{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T03:10:09Z","timestamp":1785553809498,"version":"3.56.0"},"reference-count":42,"publisher":"American Academy of Pediatrics (AAP)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12,1]]},"abstract":"<jats:sec>\n                  <jats:title>BACKGROUND:<\/jats:title>\n                  <jats:p>Low human papillomavirus (HPV) vaccination coverage is an urgent public health problem requiring action. To identify policy remedies to suboptimal HPV vaccination, we assessed the relationship between states\u2019 school entry requirements and adolescent vaccination.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>We gathered data on states\u2019 school entry requirements for adolescent vaccination (tetanus, diphtheria, and pertussis [Tdap] booster; meningococcal; and HPV) from 2007 to 2012 from Immunization Action Coalition. The National Immunization Survey\u2013Teen provided medical record\u2013verified vaccination data for 99\u2009921 adolescents. We calculated coverage (among 13- to 17-year-olds) for individual vaccinations and concomitant vaccination. HPV vaccination outcomes were among female adolescents. Analyses used weighted longitudinal multivariable models.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>States with requirements for Tdap booster and meningococcal vaccination had 22 and 24 percentage point increases in coverage for these vaccines, respectively, compared with other states (both P &amp;lt; .05). States with HPV vaccination requirements had &amp;lt;1 percentage point increase in coverage for this vaccine (P &amp;lt; .05). Tdap booster and meningococcal vaccination requirements, respectively, were associated with 8 and 4 percentage point spillover increases for HPV vaccination coverage (both P &amp;lt; .05) and with increases for concomitant vaccination (all P &amp;lt; .05).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>Ensuring all states have meningococcal vaccination requirements could improve the nation\u2019s HPV vaccination coverage, given that many states already require Tdap booster but not meningococcal vaccination for school entry. Vaccination programs and clinicians should capitalize on changes in adolescent vaccination, including concomitant vaccination, that may arise after states adopt vaccination requirements. Additional studies are needed on the effects of HPV vaccination requirements and opt-out provisions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2016-1414","type":"journal-article","created":{"date-parts":[[2016,11,8]],"date-time":"2016-11-08T10:07:22Z","timestamp":1478599642000},"source":"Crossref","is-referenced-by-count":42,"title":["School Entry Requirements and Coverage of Nontargeted Adolescent Vaccines"],"prefix":"10.1542","volume":"138","author":[{"given":"Jennifer L.","family":"Moss","sequence":"first","affiliation":[{"name":"Departments of Health Behavior and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul L.","family":"Reiter","sequence":"additional","affiliation":[{"name":"College of Medicine, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young K.","family":"Truong","sequence":"additional","affiliation":[{"name":"Biostatistics, Gillings School of Global Public Health, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara K.","family":"Rimer","sequence":"additional","affiliation":[{"name":"Departments of Health Behavior and"},{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noel T.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Departments of Health Behavior and"},{"name":"Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,12,1]]},"reference":[{"key":"2021120905021176600_B1","unstructured":"Centers for Disease Control and Prevention (CDC)\n          . Recommendations and Guidelines: Advisory Committee on Immunization Practices. Updated 2016. Available at: www.cdc.gov\/vaccines\/acip\/index.html"},{"issue":"29","key":"2021120905021176600_B2","doi-asserted-by":"crossref","first-page":"784","DOI":"10.15585\/mmwr.mm6429a3","article-title":"National, regional, state, and selected local area vaccination coverage among adolescents aged 13\u201317 years: United States, 2014.","volume":"64","author":"Reagan-Steiner","year":"2015","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"2021120905021176600_B3","unstructured":"President\u2019s Cancer Panel\n          . Accelerating HPV Vaccine Uptake: Urgency for Action to Prevent Cancer. Updated 2014. Available at: http:\/\/deainfo.nci.nih.gov\/advisory\/pcp\/annualReports\/HPV\/PDF\/PCP_Annual_Report_2012-2013.pdf"},{"issue":"29","key":"2021120905021176600_B4","first-page":"620","article-title":"Human papillomavirus vaccination coverage among adolescents, 2007\u20132013, and postlicensure vaccine safety monitoring, 2006\u20132014: United States","volume":"63","author":"Stokley","year":"2014","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"5","key":"2021120905021176600_B5","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1038\/clpt.2010.197","article-title":"The value of vaccines: our nation\u2019s front line against infectious diseases.","volume":"88","author":"Gellin","year":"2010","journal-title":"Clin Pharmacol Ther"},{"key":"2021120905021176600_B6","first-page":"1","article-title":"Human papillomavirus vaccination: recommendations of the Advisory Committee on Immunization Practices (ACIP).","volume":"63","author":"Markowitz","year":"2014","journal-title":"MMWR Recomm Rep"},{"key":"2021120905021176600_B7","unstructured":"Immunization Action Coalition\n          . State Information: State Mandates on Immunization and Vaccine-Preventable Diseases. Updated 2016. Available at: www.immunize.org\/laws\/"},{"issue":"2","key":"2021120905021176600_B8","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1377\/hlthaff.2015.1172","article-title":"A tale of two states: Mississippi, West Virginia, and exemptions to compulsory school vaccination laws.","volume":"35","author":"Colgrove","year":"2016","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"2021120905021176600_B9","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1001\/jama.2015.6041","article-title":"State vaccination requirements for HPV and other vaccines for adolescents, 1990\u20132015.","volume":"314","author":"Schwartz","year":"2015","journal-title":"JAMA"},{"key":"2021120905021176600_B10","unstructured":"National Conference on State Legislatures\n          . HPV Vaccine: State Legislation and Statutes. Updated 2016. 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