Social inequalities in adolescent human papillomavirus (HPV) vaccination: A test of fundamental cause theory
Social inequalities in adolescent human papillomavirus (HPV) vaccination: A test of fundamental cause theory
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DOI：
10.1016/j.socscimed.2012.12.020
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发表时间：
2013-04-01
影响因子：
5.4
通讯作者：
Carpiano, Richard M.
中科院分区：
文献类型：
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作者：
Polonijo, Andrea N.;Carpiano, Richard M.
健康差异根本原因理论的独特贡献在于，它能够解释健康和死亡率差异的持续存在，尽管在任何特定时间相关机制都发生了变化。然而，很少有研究调查这种机制是如何创建或运作的。检查在青少年中引入人乳头瘤病毒（HPV）疫苗是一种旨在预防通常在成年中后期出现的宫颈癌和其他癌症的治疗方法，我们凭经验追踪这种潜在的差异产生机制，测试疫苗接种的几个方面是否存在社会经济地位（SES）和种族/民族差异：有关疫苗的知识、接受卫生专业人士的疫苗接种建议以及开始和完成接种疫苗的情况。三针疫苗接种系列。对 2008 年、2009 年和 2010 年美国国家免疫调查青少年数据（n = 41,358）的分析揭示了与根本原因理论一致的差异，特别是在疫苗知识和接受健康专业建议方面。虽然父母的知识是青少年接种疫苗的先决条件，但社会经济地位低和种族/族裔少数的父母了解疫苗的几率明显较低。接受卫生专业人员的疫苗接种建议与疫苗的接种率密切相关，但获得建议的几率与低社会经济地位和黑人种族/族裔地位呈负相关。我们的研究结果为基本原因理论提供了信息，说明了接受新疗法的不同阶段的差异如何可能导致现有健康差异的再现，并且在青少年 HPV 疫苗接种的情况下，可能会维持未来成年人群中宫颈癌的差异。 (C) 2012 Elsevier Ltd. 保留所有权利。
A unique contribution of the fundamental cause theory of health disparities is its ability to account for the persistence of disparities in health and mortality, despite changes in the mechanisms that are relevant at any given time. Few studies, however, have investigated how such mechanisms are created or operate. Examining the introduction of the human papillomavirus (HPv) vaccine for adolescents a treatment aimed at preventing cervical and other cancers that typically emerge in mid- to late-adulthood-we empirically trace such a disparity-generating mechanism that is in the process of being latently created, testing whether socioeconomic status (SES) and racial/ethnic disparities exist for several facets of vaccination receipt: knowledge about the vaccine, receipt of a health professional recommendation to vaccinate, and initiation and completion of the three-shot vaccination series. Analyses of 2008, 2009, and 2010 United States National Immunization Survey-Teen data (n = 41,358) reveal disparities consistent with fundamental cause theory, particularly for vaccine knowledge and receipt of a health professional recommendation. While parental knowledge is a prerequisite to adolescent vaccine uptake, low SES and racial/ethnic minority parents have significantly lower odds of knowing about the vaccine. Receipt of a health professional's recommendation to vaccinate is strongly associated with vaccine uptake, however the odds of receiving a recommendation are negatively associated with low SES and black racial/ethnic status. Our findings inform fundamental cause theory by illustrating how disparities in distinct stages of the uptake of new treatments may contribute to reproducing existing health disparities and, in this case of adolescent HPV vaccination, may maintain future disparities in cervical cancer among adult populations. (C) 2012 Elsevier Ltd. All rights reserved.