Back to Top Skip to main content

Surveillance Snapshot: Human Papillomavirus Vaccination Among U.S. Active Component Service Members in the Millennium Cohort Study, 2006–2017

HPV virus HPV virus

Recommended Content:

Medical Surveillance Monthly Report

The U.S. Millennium Cohort Study is a population-based prospective study that includes over 200,000 current and prior U.S. military service members.1,2

The cohort includes 4 panels of participants, the first of which was enrolled in 2001; subsequent panels were enrolled in 2004, 2007, and 2011. Questionnaires were sent to participants every 3 years to collect information on service-related experiences as well as mental, physical, and behavioral health. As such, the Millennium Cohort Study is uniquely positioned to leverage both administrative and self-reported data to help understand the effects of military service on the health of its members.

The analysis was restricted to active component members under age 26 in 2006 (women) or 2009 (men). The primary outcomes were human papillomavirus (HPV) vaccine initiation, completion (3 doses), and adherence (3 doses within 1 year). Medical encounter and central immunization databases were used to identify those who had received the HPV vaccine through June 2017. The analysis sample included 22,387 female and 31,705 male Millennium Cohort Study participants.  

Overall, among service women in the analysis sample, 37.8% initiated the HPV vaccine and 40.2% of initiators were adherent (Figure 1). Among service men in the analysis sample, 3.9% initiated the vaccine and 23.1% of initiators were adherent (Figure 2). Compared to their respective counterparts, members of the Air Force and those in healthcare occupations had higher percentages of initiation and adherence. Initiation and adherence percentages were lower among self-reported ever smokers (cigarette) compared to never smokers. No differences were observed for other selected measures such as depression, panic or anxiety, or problem drinking (data not shown).

Author affiliations: Deployment Health Research Department in the Military Population Health Directorate, Naval Health Research Center, San Diego, CA (Dr. Matsuno, Dr. Porter, Mr. Warner, CDR Wells); Leidos, Inc., San Diego, CA (Dr. Matsuno, Dr. Porter, Mr. Warner)

Disclaimer: The authors are military service members or employees of the U.S. Government, or contract employees of the Government. This work was prepared as part of their official duties. Title 17, U.S.C. §105 provides that copyright protection under this title is not available for any work of the U.S. Government. Title 17, U.S.C. §101 defines a U.S. Government work as work prepared by a military service member or employee of the U.S. Government as part of that person’s official duties.

This work was supported by the Military Operational Medicine Research Program under work unit no. 60002. The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Department of the Navy, Department of Defense, or the U.S. Government.

The study protocol was approved by the Naval Health Research Center Institutional Review Board in compliance with all applicable Federal regulations governing the protection of human subjects. Research data were derived from an approved Naval Health Research Center, Institutional Review Board protocol number NHRC.2000.0007.

 

REFERENCES

1. Gray GC, Chesbrough KB, Ryan MA, et al. The Millennium Cohort Study: a 21-year prospective cohort study of 140,000 military personnel. Mil Med. 2002;167(6):483–488.

2. Ryan MA, Smith TC, Smith B, et al. Millennium Cohort: enrollment begins a 21-year contribution to understanding the impact of military service. J Clin Epidemiol. 2007;60(2):181–191.

 

Percentages of all eligible service women (n=22,387) who initiated (n=8,453), completed (n=5,179), and adhered (n=3,400) to guidelines for HPV vaccination, active component, U.S. Armed Forces, 2006–2017

Percentages of all eligible service men (n=31,705) who initiated (n=1,231), completed (n=429), and adhered (n=272) to guidelines for HPV vaccination, active component, U.S. Armed Forces, 2009–2017


You also may be interested in...

Commentary: The Warrior Heat- and Exertion-Related Event Collaborative and the Fort Benning Heat Center

Article
4/1/2020
A U.S. Navy Basic Underwater Demolition/SEAL student moves through the weaver during an obstacle course session in the first phase of training. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kyle D. Gahlau/Released)

Recommended Content:

Medical Surveillance Monthly Report

Update: Heat Illness, Active Component, U.S. Armed Forces, 2019

Article
4/1/2020
Service members from Joint Task Force-Bravo participate in Chapel Hike 75. In spite of the heat, sun and exhaustion, service members were enthusiastically hiking the road mountain to provide food for the local community. (U.S. Army photo by Martin Chahin)

Recommended Content:

