142nd APHA Annual Meeting and Exposition

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297765
HPV vaccination among Hispanic females in the United States: Results from the National Immunization Survey-Teen

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014

Paul L. Reiter, PhD , Division of Cancer Prevention and Control, The Ohio State University, Columbus, OH
Noel T. Brewer, PhD , Health Behavior, UNC Gillings School of Global Public Health, Chapel Hill, NC
Melissa Gilkey, PhD , Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
Mira Katz, PhD , College of Public Health, The Ohio State University, Columbus, OH
Electra D. Paskett, PhD , Division of Cancer Prevention and Control, The Ohio State University, Columbus, OH
Jennifer Smith, PhD , Department of Epidemiology, University of North Carolina, Chapel Hill, NC
BACKGROUND: Hispanic females have the highest cervical cancer incidence rate of any racial or ethnic group in the US, yet relatively little research has examined HPV vaccination among this fast-growing population.  We examined HPV vaccination among a national sample of Hispanic adolescent females.

METHODS: We analyzed provider-verified vaccination data from the 2010-2011 National Immunization Survey-Teen for Hispanic females ages 13-17 (n=2,786).  We used weighted logistic regression to identify correlates of HPV vaccine initiation (receipt of one or more doses), completion (receipt of three doses), and follow-through (receipt of three doses among those who initiated the series).

RESULTS: HPV vaccine initiation was 60.9%, completion was 36.0%, and follow-through was 59.1%.  Initiation and completion were more common among older daughters and those whose parents had received a provider recommendation to vaccinate (all p<0.05).  Completion was less common among daughters who had moved from their birth state (p<0.05).  All vaccination outcomes were less common among daughters without health insurance (all p<0.05).  Vaccination did not differ by parents’ preferred language (all p>0.05), although intent to vaccinate was higher among Spanish-speaking parents (p<0.01).  Spanish-speaking parents were more likely to indicate lack of provider recommendation (20.2% vs. 5.3%) and cost (10.9% vs. 1.8%) as main reasons for not intending to vaccinate (both p<0.05).

CONCLUSIONS: Many Hispanic females have not received HPV vaccine.  Several factors, including provider recommendation and health insurance, are key correlates of vaccination.  HPV vaccination programs targeting Hispanics are needed and should consider how potential barriers to vaccination may differ by preferred language.

Learning Areas:

Epidemiology
Social and behavioral sciences

Learning Objectives:
Describe HPV vaccination among Hispanic adolescent females in the United States. Identify correlates of HPV vaccine initiation, completion, and follow-through among this population. Describe potential barriers to vaccination among this population and how barriers may differ by preferred language.

Keyword(s): Immunizations, Women's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as PI or co-I on several projects related to HPV vaccination behaviors. I have also published extensively in this area over the last five years.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.