Race-specific trends in HPV vaccinations and provider recommendations: persistent disparities or social progress?
Race-specific trends in HPV vaccinations and provider recommendations: persistent disparities or social progress?
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DOI：
10.1016/j.puhe.2016.07.009
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发表时间：
2017-01-01
期刊：
影响因子：
5.2
通讯作者：
Jokinen-Gordon, Hanna
中科院分区：
文献类型：
--
作者：
Burdette, Amy M.;Webb, Noah S.;Jokinen-Gordon, Hanna
目的：虽然在 HPV 疫苗接种方面存在种族和民族差异，但尚不清楚这些差异是否随着时间的推移而发生变化。医疗服务提供者的建议在减少种族和民族不平等方面的作用也不确定。本研究解决了文献中的这些空白。研究设计：重复横断面设计。方法：使用全国青少年免疫调查 (2008-2013) 的数据，我们估计了一系列二元逻辑回归来模拟 (1) 提供者接种 HPV 疫苗的建议和 (2) 男性 (n = 56,632) 和女性 (n = 77,389). 结果：随着时间的推移，所有种族和族裔群体中青春期男性和女性的疫苗接种建议和 HPV 疫苗接种率有所增加。在女孩中，少数族裔青年的医疗服务提供者建议和 HPV 疫苗接种率比白人青年显着增加。在男孩中，少数族裔青少年的 HPV 疫苗接种率总体较高，然而，西班牙裔在提供者建议和 HPV 疫苗接种的增长率方面落后于非西班牙裔白人。结论：我们的结果表明，随着时间的推移，男性和女性在提供者建议和 HPV 疫苗接种方面的种族和民族差异逐渐缩小。尽管这些趋势受到欢迎，但需要采取额外的干预措施来提高跨种族、民族和性别的总体疫苗接种率。 (C) 2016 英国皇家公共卫生学会。由爱思唯尔有限公司出版。保留所有权利。
Objectives: Although racial and ethnic differences in HPV vaccination initiation are well established, it is unclear whether these disparities have changed over time. The role of health provider recommendations in reducing any racial and ethnic inequalities is also uncertain. This study addresses these gaps in the literature.Study design: Repeated cross-sectional design.Methods: Using data from the National Immunization Survey-Teen (2008-2013), we estimated a series of binary logistic regressions to model race-specific trends in (1) provider recommendations to vaccinate against HPV and (2) HPV vaccine initiation for males (n = 56,632) and females (n = 77,389).Results: Provider recommendations to vaccinate and HPV vaccination uptake have increased over time for adolescent males and females and across all racial and ethnic groups. Among girls, minority youths have seen a sharper increase in provider recommendations and HPV vaccination uptake than their White counterparts. Among boys, minority teens maintain higher overall rates of HPV vaccine uptake, however, Hispanics have lagged behind non-Hispanic Whites in the rate of increase in provider recommendations and HPV vaccinations.Conclusions: Our results suggest that racial and ethnic disparities in provider recommendations and HPV vaccinations have waned over time among males and females. While these trends are welcomed, additional interventions are warranted to increase overall rates of vaccination across race, ethnicity, and gender. (C) 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.