8.813"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a010166"},{"key":"e_1_2_5_6_1","first-page":"1","article-title":"Quadrivalent human papillomavirus vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"56","author":"Markowitz LE","year":"2007","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2012.1451"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68439-0"},{"key":"e_1_2_5_9_1","unstructured":"U.S. Food and Drug Administration. 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