Race, Nativity, and Sex Disparities in Human Papillomavirus Vaccination Among Young Adults in the USA

• Published in: Journal of racial and ethnic health disparities 2021-10, Vol.8 (5), p.1260-1266
• Main Authors: McElfish, Pearl A., Narcisse, Marie-Rachelle, Felix, Holly C., Cascante, Diana C., Nagarsheth, Nirav, Teeter, Ben, Faramawi, Mohammed F.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adults; Asian Americans; Black people; Cervical cancer; Colonies & territories; Cross-Sectional Studies; Cultural differences; Datasets; Emigrants and Immigrants - statistics & numerical data; Epidemiology; Estimates; Ethnic differences; Ethnic groups; Ethnicity; Female; Health Care Surveys; Healthcare Disparities - ethnology; Healthcare Disparities - statistics & numerical data; Hispanic people; Human papillomavirus; Humans; Immigrants; Immunization; Interviews; Male; Medicine; Medicine & Public Health; Men; Minority & ethnic groups; Minority groups; Pacific Islander people; Papillomavirus Vaccines - administration & dosage; Polls & surveys; Public health; Quality of Life Research; Race; Racial differences; Racial Groups - statistics & numerical data; Racial inequality; Sex differences; Sex Factors; Social Inequality; Social Structure; Statistical analysis; Surveys; United States; Vaccination - statistics & numerical data; Vaccines; Variables; White people; Women; Womens health; Young Adult; Young adults
• ISSN: 2197-3792; 2196-8837; 2196-8837
• DOI: 10.1007/s40615-020-00886-5

Research has demonstrated that the human papillomavirus (HPV) vaccine is a safe and effective way to decrease HPV-related cervical cancers; however, the vaccination rate in the USA is suboptimal. The current study examined racial and ethnic disparities in HPV vaccination among a nationally representative sample, including Native Hawaiian and Pacific Islanders (NHPI). This study also investigated the associations between nativity and vaccination, and sex differences between race/ethnicity and vaccination and nativity and vaccination. A cross-sectional study was conducted with a sample of adults aged 18–26 years drawn from the 2014 NHPI National Health Interview Survey ( n  = 2590) and the general 2014 National Health Interview Survey ( n  = 36,697). Log-binomial models were fitted to examine differences in vaccination. There was a statistically significant racial/ethnic difference in HPV vaccination ( p  = 0.003). More women than men were vaccinated (41.8% vs. 10.1%) ( p