Geographic variation in human papillomavirus vaccination uptake among young adult women in the United States during 2008-2010

被引:28
作者
Rahman, Mahbubur
Laz, Tabassum H.
Berenson, Abbey B.
机构
[1] Univ Texas Med Branch, Dept Obstet & Gynecol, Galveston, TX 77555 USA
[2] Univ Texas Med Branch, Ctr Interdisciplinary Res Womens Hlth, Galveston, TX 77555 USA
关键词
Geographic variation; Human papillomavirus; HPV vaccine; Cervical cancer; BRFSS; HEALTH INTERVIEW SURVEY; AGED; 13-17; YEARS; COVERAGE; COMPLETION; POVERTY; GIRLS;
D O I
10.1016/j.vaccine.2013.09.022
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Very little is known about geographic variation in human papillomavirus (HPV) vaccine uptake among young adult women in the US. To investigate this, we analyzed data from 12 US states collected through the Behavioral Risk Factor Surveillance System between 2008 and 2010. Among 2632 young adult women (18-26 years old) who responded to HPV vaccine uptake questions, weighted vaccine initiation and completion rates were: 28.0% and 17.0% overall, 14.0% and 6.6% in the South, 28.7% and 19.3% in the Midwest/West, and 37.2% and 23.1% in the Northeast (P<0.001), respectively. Log-binomial regression analysis showed that women living in the South were less likely to initiate (adjusted prevalence ratio (aPR) 0.71, 95% confidence interval (CI) 0.60-0.83) or complete (aPR 0.61, 95% CI, 0.53-0.71) the HPV vaccine series compared to women living in the Northeast. Interventions programs to improve HPV vaccine uptake in the Southern states are warranted. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:5495 / 5499
页数:5
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