Disparities in human papillomavirus vaccination initiation and completion by nativity status among U.S. adults

Perez, Ashley Elizabeth

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Year:: 2017
Contributor:: Perez, Ashley Elizabeth (creator); Operario, Don (Advisor); Gamarel, Kristi (Reader); Brown University. School of Public Health (sponsor)
Genre:: theses
Subject:: Papillomaviruses; Immigrants; Vaccination
Extent:: , None p.
DOI: https://doi.org/10.7301/Z0QV3K0C

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Abstract:: There are significant racial/ethnic disparities in human papillomavirus (HPV)-related cancer outcomes among U.S. adults. Several studies have also found that U.S. racial/ethnic minority women have lower odds of HPV vaccination initiation and completion, which has the potential to exacerbate HPV-related cancer disparities in the long term if left unaddressed. Furthermore, several studies have identified nativity status disparities in HPV-related outcomes, yet few studies have explored whether these disparities are also true of HPV vaccination. Therefore, we investigated whether there were significant differences in HPV vaccination initiation and completion between native-born and foreign-born U.S. men and women. Using the 2011 to 2015 waves of the National Health Interview Survey (NHIS), we analyzed data from 15,967 U.S. men aged 18-32 years and 23,794 U.S. women aged 18-35 years. We fit multivariable logistic regression models to determine whether nativity status predicted 1) HPV vaccination initiation and 2) HPV vaccination completion separately among men and women after adjusting for demographic, socioeconomic, and health care factors. We found that foreign-born men had significantly lower adjusted odds of HPV vaccination initiation (OR=0.63, 95% CI [0.47, 0.85]) and foreign-born women significantly lower adjusted odds of vaccination initiation (OR=0.57, 95% CI [0.49, 0.66]) and completion (OR=0.56, 95% CI [0.46, 0.69]) than their native-born counterparts. Other factors significantly associated with vaccination included age at HPV vaccination eligibility, being married, having some college or an associate’s degree, insurance status, and usual source of care. Given demographic, socioeconomic, and health care factors do not appear to fully account for the observed disparities, future research should investigate other factors that may be associated with nativity status disparities in HPV vaccination. Study findings suggest the importance of intervention efforts, such as culturally targeted intervention programs, to help increase HPV vaccination uptake, thus ultimately decrease HPV-related cancer rates, among immigrants in the U.S.
Notes:: Thesis (Sc. M.)--Brown University, 2017

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Perez, Ashley Elizabeth, "Disparities in human papillomavirus vaccination initiation and completion by nativity status among U.S. adults" (2017). Public Health Theses and Dissertations. Brown Digital Repository. Brown University Library. https://doi.org/10.7301/Z0QV3K0C

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Public Health Theses and Dissertations

Theses and Dissertations for the Public Health department.
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