Intersectional nativity and racial/ethnic disparities in human papillomavirus vaccination initiation among U.S. women: a national population-based study.
Background: Overall, foreign-born women are less likely than U.S.-born women to have initiated human papillomavirus (HPV) vaccination. However, foreign-born women are a racially/ethnically diverse population, and race/ethnicity is an independent predictor of HPV vaccination.Methods: Using 2011-2015...
| Published in: | Cancer Causes & Control Vol. 29; no. 10; pp. 927 - 937 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Published: |
Springer Nature
Oct2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132022036&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132022036 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09575243 ODX jtl: Cancer Causes & Control issn: 09575243 maglogo: N pubinfo: dt: Oct2018 vid: 29 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 132022036 132022036 NLM30120642 10.1007/s10552-018-1069-1 NLM30120642 132022036 ppf: 927 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Intersectional nativity and racial/ethnic disparities in human papillomavirus vaccination initiation among U.S. women: a national population-based study. aug: au: Agénor, Madina Abboud, Sarah Delgadillo, Jazmine Garcia Pérez, Ashley E. Peitzmeier, Sarah M. Borrero, Sonya affil: Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Kresge Building, 7th Floor, 02115, Boston, MA, USA sug: subj: Papillomavirus Infections Prevention and Control Papillomavirus Vaccine Administration and Dosage Healthcare Disparities Immunization Statistics and Numerical Data Socioeconomic Factors Young Adult Adolescence Ethnic Groups Health Services Accessibility Female Black Persons Statistics and Numerical Data Logistic Regression Hispanic Americans Statistics and Numerical Data Population Middle Age United States Aged Adult Interview Guides Adolescent: 13-18 years Middle Aged: 45-64 years Aged: 65+ years Adult: 19-44 years Female ab: Background: Overall, foreign-born women are less likely than U.S.-born women to have initiated human papillomavirus (HPV) vaccination. However, foreign-born women are a racially/ethnically diverse population, and race/ethnicity is an independent predictor of HPV vaccination.Methods: Using 2011-2015 National Health Interview Survey data, we used multivariable logistic regression to estimate odds ratios for foreign-born black, Latina, and Asian women compared to foreign-born white women and U.S.-born white women, adjusting for sociodemographic factors. We added socioeconomic factors followed by health care access indicators, which we conceptualized as potential mediators, to each model to assess whether they helped explain observed disparities.Results: Foreign-born Asian ([odds ratio=] 0.43; [95% confidence interval:] 0.29-0.65) and Latina (0.46; 0.32-0.68) women had significantly lower adjusted odds of initiating HPV vaccination compared to foreign-born white women. Foreign-born white (0.64; 0.45-0.90), black (0.44; 0.29, 0.67), Latina (0.29; 0.24-0.35), and Asian (0.28; 0.21-0.38) women had significantly lower adjusted odds of HPV vaccination initiation compared to U.S.-born white women. Socioeconomic factors only explained HPV vaccination initiation disparities between foreign-born Latina women and foreign-born and U.S.-born white women. Health care access indicators modestly explained disparities between foreign-born white, black, and Latina women and U.S.-born white women only.Conclusions: We observed pronounced HPV vaccination initiation disparities among foreign-born women in relation to race/ethnicity and between foreign-born women from minoritized racial/ethnic backgrounds and U.S.-born white women. Research on nativity disparities in HPV vaccination should take into account race/ethnicity, and vice versa. Interventions that seek to facilitate HPV vaccination among foreign-born women are needed and should address the unique needs of those from minoritized racial/ethnic backgrounds to promote cancer equity. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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