White, affluent, educated parents are least likely to choose HPV vaccination for their children: a cross-sectional study of the National Immunization Study - teen.
White, affluent, educated parents are least likely to choose HPV vaccination for their children: a cross-sectional study of the National Immunization Study - teen.
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DOI：
10.1186/s12887-017-0953-2
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发表时间：
2017-12-01
期刊：
影响因子：
2.4
通讯作者：
Kepka D
中科院分区：
文献类型：
--
作者：
Warner EL;Ding Q;Pappas LM;Henry K;Kepka D
人类乳头瘤病毒（HPV）疫苗接种覆盖率低于美国的国家目标。需要研究为针对HPV疫苗接种利用不足的社会人口群体的战略性干预措施提供信息。2013年国家免疫调查-青少年的次级数据分析测量了社会人口因素（例如，在13-17岁的女性和男性中进行HPV疫苗接种（N = 18，959）。使用调查加权统计进行卡方和多变量泊松回归。母亲年龄≥35岁，母亲上过大学，属于“其他”种族，没有从卫生部门订购疫苗的供应商与女性开始接种HPV疫苗呈负相关。有一个母亲与一些大学，是非西班牙裔白色或“其他”种族/种族，并有一些或没有供应商谁订购疫苗从卫生部门是负相关的男性启动HPV疫苗接种。这些相同的因素与男性完成HPV疫苗接种呈负相关，但“其他”种族/人种除外。相比之下，有未婚母亲，年龄在15-17岁，有医院提供者，并接受其他青少年疫苗接种与女性开始和完成HPV疫苗接种呈正相关。未婚母亲、非雇主或工会赞助的健康保险、流感和脑膜炎疫苗接种与男性启动HPV疫苗接种呈正相关。对于男性来说，15或17岁和有其他青少年疫苗接种与疫苗完成呈正相关。所有结果p ≤ 0.05。未来的HPV疫苗接种干预措施可能会受益于针对某些社会人口学群体，这些群体与本研究中的HPV疫苗接种呈负相关。
Human Papillomavirus (HPV) vaccination coverage is below national goals in the United States. Research is needed to inform strategically designed interventions that target sociodemographic groups with underutilization of HPV vaccination. Secondary data analysis of the National Immunization Survey-Teen 2013 measured association of sociodemographic factors (e.g., ethnicity/race, insurance) with HPV vaccination among females and males ages 13–17 (N = 18,959). Chi-square and multivariable Poisson regressions were conducted using survey-weighted statistics. Having a mother ≥35 years, a mother with some college, being of “Other” ethnicity/race, and having no providers who order vaccines from health departments was negatively associated with females initiating HPV vaccination. Having a mother with some college, being of Non-Hispanic White or “Other” ethnicity/race, and having some or no providers who order vaccines from health departments was negatively associated with males initiating HPV vaccination. These same factors were negatively associated with males completing HPV vaccination with the exception of “Other” ethnicity/race. In contrast, having an unmarried mother, being ages 15–17, having a hospital based provider, and receiving other adolescent vaccinations were positively associated with females initiating and completing HPV vaccination. Having an unmarried mother, health insurance that is not employer or union sponsored, and influenza and meningitis vaccinations was positively associated with male’s initiating HPV vaccination. For males, being 15 or 17 years old and having other adolescent vaccinations was positively associated with vaccine completion. All findings p ≤ 0.05. Future HPV vaccination interventions may benefit from targeting certain sociodemographic groups that were negatively associated with HPV vaccination in this study.
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DOI：
10.1001/archpediatrics.2011.138
发表时间：
2011-09-01
影响因子：
--
作者：
Stokley, Shannon;Cohn, Amanda;McCauley, Mary M.
通讯作者：
McCauley, Mary M.
影响因子：
5.9
作者：
Reimer, Rachel A.;Schommer, Julie A.;Gerrard, Meg
通讯作者：
Gerrard, Meg
影响因子：
2.8
作者：
Kepka D;Ding Q;Hawkins AJ;Warner EL;Boucher KM
通讯作者：
Boucher KM
影响因子：
4.8
作者：
Boakye, Eric Adjei;Tobo, Betelihem B.;Osazuwa-Peters, Nosayaba
通讯作者：
Osazuwa-Peters, Nosayaba
影响因子：
1.6
作者：
Dorell, Christina;Yankey, David;Smith, Philip J.
通讯作者：
Smith, Philip J.