Intersectional nativity and racial/ethnic disparities in human papillomavirus vaccination initiation among U.S. women: a national population-based study

Agénor, Madina; Abboud, Sarah; Delgadillo, Jazmine Garcia; Pérez, Ashley E.; Peitzmeier, Sarah; Borrero, Sonya

doi:10.1007/s10552-018-1069-1

Cited by 14 publications

(10 citation statements)

References 44 publications

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“…Indeed, our findings suggest low coverage of HPV vaccination among foreign-born women and men. Similar to other studies showing lower rates of HPV vaccine initiation among foreign-born than among U.S.-born populations in those 20 to 25 years old (10% vs. 20%), 8,9 we found that fewer than 1 in 10 foreign-born adults ages 35 and younger had received any doses of the vaccine. If left unaddressed, disparities in utilization of these health services will likely lead to continued HPV-related cancer disparities in the long term.…”

Section: Discussionsupporting

confidence: 90%

“…First, the lower prevalence of HPV among men and women who were foreign-born indicates that disparities related to HPV and nativity, such as higher levels of cervical cancer mortality among foreign-born women, are not likely due to higher rates of infection or high-risk infection. Rather, other known disparities, such as lower vaccination, lower screening participation, delayed diagnosis, and poorer access to care, [8][9][10][11][12][13] may explain the discrepancy between this population's lower prevalence of HPV infection but increased risk of negative HPV-related outcomes. Indeed, our findings suggest low coverage of HPV vaccination among foreign-born women and men.…”

Section: Discussionmentioning

confidence: 98%

“…Approximately 1 in 7 people living in the U.S.over 43 millionare born in other countries, 7 many of whom emigrated from Latin America and Asia, 7 where the burden of cervical cancer is high. Compared to women born in the U.S., foreign-born women have lower levels of HPV vaccination 8,9 and cervical cancer screening. [10][11][12] They have also been found to experience later stage diagnosis of cervical cancers, 13 greater cervical cancer mortality, [14][15][16] and some groups such as Korean-American women and Latina women have a higher incidence of cervical cancer.…”

Section: Introductionmentioning

confidence: 94%

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Nativity status and genital HPV infection among adults in the U.S.

Bhattacharya

Reiter

McRee

2019

Human Vaccines & Immunotherapeutics

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Over 43 million immigrants live in the United States (U.S.). Foreign-born populations experience multiple disparities related to human papillomavirus (HPV), including higher cervical cancer mortality rates, yet little research has examined the prevalence of genital HPV infection among this population. We used data from 1,822 women and 1,622 men ages 20-59 in the U.S. who participated in the 2013-2014 National Health and Nutrition Examination Survey (NHANES). Participants reported their nativity status (foreign-vs. U.S.-born) and provided biospecimens for HPV testing. We assessed nativity differences in the prevalence of three HPV infection outcomes (any HPV type, high-risk HPV type, and vaccinepreventable HPV type) using weighted logistic regression. Overall, 40% of women and 46% of men tested positive for any type of HPV. Compared to women born in the U.S., foreign-born women had a lower prevalence of infection with any HPV type (32% vs. 42%, p < .01). Compared to men born in the U.S., foreign-born men had a lower prevalence of all HPV infection outcomes (any type: 39% vs. 48%; high-risk: 22% vs. 34%; vaccine-preventable: 12% vs. 16%; all p < .05). Multivariable models attenuated several of these differences, though foreign-born men had lower odds of infection with a high-risk HPV type (OR = 0.75; 95% CI: 0.60-0.93, p < .01) after adjusting for covariates. Although lower than among their U.S.-born counterparts, HPV infection is prevalent among foreign-born women and men in the U.S. Findings can help inform strategic communication campaigns and targeted HPV vaccination and cervical cancer screening efforts for immigrant populations.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 94%

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Nativity status and genital HPV infection among adults in the U.S.

