Uptake of HPV Vaccine among young adults with disabilities, 2011 to 2018.
Uptake of HPV Vaccine among young adults with disabilities, 2011 to 2018.
复制标题
2011年至2018年，残疾年轻人接种HPV疫苗的情况。
DOI：
10.1016/j.dhjo.2022.101341
复制
发表时间：
2022-10
影响因子：
4.5
通讯作者：
Lapane, Kate
中科院分区：
文献类型：
--
作者：
Herbert, Carly;Curtin, Carol;Epstein, Mara;Wang, Bo;Lapane, Kate
尽管与普通人群相比，年轻残疾成年人（YAWD）感染HPV和相关癌症的风险更高，但对人乳头瘤病毒（HPV）疫苗的摄取情况知之甚少。比较有残疾的年轻成人与没有残疾的年轻成人之间HPV疫苗接种的流行程度。我们假设，与一般人群相比，YAWD的HPV疫苗接种率较低。这项横断面研究使用了2011-2018年全国健康访谈调查的数据。我们的分析包括14,577人（加权n= 34,420024），年龄在18-26岁之间。使用单变量和多变量logistic模型来估计残疾对年轻人HPV疫苗接种的作用，并确定与YAWD中HPV疫苗接种相关的潜在因素。不论性别，接种HPV疫苗的女性和男性YAWD的比例与无残疾的人相似(女性校正优势比（OR）： 1.16；95%置信区间（CI）： 0.91-1.48；校正OR: 1.05；95% ci: 0.69-1.60)。在女性和男性YAWD中，接种HPV疫苗的比例分别为56.1%和28.5%。其他与YAWD中HPV疫苗接种显著相关的因素包括年龄、出生国家、医疗保健利用和保险状况。未成年人HPV疫苗接种与无残疾人群无显著差异。然而，年轻成年男性和女性的HPV疫苗接种流行率仍明显低于国家目标。将年轻人，特别是男性YAWD与卫生保健系统联系起来，对于提高HPV疫苗接种率至关重要。
Little is known about human papillomavirus (HPV) vaccine uptake among young adults with disabilities (YAWD), despite this population having higher risk of HPV infection and related cancers compared to the general population. To compare prevalence of HPV vaccination among young adults with disabilities to young adults without disabilities. We hypothesized that YAWD would have lower prevalence of HPV vaccination than the general population. This cross-sectional study used data from years 2011–2018 of the National Health Interview Survey. Our analysis included 14,577 people (weighted n=34,420,024) aged 18–26 years. Univariate and multivariable logistic models were used to estimate the role of disability on HPV vaccination uptake among young adults and to identify potential factors associated with HPV vaccination among YAWD. The proportion of female and male YAWD with HPV vaccination was similar to those without disabilities, regardless of sex (Female Adjusted Odds Ratio (OR): 1.16; 95% Confidence Interval (CI): 0.91–1.48; Male Adjusted OR: 1.05; 95% CI: 0.69–1.60). Among female and male YAWD, the proportion with HPV vaccination was 56.1% and 28.5%, respectively. Other factors significantly associated with HPV vaccination among YAWD included age, country of birth, healthcare utilization, and insurance status. HPV vaccination among YAWD did not differ significantly from those without disabilities. However, the prevalence of HPV vaccination among young adult males and females remains significantly below national goals. Connecting young adults, specifically male YAWD, to the healthcare system is of upmost importance to improve HPV vaccination uptake.
登录
查看更多内容
影响因子：
2.1
作者：
Gibson, Barbara E.;Mistry, Bhavnita;Hamdani, Yani
通讯作者：
Hamdani, Yani
影响因子：
33.9
作者：
Okoro, Catherine A.;Hollis, NaTasha D.;Griffin-Blake, Shannon
通讯作者：
Griffin-Blake, Shannon
影响因子：
1.8
作者：
Cody, Paula J.;Lerand, Sarah J.
通讯作者：
Lerand, Sarah J.
影响因子：
5.2
作者：
MacLeod, Rebecca;Tuffrey, Catherine
通讯作者：
Tuffrey, Catherine
影响因子：
1.6
作者：
McRee, Annie-Laurie;Maslow, Gary R.;Reiter, Paul L.
通讯作者：
Reiter, Paul L.