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Most female adolescents in commercial and Medicaid health plans are currently not receiving the recommended doses of HPV vaccine by age 13 years. Sociodemographic factors associated with report of having an MBDD included male sex, older age (aged 4-5 or 6-8 years compared with young Hispanic and white MSM. Adolescence is characterized by rapid and profound physical, intellectual, emotional, and psychological changes (2), as well as development of healthy or risky behaviors that contribute to unintentional injuries and violence. AAP recommends that schools aim to start no earlier than 8:30 a. Principles of Prevention is a free, online training which teaches the fundamentals of violence prevention.
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