Initiation of human papillomavirus vaccination among predominantly minority female and male adolescents at inner-city community health centers

R.M. Btoush, D.R. Brown, S. Fogarty and D.P. Carmody

American Journal of Public Health, 2015, vol. 105, issue 11, 2388-2396

Abstract: Objectives. We examined the prevalence and correlates of human papillomavirus (HPV) vaccine initiation among adolescents in low-income, urban areas. Methods. The study consisted of electronic health record data on HPV vaccination for 3180 adolescents (aged 10-20 years) at a multisite community health center in 2011. Results. Only 27% initiated the HPV vaccine. The adjusted odds ratio (AOR) of HPV vaccination was lower among older adolescents (AOR = 0.552; 95% confidence interval [CI] = 0.424, 0.718) and those seen by nonpediatric health care providers (HCPs; AOR= 0.311; 95% CI = 0.222, 0.435), and higher among non- English speakers (AOR = 1.409; 95% CI = 1.134, 1.751) and those seen at 2 site locations (AOR = 1.890; 95% CI = 1.547, 2.311). Insurance status was significant only among female and Hispanic adolescents. Language was not a predictor among Hispanic adolescents. Across all analyses, the interaction of age and HCP specialty was associated with HPV vaccination. Dramatically lower HPV vaccination rates were found among older adolescents seen by nonpediatric HCPs (3%-5%) than among other adolescents (23%-45%). Conclusions. Improving HPV vaccination initiation in low-income urban areas is critical to reducing disparities in cervical and other HPV-related cancer, especially among Black, Hispanic, and low-income populations.

Keywords: Wart virus vaccine, adolescent; age; attitude to health; child; female; health center; human; language; male; minority group; Papillomavirus Infections; patient attitude; poverty; prevalence; socioeconomics; statistics and numerical data; urban population; young adult, Adolescent; Age Factors; Child; Community Health Centers; Female; Health Knowledge, Attitudes, Practice; Humans; Language; Male; Minority Groups; Papillomavirus Infections; Papillomavirus Vaccines; Patient Acceptance of Health Care; Poverty; Prevalence; Socioeconomic Factors; Urban Population; Young Adult (search for similar items in EconPapers)
Date: 2015
References: Add references at CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
http://hdl.handle.net/10.2105/AJPH.2015.302584

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302584_6

DOI: 10.2105/AJPH.2015.302584

Access Statistics for this article

American Journal of Public Health is currently edited by Alfredo Morabia

More articles in American Journal of Public Health from American Public Health Association
Bibliographic data for series maintained by Christopher F Baum ().