Human Papillomavirus Vaccination in the United States: Uneven Uptake by Gender, Race/Ethnicity, and Sexual Orientation

Daniel-Ulloa, Jason; Gilbert, Paul A.; Parker, Edith A.

doi:10.2105/ajph.2015.303039

Cited by 52 publications

(33 citation statements)

References 6 publications

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“…With regard to our secondary outcome examining HPV vaccination, our study is one of only a few to examine differences in completion, rather than initiation, of the vaccine series by sexual orientation. The two prior studies that have investigated this outcome have yielded mixed results, with one finding no statistically significant difference in completion of the vaccine series by sexual orientation identity, 26 and the other finding a higher odds of vaccine series completion among bisexual-identified women, but a lower odds of series completion among lesbian-identified women, compared with heterosexual women. 27 Our study, which differs in methodology as it examined vaccine completion by reported sexual partners, adds to these mixed findings.…”

Section: Discussionmentioning

confidence: 99%

Comparing Receipt of Cervical Cancer Screening and Completion of Human Papillomavirus Vaccination Using a New Construct of Sexual Orientation: A Serial Cross-Sectional Study

et al. 2019

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Purpose: We assessed differences in receipt of cervical cancer screening and completion of the human papillomavirus (HPV) vaccine series between sexual minority and non sexual minority women by using two subconstructs of sexual orientation-gender of sexual partners and anatomy of sexual partners. Methods: We employed a serial cross-sectional design by using medical record data from August 2012 through August 2016 from an urban health center to compare receipt of cervical cancer screening and completion of the HPV vaccine series. In Wave 1 of the study, gender of sexual partners was the construct used. In Wave 2 of the study, anatomy of sexual partners was the construct used. Multivariable logistic regression analyses were conducted to determine the odds of being up-to-date on cervical cancer screening and completion of the HPV vaccine series among sexual minority women compared with non sexual minority women, with n = 729 in Wave 1 and n = 740 in Wave 2 of the study. Results: Sexual minority women in Wave 2 were significantly less likely to be up-to-date on cervical cancer screening than non sexual minority women (odds ratio = 0.457, p = 0.012, 95% confidence interval 0.248-0.843). We did not find a statistically significant association between receipt of cervical cancer screening and sexual minority status in Wave 1. No significant association between sexual minority status and completion of the HPV vaccine series was found in either Wave. Conclusion: This study provides important information for clinicians and researchers regarding a disparity in cervical cancer screening practices among sexual minority women, utilizing a novel approach for identifying these women.

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Section: Discussionmentioning

confidence: 99%

Comparing Receipt of Cervical Cancer Screening and Completion of Human Papillomavirus Vaccination Using a New Construct of Sexual Orientation: A Serial Cross-Sectional Study

et al. 2019

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“…Researchers have identified differences in key sexual health services – including human immunodeficiency syndrome and sexually transmitted infection (HIV/STI) testing, Papanicolaou testing, and human papillomavirus (HPV) vaccination – across numerous social determinants of health. Numerous studies report differences in regard to initiation (Chao, Velicer, Slezak, & Jacobsen, 2010; Cook et al, 2010) and completion (Daniel-Ulloa, Gilbert, & Parker, 2016; Neubrand, Breitkopf, Rupp, Breitkopf, & Rosenthal, 2009; Widdice, Bernstein, Leonard, Marsolo, & Kahn, 2011) of the HPV vaccine series by race and ethnicity, where African American and Hispanic/Latina women have poorer vaccination rates than White women. National data also show that Hispanic/Latina women are least likely to have received a Pap test in the past three years (National Center for Health Statistics, 2015).…”

Section: Introductionmentioning

confidence: 99%

Sexual Health Care Services Among Young Adult Sexual Minority Women

et al. 2017

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Young adult sexual minority women (YSMW) are at elevated risk for negative reproductive health outcomes, yet are less likely than heterosexual peers to utilize preventive health care. Medical and public health policy organizations advocate sexual orientation disclosure (“coming out”) to health care providers as a strategy for increasing service utilization among YSMW. Limited research explores relationships between disclosure and receipt of sexual health services. YSMW (N=285) ages 21–24 participated in an online survey assessing their health behaviors and care utilization. We employed multivariable logistic regression models to examine the association between receipt of sexual health services and sexual orientation disclosure to provider, after adjusting for sociodemographic covariates. Thirty-five percent of YSMW were out to their provider. Less than half the sample had received Pap screening or STI testing in the previous year; approximately 15% had received at least one dose of the HPV vaccination. Disclosure was associated with increased likelihood of Pap screening (OR=2.66, p<.001) and HPV vaccination (OR=4.30, p<.001), but was not significantly associated with STI testing. Promoting coming out to providers may be a promising approach to increase sexual health care use among YSMW. Future research should explore causal relationships between these factors.

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“…3 However, since arriving on the market in 2006, uptake of the HPV vaccination is lower than that of other adolescent vaccines, 4 at about 30% uptake for girls and 5% for boys. 5,6 HPV vaccination provides an opportunity to reduce multiple HPV-related cancers; therefore, increasing uptake of the vaccine among youth of both sexes is a vital public health issue.…”

Section: Introductionmentioning

confidence: 99%

HPV Awareness, Knowledge and Vaccination Attitudes among Church-going African-American Women

et al. 2016

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Objectives The purpose of this exploratory study was to better understand sociodemographic correlates of human papillomavirus (HPV) awareness, knowledge, and vaccination attitudes among a convenience sample of church-going, African-American women and how knowledge about HPV-related cancers relates to vaccination attitudes for girls and boys. Methods Participants (N = 308) answered survey questions about HPV awareness, knowledge, and vaccination attitudes. Associations between variables were assessed using Bonferroni-adjusted chi-square tests and regression analyses. Results Younger age was associated with having heard of HPV and willingness to vaccinate a daughter or son in covariate-adjusted analyses. Younger age and greater education were associated with knowledge that HPV causes cervical cancer. A positive association existed between willingness to vaccinate a daughter or son based on knowledge of the number of cancers associated with HPV. Knowledge that HPV was related to non-cervical cancers was significantly associated with greater willingness to vaccinate sons. Conclusions Knowledge that HPV causes multiple cancers is important to willingness to vaccinate a child. Education campaigns should emphasize that HPV is also related to non-cervical cancers. African-American women of older age and less education might benefit from church-based HPV educational campaigns.

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Human Papillomavirus Vaccination in the United States: Uneven Uptake by Gender, Race/Ethnicity, and Sexual Orientation

Abstract: In the United States, HPV vaccine rates are lagging in men and show disparities among women. Increasing HPV vaccine uptake and series completion among women of color and all men may provide considerable long-term public health benefits.

Cited by 52 publications

References 6 publications

Comparing Receipt of Cervical Cancer Screening and Completion of Human Papillomavirus Vaccination Using a New Construct of Sexual Orientation: A Serial Cross-Sectional Study

Comparing Receipt of Cervical Cancer Screening and Completion of Human Papillomavirus Vaccination Using a New Construct of Sexual Orientation: A Serial Cross-Sectional Study

Sexual Health Care Services Among Young Adult Sexual Minority Women

HPV Awareness, Knowledge and Vaccination Attitudes among Church-going African-American Women

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