Sexual Orientation Identity Disparities in Awareness and Initiation of the Human Papillomavirus Vaccine Among US Women and Girls A National Survey
Sexual Orientation Identity Disparities in Awareness and Initiation of the Human Papillomavirus Vaccine Among US Women and Girls A National Survey
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DOI：
10.7326/m14-2108
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发表时间：
2015-07-21
影响因子：
39.2
通讯作者：
Austin, S. Bryn
中科院分区：
文献类型：
--
作者：
Agenor, Madina;Peitzmeier, Sarah;Austin, S. Bryn
背景资料：女同性恋者和双性恋妇女有从女性和男性性伴侣感染人乳头瘤病毒（HPV）的风险。目的：研究美国妇女和女孩的性取向认同和HPV疫苗接种之间的关系。设计：横断面，使用2006-2010年全国家庭增长调查数据。设置：美国平民非机构化人群。参与者：2006-2010年全国家庭增长调查采用分层整群抽样，建立了12279名年龄在15至44岁之间的美国妇女和女孩的全国概率样本。分析仅限于3253名年龄在15至25岁之间的妇女和女孩，她们被问及HPV疫苗接种情况。测量方法：使用多变量logistic回归获得HPV疫苗知晓率估计值，并根据每个性取向身份组的社会人口学和卫生保健因素进行调整。在15至25岁的美国妇女和女孩中，84.4%的人报告听说过HPV疫苗;其中，28.5%的人已经开始接种HPV疫苗。在异性恋、双性恋和女同性恋受访者中，调整后的疫苗知晓率相似。调整协变量后，8.5%（P = 0.007）的女同性恋者和33.2%（P = 0.33）的双性恋妇女和女孩谁听说过疫苗开始接种，而28.4%的异性恋者。S.年龄在15至25岁的女同性恋者（因为这个群体的样本量小）。结论：青少年和年轻的成年女同性恋者可能不太可能启动HPV疫苗接种比他们的异性恋同行。方案应促进年轻女同性恋者获得HPV疫苗接种服务。
Background: Lesbians and bisexual women are at risk for human papillomavirus (HPV) infection from female and male sexual partners.Objective: To examine the association between sexual orientation identity and HPV vaccination among U.S. women and girls.Design: Cross-sectional, using 2006-2010 National Survey of Family Growth data.Setting: U.S.civilian noninstitutionalized population.Participants: The 2006-2010 National Survey of Family Growth used stratified cluster sampling to establish a national probability sample of 12 279 U.S. women and girls aged 15 to 44 years. Analyses were restricted to 3253 women and girls aged 15 to 25 years who were asked about HPV vaccination.Measurements: Multivariable logistic regression was used to obtain prevalence estimates of HPV vaccine awareness and initiation adjusted for sociodemographic and health care factors for each sexual orientation identity group.Results: Among U.S. women and girls aged 15 to 25 years, 84.4% reported having heard of the HPV vaccine; of these, 28.5% had initiated HPV vaccination. The adjusted prevalence of vaccine awareness was similar among heterosexual, bisexual, and lesbian respondents. After adjustment for covariates, 8.5% (P = 0.007) of lesbians and 33.2% (P = 0.33) of bisexual women and girls who had heard of the vaccine had initiated vaccination compared with 28.4% of their heterosexual counterparts.Limitation: Self-reported, cross-sectional data, and findings may not be generalizable to periods after 2006 to 2010 or all U. S. lesbians aged 15 to 25 years (because of the small sample size for this group).Conclusion: Adolescent and young adult lesbians may be less likely to initiate HPV vaccination than their heterosexual counterparts. Programs should facilitate access to HPV vaccination services among young lesbians.