HPV Vaccine Initiation and Completion Among Native Hawaiian and Pacific Islander Adults, United States, 2014.
HPV Vaccine Initiation and Completion Among Native Hawaiian and Pacific Islander Adults, United States, 2014.
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DOI：
10.1177/10105395211027467
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发表时间：
2021-07
影响因子：
2.5
通讯作者：
Chen S
中科院分区：
文献类型：
--
作者：
Gopalani SV;Janitz AE;Martinez SA;Campbell JE;Chen S
夏威夷原住民和太平洋岛民(NHPI)成年人患有某些与人类乳头瘤病毒(HPV)相关的癌症，负担不成比例。2015年，国家健康访谈调查(NHIS)的数据显示，按种族和民族划分的成年人疫苗接种覆盖率；然而，无法获得NHPI成年人的覆盖率数据。在这项研究中，我们估计了HPV疫苗接种的开始和完成情况，并评估了美国18至26岁的NHPI成年人接种HPV疫苗的相关因素。我们分析了2014年NHPI NHIS(n=1204)的公共数据文件。我们指定了抽样设计参数并拟合了加权Logistic回归模型来计算HPV疫苗接种的几率。我们开发了一个有向无环图，以确定最低限度的调整充分集，并根据保险覆盖范围(针对教育和种族)和就诊(针对保险覆盖范围、收入、种族和性别)进行调整。总体而言，24.9%的NHPI成人已经开始和完成了HPV疫苗接种系列，11.5%的成人已经开始和完成了HPV疫苗接种。加权Logistic回归分析表明，女性接种HPV疫苗的优势比男性高(加权优势比=5.4，95%可信区间=2.8~10.4)。在NHPI成人中发现的疫苗接种覆盖率较低，这为有针对性的计划提供了机会，以减轻HPV相关癌症的负担。
Native Hawaiian and Pacific Islander (NHPI) adults bear a disproportionate burden of certain human papillomavirus (HPV)-associated cancers. In 2015, data from the National Health Interview Survey (NHIS) showed vaccination coverage among adults by racial and ethnic groups; however, coverage data for NHPI adults were unavailable. In this study, we estimated the initiation and completion of HPV vaccination and assessed the factors associated with vaccination among NHPI adults aged 18 to 26 years in the United States. We analyzed public data files from the 2014 NHPI NHIS (n = 1204). We specified sampling design parameters and fitted weighted logistic regression models to calculate the odds of HPV vaccine initiation. We developed a directed acyclic graph to identify a minimally sufficient set for adjustment and adjusted for insurance coverage (for education and ethnicity) and doctor visit (for insurance coverage, earnings, ethnicity, and sex). Overall, 24.9% and 11.5% of NHPI adults had initiated and completed the HPV vaccination series, respectively. Weighted logistic regression models elucidated that the odds of HPV vaccine initiation were higher for females (weighted odds ratio = 5.4; 95% confidence interval = 2.8–10.4) compared with males. Low vaccination coverage found among NHPI adults provides an opportunity for targeted programs to reduce the burden of HPV-associated cancers.
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影响因子：
33.9
作者：
Reagan-Steiner, Sarah;Yankey, David;Singleton, James A.
通讯作者：
Singleton, James A.
影响因子：
2.3
作者：
Miller, Barry A.;Chu, Kenneth C.;Hankey, Benjamin F.;Ries, Lynn A. G.
通讯作者：
Ries, Lynn A. G.
影响因子：
1.6
作者：
Dela Cruz, May Rose Isnec;Tsark, Jo Ann Umilani;Braun, Kathryn Lenzner
通讯作者：
Braun, Kathryn Lenzner
影响因子：
5.9
作者：
Tom A;Robinett H;Buenconsejo-Lum L;Soon R;Hamilton M;Francisco-Natanauan P;Cruz MR;Balajadia R;Hernandez BY
通讯作者：
Hernandez BY
DOI：
10.15585/mmwr.mm6633a2
发表时间：
2017-08-25
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Walker TY;Elam-Evans LD;Singleton JA;Yankey D;Markowitz LE;Fredua B;Williams CL;Meyer SA;Stokley S
通讯作者：
Stokley S