Feasibility and sustainability of a nurse-led intervention to integrate HPV vaccination into medical processing for active-duty Soldiers

Figures & data

Figure 1. Nursing staff perceptions before and after training.*p<.05.^{^}Included nurses, medical support assistants, and health technicians.

Figure 2. Flow diagram of soldiers assessed at Medical One Stop during 4-week intervention period.

Table 1. Characteristics of eligible Soldiers and associations with HPV vaccine receipt (n = 516).

					Bivariate association
	n (%)		No. who received HPV vaccine/total in category (%)		Effect	(Std. error)
Sex^a
Male	427	(83)	160/427	(37)	Reference
Female	88	(17)	38/88	(43)	0.06	(0.06)
Age (years)^b
18–20	226	(44)	104/226	(46)	Reference
21–26	284	(56)	92/284	(32)	−0.14**	(0.043)
Number of other vaccines received at visit
0	229	(44)	87/229	(38)	Reference
1	183	(35)	70/183	(38)	0.00	(0.05)
2–3	42	(8)	18/42	(43)	0.05	(0.08)
Missing	62	(12)	23/62	(37)	–	–

Effect and adjusted effects are average marginal effects. Std. errors = robust Delta-method standard errors. Dashes (--) indicate not included in bivariate model.

*p < .05; **p < .01.

^aData missing for 1 soldier.

^bData missing for 6 soldiers.

Table 2. Reasons for HPV vaccine declination among eligible soldiers who declined vaccination in a follow-up sample (n = 132)^a.

	n (%)
Want to learn more about it first	25	(19)
Not needed/necessary	21	(16)
Concern about getting too many vaccines at one time	11	(8)
Other concern about safety/side effects	8	(6)
Not sexually active	7	(5)
Other reason	59^a	(45)

^a1 soldier did not provide a reason.

Table 3. Delivery cost for HPV vaccine doses delivered during 4-week intervention period.

	Cost^a
Total cost	$12,737
Materials^b	$86
Personnel	$670
Presenters (n = 2)	$209
Attendees (n = 11)^c	$461
HPV vaccine doses	$11,981 ($61/dose for 198 doses)
Cost per vaccine dose delivered	$64 ($12,737/198 doses)

^aCosts rounded to the nearest US dollar.

^bIncludes handouts, flyers, nursing staff flow chart cards, soldier reminder cards.

^cIncludes one participant with unknown clinic staff role in which we imputed the mean salary of attendees ($45.02/hour).

Data availability statement

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.