Racial and age disparities in HPV vaccine uptake in college women

Background. The human papillomavirus (HPV) vaccine is recommended globally for the prevention of HPV infection subtypes that are responsible for almost all cervical cancer cases. Previous studies suggest vaccine uptake may be low in college women. Factors associated with low uptake have not been clearly described. In this study, we determine HPV vaccination rates and identify individual characteristics associated with vaccine uptake in college women.

Objective. To determine HPV vaccination rates and assess for age-racial disparities in uptake among college women.

Methods. A convenience sample of 1030 women (51%White; mean age 22) recruited from the University of Florida completed a questionnaire in 2011. Bivariate and multivariate analyses adjusted for race and age were performed.

Results. Approximately half (49%) of the sample was vaccinated (received 1-3 shots), and 34% completed all 3 shots. Completing all 3 shots differed by race (40% White; 35% Hispanic, 30% Asian; 18% Black and 33% other; p< 0.05). History of any STDs and Pap testing were not significantly associated with vaccination. In multivariate analysis women were more likely to be vaccinated if they were younger (18-26yrs vs. 27+), (OR=5.7, 95% CI: 3.5-9.4); and whites were more likely to be vaccinated than blacks, (OR=1.9, 95% CI: 1.3-2.8).

Conclusion. We found that only one-third of this educated sample had completed all 3 shots of the recommended HPV vaccine. We found disparities in vaccine uptake with age and race. Strategies for HPV vaccine uptake among college populations should direct efforts toward minority women.