HPV Vaccination Among Foreign-Born Women: Examining the National Health Interview Survey 2013-2015
HPV Vaccination Among Foreign-Born Women: Examining the National Health Interview Survey 2013-2015
复制标题
DOI：
10.1016/j.amepre.2017.08.017
复制
发表时间：
2018-01-01
影响因子：
5.5
通讯作者：
Wong, Rebeca
中科院分区：
文献类型：
--
作者：
Cofie, Leslie E.;Hirth, Jacqueline M.;Wong, Rebeca
简介：人乳头瘤病毒疫苗接种在外国出生的女性中不如在美国出生的女性普遍，这可能会导致未来人乳头瘤病毒相关癌症的差异。关于这两组之间与疫苗接种相关的因素的研究有限。本研究探讨了出生地与人乳头瘤病毒疫苗接种之间的关联，以及疫苗接种的哪些决定因素削弱了这种关系。方法：2016 年对 2013-2015 年全国健康访谈调查数据进行了分析，以确定外国和美国出生的女性人乳头瘤病毒疫苗接种率的差异。在控制健康保险状况、常规护理来源、妇产科医生就诊、子宫颈抹片检查、美国居住时间和公民身份后，采用多变量二元逻辑回归分析来研究外国出生状况与人乳头瘤病毒疫苗接种之间的关联。结果：在世界不同地区出生的女性中，人乳头瘤病毒疫苗接种率存在显着差异。在所有外国出生的女性中，欧洲和南美女性的疫苗接种率最高。与美国出生的女性相比，外国出生的女性报告接种人乳头瘤病毒疫苗的可能性明显较低。调整协变量后，这种关系部分减弱。在外国出生的女性中，亚洲人接种人乳头瘤病毒疫苗的可能性明显低于白人女性。此外，在美国居住超过 5 年与接种疫苗显着相关，但会因美国公民身份而减弱。 结论：需要制定改善人乳头瘤病毒疫苗接种的公共卫生干预措施，以解决获得健康保险和医疗保健机会有限的多元文化受众的问题。 (C) 2017 年美国预防医学杂志。由爱思唯尔公司出版。保留所有权利。
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. (C) 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.