Positive provider attitude and self-efficacy toward screening, larger institution size, recent training, and college policy were tied to higher screening rates.
Relative to HPV-negative participants, those with HPV had a 40% higher risk of cardiovascular disease and twice the risk of coronary artery disease.
Precancer incidence has decreased 80% among screened women aged 20 to 24 years.
Researchers said the findings are concerning, especially because the rates of HPV-linked throat and tongue cancers in men are rising.
But rates of types 31/33/45, 47, and 45 were lower in vaccinated women, which the authors said suggests that the vaccines offer some cross-protection against these types.
The authors found no reduction in missed vaccination opportunities during acute or chronic care visits, only for well-child visits.
From 2013-2015 to 2019-2021, mortality decreased 15% per year.
California has reported 63 West Nile virus infections this year, including many in the Central Valley.
A second study shows that men infected with the strains of HPV associated with cervical cancer have evidence of sperm death and lower rates of fertility.
Clinicians should strongly recommend routine vaccinations for teens and verify that all—especially those in the Vaccines for Children program—are up to date, the authors say.