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HPV Vaccination Among Foreign-Born Women: Examining the National Health Interview Survey 2013-2015.

Abstract：

INTRODUCTION:Human papillomavirus vaccination is less prevalent among foreign-born than U.S.-born women and may lead to disparities in human papillomavirus-related cancers in the future. There is limited research on factors associated with vaccination uptake between these two groups. This study examined the association between place of birth and human papillomavirus vaccine uptake, and what determinants of vaccination attenuate this relationship. METHODS:The 2013-2015 National Health Interview Survey data on women was analyzed in 2016, to determine differences in prevalence of human papillomavirus vaccination between foreign- and U.S.-born women. Multivariate binary logistic regression analysis was used to examine the association between foreign-born status and human papillomavirus vaccine initiation, after controlling for health insurance status, having a usual source of care, obstetrician/gynecologist visits, Pap tests, length of U.S. residency, and citizenship. RESULTS:Human papillomavirus vaccination prevalence varied significantly among women born in different regions of the world. European and South-American women had the highest vaccination rates among all foreign-born women. Compared with U.S.-born women, foreign-born women were significantly less likely to report human papillomavirus vaccine initiation. This relationship was partially attenuated after adjusting for the covariates. Among foreign-born women, Asians were significantly less likely to report human papillomavirus vaccination uptake than white women. Additionally, living in the U.S. for >5 years was significantly associated with vaccine initiation, but attenuated by U.S. citizenship status. CONCLUSIONS:Public health interventions to improve human papillomavirus vaccination need to be developed to address multicultural audiences with limited access to health insurance and health care.

journal_name

Am J Prev Med

journal_title

American journal of preventive medicine

authors

Cofie LE,Hirth JM,Guo F,Berenson AB,Markides K,Wong R

doi

10.1016/j.amepre.2017.08.017

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

20-27

issue

eissn

0749-3797

issn

1873-2607

pii

S0749-3797(17)30458-0

journal_volume

pub_type

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HPV Vaccination Among Foreign-Born Women: Examining the National Health Interview Survey 2013-2015.