Human papillomavirus (HPV) vaccine initiation in minority Americans
Human papillomavirus (HPV) vaccine initiation in minority Americans
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DOI：
10.1016/j.puhe.2016.11.005
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发表时间：
2017-03-01
期刊：
影响因子：
5.2
通讯作者：
Budhwani, H.
中科院分区：
文献类型：
--
作者：
De, P.;Budhwani, H.
目的：人乳头瘤病毒（HPV）的传播是一个重要的公共卫生问题。HPV可以通过一系列疫苗预防；然而，对于哪些群体最不可能开始接种疫苗，存在知识差距。考虑到这一差距，本研究的目的是检查少数种族的HPV疫苗接种率，将外国出生的个体与美国出生的同龄人进行比较。研究设计：基于人群的数据来自2013年全国健康访谈调查（NHIS），这是一项对具有统计代表性的美国平民非机构人口样本的重复大规模家庭访谈调查。数据来源于两个调查模块：家庭和汇总成人模块。方法：采用抽样权对HPV疫苗接种结果进行logistic回归建模。结果：外国出生的人、非裔美国人、男性、缺乏医疗保险和没有医疗机构（通常接受护理的地方）的人接种HPV疫苗的比例在统计上较低。受过大学教育的人接种HPV疫苗的几率更高。结论：我们的研究结果支持在少数种族和居住在美国的外国出生的人中持续存在的健康差异。解决这些差距可能需要个人层面（例如有针对性的健康教育）和系统层面（例如促进HPV疫苗接种的政策）的干预措施。由于健康保险覆盖范围和拥有医疗所是HPV疫苗接种的重要关联因素，因此尝试覆盖范围可能会提高HPV疫苗接种率。此外，要求入学时接种HPV疫苗的政策可以提高所有人群的覆盖率，包括男孩、外国出生的人和少数民族。(C) 2016年皇家公共卫生学会。Elsevier Ltd.出版。版权所有。
Objectives: Transmission of the human papillomavirus (HPV) is a significant public health concern. HPV is preventable through a series of vaccinations; however, knowledge gaps exist as to which groups are least likely to initiate vaccination. Considering this gap, the aim of this study is to examine HPV vaccine initiation rates in racial minorities, comparing foreign-born individuals to their American-born peers.Study design: Population-based data from the 2013 National Health Interview Survey (NHIS), a repeated large-scale household interview survey of a statistically representative sample of the United States civilian non-institutionalized population, were applied. Data were derived from two survey modules: the family and summary adult modules.Methods: Sampling weights were employed to logistic regression modelling the outcome of HPV vaccine initiation.Results: Foreign-born persons, African Americans, males, those lacking health insurance coverage and those without a medical home (usual place to receive care) held statistically lower rates of HPV vaccine initiation. Being college educated was associated with higher odds of HPV vaccine initiation.Conclusions: Our findings support the persistence of health disparities in racial minorities and foreign-born persons residing in the United States. Addressing these gaps will likely require both individual-level (e.g. targeted health education) and system-level (e.g. HPV vaccine promoting policies) interventions. Since health insurance coverage and having a medical home were significant associates of HPV vaccine initiation, attempts to coverage may improve HPV vaccine initiation rates. Additionally, policies which require HPV vaccination for school entry could boost coverage across all population groups, including boys, foreign-born persons and racial minorities. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.