Bhattacharya

Reiter

McRee

2019

Human Vaccines & Immunotherapeutics

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“…Example 2: Human Papillomavirus (HPV) Vaccination HPV vaccination is an effective method of preventing cervical cancer in women. However, compared with other foreign-born women of color, foreign-born Asian women have the lowest adjusted odds of HPV vaccine initiation compared with U.S.-born NHWs (odds ratio, OR = 0.26; Agénor et al, 2018). This disparity is of special concern for East Asians because .76% of Chinese and Koreans in the United States are foreign-born (Pew Research Center, 2013).…”

Section: Qian Lumentioning

confidence: 99%

Overcoming constraints of the model minority stereotype to advance Asian American health.

Kim¹,

Lü²,

Stanton³

2021

American Psychologist

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Asian Americans are the fastest growing U.S. immigrant group, projected to become the largest immigrant group by 2065, but the quantity of research on Asian Americans' health has not mirrored changing demographics. Asian Americans have been understudied for more than 25 years, with only 0.17% of National Institutes of Health (NIH) expenditures allocated to projects including Asian American, Native Hawaiian, and Pacific Islander populations (Ðoàn et al., 2019). This disproportionality may result in part from the model minority stereotype (MMS) being extended to health, perpetuating the ideas that Asian Americans are well-positioned with regard to health status and that associated research is not essential. Accordingly, the aims for this article are threefold: (a) bring attention to the inadequate representation of the Asian American population in health-related science, (b) question the MMS in health, and (c) outline potential pathways through which the MMS limits what is knowable on Asian American health issues and needs. We discuss the limited meaningfulness of nonrepresentative aggregated statistics purporting the model minority image and provide counterexamples. We also present a stereotype-constraints model with the MMS contributing to a bottleneck for Asian American health-related knowledge, accompanied by present-day circumstances (e.g., sparse data, few psychologists/behavioral medicine scientists focused on Asian American health). We conclude with initial recommendations for addressing MMS-associated constraints in psychology and more broadly.

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“…This can be a concerning assumption as the majority of Black lesbians and women who have sex with women have had sex with a male partner at some point in their life [29][30][31][32]. In addition, Black lesbians and women who have sex with women may be less likely than heterosexual women and women with only male sexual partners, respectively, to have received contraception due to perceptions made by their healthcare provider due to their sexual orientation [33,34] and less likely to be screened for STIs and HIV [35].…”

Section: Critiquementioning

confidence: 99%

Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships

Opara

Abrams

Cross

et al. 2021

IJERPH

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While Black girls and women are disproportionately impacted by sexual health disparities, there continues to be an overwhelming focus on individual risk behaviors within prevention initiatives, which offers a fragmented narrative of the multidimensional nature of risk and plausibly limits effectiveness of prevention programs and attenuates reductions in disparities. Because sexual health is experienced within an individual’s beliefs/values, interpersonal relationships, and behaviors and reflects larger social and cultural systems, it is important to critically examine common theories used to inform HIV/STI prevention interventions for Black women and girls. To fill this gap in the literature, we critique two commonly used theories in HIV/STI prevention interventions, namely the social cognitive theory and the theory of gender and power, by highlighting theoretical and practical strengths and weaknesses. We propose research implications that incorporate key strengths of the two theories while adding new concepts grounded in the intersectionality theory. The overall goal is to introduce a more comprehensive conceptual model that is reflective of and applicable to the multidimensional sexual experiences of Black girls and women within the evolving definition of sexual health and behavior.

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Intersectional nativity and racial/ethnic disparities in human papillomavirus vaccination initiation among U.S. women: a national population-based study

Cited by 14 publications

References 44 publications

Nativity status and genital HPV infection among adults in the U.S.

Nativity status and genital HPV infection among adults in the U.S.

Overcoming constraints of the model minority stereotype to advance Asian American health.

Reframing Sexual Health for Black Girls and Women in HIV/STI Prevention Work: Highlighting the Role of Identity and Interpersonal Relationships

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