Medical Surveillance Monthly Report

Update: Exertional Hyponatremia, Active Component, U.S. Armed Forces, 2004–2019

Article
4/1/2020
Builder 3rd Class, assigned to Mobile Construction Battalion (NMCB) 1, detachment Guam, drinks water while reconstructing a roof for a home that was damaged during Typhoon Mangkhut. U.S. Navy photo by Mass Communication Specialist 2nd Class Kelsey J. Hockenberger)

Recommended Content:

Medical Surveillance Monthly Report

Update: Exertional Rhabdomyolysis, Active Component, U.S. Armed Forces, 2015–2019

Article
4/1/2020
Midshipmen from the U.S Naval Academy Class of 2016 conduct a log carrying exercise. (U.S. Navy photo by Mass Communication Specialist 2nd Class Todd Frantom)

Update: Exertional Rhabdomyolysis, Active Component, U.S. Armed Forces, 2015–2019

Recommended Content:

Medical Surveillance Monthly Report

Update: Sexually Transmitted Infections, Active Component, U.S. Armed Forces, 2011-2019

Article
3/1/2020
Photomicrograph of a Gram-stained specimen demonstrating the presence of Gram-negative, intracellular diplococci, which is a finding indicative of the possible presence of Neisseria gonorrhoeae bacteria. Credit: CDC/Bill Schwartz

Recommended Content:

Medical Surveillance Monthly Report

Incidence of Sexually Transmitted Infections Before and After Insertion of an Intrauterine Device or Contraceptive Implant, Active Component Service Women, U.S. Armed Forces, 2014–2019

Article
3/1/2020
A copper intrauterine device.

Recommended Content:

Medical Surveillance Monthly Report

Blood Lead Level Surveillance Among Pediatric Beneficiaries in the Military Health System, 2010–2017

Article
3/1/2020
U.S. Air Force Staff Sgt. Katie Duff, a medical technician with the 193rd Special Operations Wing's Medical Group, pricks the finger of brave 23-month old Kahia Inman, while his mother Malia Duvauchelle holds him during a free health screening. (U.S. Air Force photo by Tech. Sgt. Culeen Shaffer)

Recommended Content:

Medical Surveillance Monthly Report

Diabetes Mellitus and Gestational Diabetes, Active and Reserve Component Service Members and Dependents, 2008–2018

Article
2/1/2020
Master Sgt. Tara Taylor performs a glucose checks wile a young girl consoles her mother. (U.S. Air National Guard photo by Staff Sgt. Bethany Rizor)

Recommended Content:

Medical Surveillance Monthly Report

Update: Malaria, U.S. Armed Forces, 2019

Article
2/1/2020
An Anopheles gambiae mosquito in the process of obtaining a blood meal. Credit: CDC/James D. Gathany

Recommended Content:

Medical Surveillance Monthly Report

Increased Risk for Stress Fractures and Delayed Healing with NSAID Receipt, U.S. Armed Forces, 2014–2018

Article
2/1/2020
Credit: iStock

Recommended Content:

Medical Surveillance Monthly Report

Brief Report: Diagnoses of Scarlet Fever in Military Health System (MHS) Beneficiaries Under 17 Years of Age Across the MHS and in England, 2013–2018

Article
2/1/2020
A maculopapular rash, a hallmark symptom of measles, on an infant’s face. Credit: CDC/Jim Goodson, M.P.H.

Recommended Content:

Medical Surveillance Monthly Report

Images in Health Surveillance: Skin Rashes in Children due to Infectious Causes

Article
2/1/2020
A maculopapular rash, a hallmark symptom of measles, on an infant’s face. Credit: CDC/Jim Goodson, M.P.H.

Recommended Content:

Medical Surveillance Monthly Report

Respiratory Pathogen Surveillance Trends and Influenza Vaccine Effectiveness Estimates for the 2018–2019 Season Among Department of Defense Beneficiaries

Article
1/6/2020
Navy Seaman Kenny Liu prepares a needle with a flu vaccination aboard the USS Gerald R. Ford in Newport News, Va., Oct. 22, 2019. The ship’s crew received flu vaccines.

Recommended Content:

Medical Surveillance Monthly Report

Incidence and Prevalence of Idiopathic Corneal Ectasias, Active Component, 2001–2018

Article
1/6/2020
Keratoconus. Credit: © 2019 American Academy of Ophthalmology.

Recommended Content:

Medical Surveillance Monthly Report

Carbon Monoxide Poisoning, Active and Reserve Component Service Members and Non-Service Member Beneficiaries of the Military Health System, U.S. Armed Forces, July 2009–June 2019

Article
1/6/2020
Combustion fumes from a car exhaust pipe. (iStock photo).

Recommended Content:

Medical Surveillance Monthly Report
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 10

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.