HPV Vaccination Coverage Among US Teens Across the Rural-Urban Continuum
HPV Vaccination Coverage Among US Teens Across the Rural-Urban Continuum
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DOI：
10.1111/jrh.12353
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发表时间：
2019-09-01
影响因子：
4.9
通讯作者：
Kepka, Deanna
中科院分区：
文献类型：
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作者：
Swiecki-Sikora, Allison L.;Henry, Kevin A.;Kepka, Deanna
在这项研究中，我们使用国家免疫调查-青少年（NIS-Teen）的数据来检查按邮政编码定义的农村和城市居民的HPV疫苗接种率。方法我们使用2012-2013年NIS-Teen数据，以农村/城市（农村-城市通勤区（RUCA）代码，人口密度）的邮政编码措施来检查13-17岁青少年HPV疫苗接种的相关性。多变量逻辑回归用于估计HPV疫苗接种开始（>= 1剂）和完成（>= 3剂）的几率。结果农村小城镇（≥ 1针51.0%; ≥ 3针30.0%）和农村小城镇（≥ 1针50.2%; ≥ 3针26.8%）女童HPV疫苗接种率低于城市女童（≥ 1针56.0%; ≥ 3针35.9%）。来自农村小城镇的女孩完成学业的几率（0.74，95% CI：0.60-0.91）低于来自城市地区的女孩。来自偏远小城镇（>= 1剂17.3%; >= 3剂5.31%）和小城镇（>= 1剂18.7%; >= 3剂5.50%）的男孩HPV疫苗接种率低于城市地区（>= 1剂28.7%; >= 3剂10.7%）。与城市男孩相比，偏远小城镇男孩的启动（0.68，95% CI：0.52-0.88）和完成（0.63，95% CI：0.41-0.97）的几率在统计学上显著较低。来自高度贫困农村地区的女孩和男孩的入学和完成学业的几率低于来自高度贫困城市地区的女孩和男孩。结论农村女孩完成HPV疫苗接种的几率低于城市女孩。农村男孩HPV疫苗接种开始和完成的几率低于城市男孩。
Background In this study, we used data from the National Immunization Survey-Teen (NIS-Teen) to examine HPV vaccination uptake by rural and urban residence defined by ZIP code. Methods We used 2012-2013 NIS-Teen data to examine associations of HPV vaccination among teens aged 13-17 years with ZIP code measures of rural/urban (Rural-Urban Commuting Area (RUCA) codes, population density). Multivariable logistic regression was used to estimate the odds of HPV vaccination initiation (>= 1 dose) and completion (>= 3 doses). Results HPV vaccination was lower among girls from isolated small rural towns (>= 1 dose 51.0%; >= 3 doses 30.0%) and small rural towns (>= 1 dose 50.2%; >= 3 doses 26.8%) than among urban girls (>= 1 dose 56.0%; >= 3 doses 35.9%). Girls from small rural towns had lower odds of completion (0.74, 95% CI: 0.60-0.91) than girls from urban areas. HPV vaccination was lower among boys from isolated small rural towns (>= 1 dose 17.3%; >= 3 doses 5.31%) and small rural towns (>= 1 dose 18.7%; >= 3 doses 5.50%) than those in urban areas (>= 1 dose 28.7%; >= 3 doses 10.7%). Boys in isolated small rural towns had statistically significantly lower odds of initiation (0.68, 95% CI: 0.52-0.88) and completion (0.63, 95% CI: 0.41-0.97) than urban boys. Girls and boys from high-poverty rural areas had lower odds of initiation and completion than did their counterparts from high-poverty urban areas. Conclusion Rural girls had lower odds of completing the HPV vaccine than their urban counterparts. Rural boys had lower odds than urban boys for HPV vaccination initiation and completion.