Geospatial patterns of human papillomavirus vaccine uptake in Minnesota

被引:11
|
作者
Nelson, Erik J. [1 ]
Hughes, John [2 ]
Oakes, J. Michael [3 ]
Pankow, James S. [3 ]
Kulasingam, Shalini L. [3 ]
机构
[1] St Louis Univ, Coll Publ Hlth & Social Justice, Dept Epidemiol, St Louis, MO 63103 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Biostat, Minneapolis, MN 55455 USA
[3] Univ Minnesota, Sch Publ Hlth, Div Epidemiol & Community Hlth, Minneapolis, MN USA
来源
BMJ OPEN | 2015年 / 5卷 / 08期
关键词
YOUNG-ADULT WOMEN; UNITED-STATES; GEOGRAPHIC-VARIATION; HPV VACCINE; ADOLESCENT GIRLS; NATIONAL-HEALTH; DISPARITIES; COVERAGE; CARE; RECOMMENDATIONS;
D O I
10.1136/bmjopen-2015-008617
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To identify factors associated with human papillomavirus (HPV) vaccination and to determine the geographic distribution of vaccine uptake while accounting for spatial autocorrelation. Design: This study is cross-sectional in design using data collected via the Internet from the Survey of Minnesotans About Screening and HPV study. Setting and participants: The sample consists of 760 individuals aged 18-30 years nested within 99 ZIP codes surrounding the downtown area of Minneapolis, Minnesota. Results: In all, 46.2% of participants had received >= 1 dose of HPV vaccine (67.7% of women and 13.0% of men). Prevalence of HPV vaccination was found to exhibit strong spatial dependence ((rho) over cap) = 0.9951) across ZIP codes. Accounting for spatial dependence, age (OR=0.76, 95% Cl 0.70 to 0.83) and male gender (OR=0.04, 95% Cl 0.03 to 0.07) were negatively associated with vaccination, while liberal political preferences (OR=4.31, 95% Cl 2.32 to 8.01), and college education (OR=2.58, 95% CI 1.14 to 5.83) were found to be positively associated with HPV vaccination. Conclusions: Strong spatial dependence and heterogeneity of HPV vaccination prevalence were found across ZIP codes, indicating that spatial statistical models are needed to accurately identify and estimate factors associated with vaccine uptake across geographic units. This study also underscores the need for more detailed data collected at local levels (eg, ZIP code), as patterns of HPV vaccine receipt were found to differ significantly from aggregated state and national patterns. Future work is needed to further pinpoint areas with the greatest disparities in HPV vaccination and how to then access these populations to improve vaccine uptake.
引用
收藏
页数:8
相关论文
共 50 条
  • [1] Challenges related to human papillomavirus (HPV) vaccine uptake in Minnesota: clinician and stakeholder perspectives
    Nicholas Yared
    Molly Malone
    Estee Welo
    Inari Mohammed
    Emily Groene
    Matthew Flory
    Nicole E. Basta
    Keith J. Horvath
    Shalini Kulasingam
    [J]. Cancer Causes & Control, 2021, 32 : 1107 - 1116
  • [2] Challenges related to human papillomavirus (HPV) vaccine uptake in Minnesota: clinician and stakeholder perspectives
    Yared, Nicholas
    Malone, Molly
    Welo, Estee
    Mohammed, Inari
    Groene, Emily
    Flory, Matthew
    Basta, Nicole E.
    Horvath, Keith J.
    Kulasingam, Shalini
    [J]. CANCER CAUSES & CONTROL, 2021, 32 (10) : 1107 - 1116
  • [3] Understanding Human Papillomavirus Vaccine Uptake
    Fisher, William A.
    [J]. VACCINE, 2012, 30 : F149 - F156
  • [4] Uptake of human papillomavirus vaccine stalls in the US
    McCarthy, Michael
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2013, 347
  • [5] HUMAN PAPILLOMAVIRUS VACCINE UPTAKE IN SOUTH KOREA
    Choi, J. Y.
    Kim, M.
    Kwon, B. S.
    Jeong, S. J.
    Suh, D. H.
    Kim, K.
    Kim, Y. B.
    No, J. H.
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2017, 27 : 327 - 327
  • [6] Human papillomavirus vaccine uptake in South Korea
    Choi, Jin Young
    Kim, Miseon
    Kwon, Byung-Su
    Jeong, Su Jin
    Suh, Dong Hoon
    Kim, Kidong
    Kim, Yong Beom
    No, Jae Hong
    [J]. CLINICAL AND EXPERIMENTAL OBSTETRICS & GYNECOLOGY, 2022, 49 (01):
  • [7] HUMAN PAPILLOMAVIRUS VACCINE UPTAKE IN SOUTH KOREA
    Choi, J. Y.
    Kim, M.
    Kwon, B. S.
    Jeong, S. J.
    Suh, D. H.
    Kim, K.
    Kim, Y. B.
    No, J. H.
    [J]. INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER, 2017, 27 : 1745 - 1745
  • [8] Geospatial Patterns in Human Papillomavirus Vaccination Uptake: Evidence from Uninsured and Publicly Insured Children in North Carolina
    Trogdon, Justin G.
    Ahn, Thomas
    [J]. CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION, 2015, 24 (03) : 595 - 602
  • [9] Exploring Sociodemographic and Geospatial Variation in Human Papillomavirus Vaccination Uptake in Virginia
    Staples, Jeanine N.
    Nelamangala, Samhita
    Morris, Sean
    Wells, Kristen
    [J]. OBSTETRICS AND GYNECOLOGY, 2019, 133 : 83S - 83S
  • [10] Human papillomavirus vaccine uptake in adolescents with developmental disabilities
    O'Neill, Jenny
    Elia, Sonja
    Perrett, Kirsten P.
    [J]. JOURNAL OF INTELLECTUAL & DEVELOPMENTAL DISABILITY, 2019, 44 (01): : 98 - 102