Worsening disparities in HPV vaccine utilization among 19-26 year old women

Worsening disparities in HPV vaccine utilization among 19-26 year old women
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DOI:
10.1016/j.vaccine.2010.10.051
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发表时间:
2011-01-10
期刊:
影响因子:
5.5
通讯作者:
Ruffin, Mack
Ruffin, Mack
中科院分区:
医学3区
文献类型:
--
作者:
Dempsey, Amanda;Cohn, Lisa;Ruffin, Mack

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我们评估了在初级保健大学诊所就诊的19-26岁女性接受HPV疫苗的相关特征。在分析的11,545名妇女中,只有18%开始了3剂疫苗系列。在30个月的研究期间,样本中的系列完成率仅为10%。系列启动率下降与年龄较大、公共保险、白色种族和非家庭医学专业相关。减少系列完成与公共保险和非洲裔美国人的种族。随着时间的推移,种族和保险的使用差异加剧,这表明最高风险的女性人群没有接种疫苗。(C)2010爱思唯尔有限公司版权所有。
We evaluated the characteristics associated with uptake of HPV vaccine by 19-26 year old women seen in primary care university-based clinics. Of the 11,545 women analyzed only 18% had initiated the 3-dose vaccine series. Series completion among the sample overall was only 10% in the 30 month study period. Decreased series initiation was associated with older age, public insurance, white race and non-family medicine specialty. Decreased series completion was associated with public insurance and African American race. Utilization disparities by race and insurance worsened over time suggesting that the highest risk populations of women were not getting vaccinated. (C) 2010 Elsevier Ltd. All rights reserved.