What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States?
What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States?
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DOI：
10.1016/j.pvr.2016.02.001
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发表时间：
2016-12
期刊：
影响因子：
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通讯作者：
Segal R
中科院分区：
文献类型：
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作者：
Choi Y;Eworuke E;Segal R
确定解释男性和女性青少年 HPV 疫苗接种率差异的因素，并确定父母自我报告的影响疫苗接种决策的障碍。样本包括 2012 年和 2013 年国家免疫调查青少年数据集中记录有疫苗接种记录的 13-17 岁青少年。我们开发了一个包含 13 个社会人口因素和调查年份以及与性别的显着交互对的逻辑回归模型。受试者分别包括 20,355 名和 18,350 名青春期男孩和女孩。大约一半的女性 (56%) 至少接种了一剂 HPV 疫苗，而男性的这一比例为 28%。男性和女性之间存在一些差异，包括与白人相比，非西班牙裔黑人男性的疫苗接种率较高，而非西班牙裔黑人女性的疫苗接种率较低；男性中与医疗保健提供者推荐的关联性更强。父母不给孩子接种疫苗的最常见原因包括男性“医疗保健提供者不建议”（24%）和女性“不必要”（18%）。我们发现，在预测疫苗接种情况时，性别与几个社会人口变量存在显着的相互作用。这些性别差异可能部分是时间因素造成的，因为男性疫苗接种在女性疫苗接种大约五年后才成为常规疫苗接种。
To identify factors that explain differences in HPV vaccination rates for male and female adolescents and to determine self-reported barriers by parents affecting vaccination decisions. The sample included adolescents 13–17 years old with a vaccination record documented in the 2012 and 2013 National Immunization Survey-Teen dataset. A logistic regression model was developed with 13 socio-demographic factors and survey year, along with significant interaction pairs with gender. Subjects included 20,355 and 18,350 adolescent boys and girls, respectively. About half of the females (56%) received at least one dose of HPV vaccine, compared to 28% of males. Several factors differed between males and females, including higher vaccination rates among non-Hispanic Black males and lower vaccination rates for non-Hispanic Black females compared to Whites; and a stronger association with health care provider recommendation among males. The most common parental reasons for not vaccinating their children included ‘not recommended by a health care provider’ for males (24%), and ‘unnecessary’ for females (18%). We found a significant gender interaction with several socio-demographic variables in predicting vaccination uptake. These gender differences may be partially an artifact of timing, because male vaccination became routine approximately five years after female vaccination.