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Table 2 Final Multivariable Model of Vaccine Resources, Practices, and Attitudes in Rural vs. Urban Adolescent Healthcare Providers, 2019

From: Human papillomavirus vaccine beliefs and practice characteristics in rural and urban adolescent care providers

 

Rural

Urban

Multivariable

adjusted odds ratio

(95% CI, p) of rural vs. urban provider status

Clinic environment resources

 Evening or weekend adolescent vaccination appointments available

  Yes

41 (30%)

189 (63%)

0.21 (0.12, 0.36), p < .001

  No or unknown

94 (70%)

113 (37%)

ref

 Standing orders to administer all recommended adolescent vaccine

  Yes

104 (77%)

155 (51%)

2.81 (1.61, 4.91), p < .001

  No or unknown

31 (23%)

147 (49%)

ref

Personal practices

 Worked on a prior adolescent vaccine quality improvement project

  Yes

23 (17%)

92 (31%)

0.52 (0.28, 0.98), p = .043

  No or unknown

112 (83%)

210 (70%)

ref

 Provide HPV vaccine information before it is due

  Yes

46 (34%)

60 (20%)

3.10 (1.68, 5.71), p < .001

  No or unknown

89 (66%)

242 (80%)

ref

 Almost always recommend HPV vaccine during urgent care visit

  Yes

17 (13%)

66 (22%)

0.37 (0.18, 0.79), p = .009

  Do not do urgent care visits

6 (4%)

24 (8%)

0.38 (0.12, 1.23), p = .106

  No

112 (83%)

212 (70%)

ref

  1. Multivariable odds ratios adjusted for all included exposures in the final model, plus provider specialty, number of providers at their practice site, and the proportion of adolescent patients on Medicaid