Background
Little information is available on geographic disparity of human papillomavirus (HPV)
vaccination among women aged 18–26 years in the U.S. Genital HPV is the most common
sexually transmitted infection in the U.S. Persistent HPV infection with oncogenic
types can cause cervical cancer.
Purpose
This study utilized data collected from the 2010 National Health Interview Survey
(NHIS). It identified geographic variability and other factors contributing to the
disparities in HPV vaccine series initiation in a nationally representative sample
of women aged 18–26 years.
Methods
The study utilized data collected from 1867 women who participated in the Cancer Control
Module Supplement of the 2012 NHIS. A multivariable logistic regression model was
used to assess characteristics associated with initiation of the HPV series. Analyses
were performed in 2012.
Results
After adjusting for other characteristics, women living in the West and North Central/Midwest
had 54% and 20% greater odds of initiating the HPV series, respectively, compared
with those living in the Northeast. Other factors associated with HPV series initiation
were younger age, Hispanic background, being single/never married, childlessness,
a history of HPV, and current alcohol use. Factors correlated with failure to initiate
the HPV series were: not having insurance, living below the 200% poverty level, not
being a high school graduate, not currently using hormone-based birth control, most
recent Pap >1 year ago, no regular provider, last clinic visit ≥12 months ago, and
never having received the hepatitis B vaccine.
Conclusions
Results demonstrate disparity in HPV vaccine uptake by region of residence in the
U.S. among young women. Further research is needed to understand the factors contributing
to this geographic disparity. Evaluation of vaccination policies and practices associated
with higher coverage regions might help characterize effective methods to improve
HPV vaccination among women aged 18–26 years.
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References
- Sexually transmitted diseases among American youth: incidence and prevalence estimates, 2000.Perspect Sexual Reprod Health. 2004; 36: 6-10
- Quadrivalent human papillomavirus vaccine: recommendations of the Advisory Committee on Immunization Practices (ACIP).MMWR Recomm Rep. 2007; 56: 1-24
- National and state vaccination coverage among adolescents aged 13 through 17 years—U.S., 2010.MMWR Morb Mortal Wkly Rep. 2011; 60: 1117-1123
- Adult vaccination coverage—U.S., 2010.MMWR Morb Mortal Wkly Rep. 2012; 61: 66-72
- Human papillomavirus vaccine uptake and barriers: association with perceived risk, actual risk and race/ethnicity among female students at a New York state university, 2010.Vaccine. 2011; 29: 3138-3143
- Correlates for human papillomavirus vaccination of adolescent girls and young women in a managed care organization.Am J Epidemiol. 2010; 171: 357-367
- Worsening disparities in HPV vaccine utilization among 19-26 year old women.Vaccine. 2011; 29: 528-534
- Racial and ethnic disparities in human papillomavirus awareness and vaccination among young adult women.Public Health Nurs. 2011; 28: 485-493
- Human papillomavirus (HPV) awareness and vaccination initiation among women in the U.S., National Immunization Survey–Adult.Prev Med. 2009; 48: 426-431
- Human papillomavirus vaccine and sexual behavior among adolescent and young women.Am J Prev Med. 2012; 42: 44-52
- Sexually related behaviors as predictors of HPV vaccination among young rural women.J Women's Health. 2011; 20: 1909-1915
- 2010 National Health Interview Survey (NHIS) public use data release.DHHS, CDC, Atlanta GA2011ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Survey_Questionnaires/NHIS/2010/English/qcancer.pdf
- Variance Estimation and Other Analytic Issues, NHIS 2006-2010.DHHS, CDC, Atlanta GA2011
- Geographic disparity, area poverty, and human papillomavirus vaccination.Am J Prev Med. 2010; 38: 525-533
- Mothers' support for voluntary provision of HPV vaccine in schools.Vaccine. 2011; 29: 2542-2547
- Missed clinical opportunities: provider recommendations for HPV vaccination for 11–12 year old girls are limited.Vaccine. 2011; 29: 8634-8641
- Telephone coverage and health survey estimates: evaluating the need for concern about wireless substitution.Am J Public Health. 2006; : 926-931
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© 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
