Nativity status and genital HPV infection among adults in the U.S.
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 populatio...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2019-08-01
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| Series: | Human Vaccines & Immunotherapeutics |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/21645515.2019.1578592 |
| _version_ | 1797633741165690880 |
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| author | Manami Bhattacharya Paul L. Reiter Annie-Laurie McRee |
| author_facet | Manami Bhattacharya Paul L. Reiter Annie-Laurie McRee |
| author_sort | Manami Bhattacharya |
| collection | DOAJ |
| description | 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 vaccine-preventable 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. |
| first_indexed | 2024-03-11T11:58:07Z |
| format | Article |
| id | doaj.art-c12ca065ff5e48e29d8ed5992a087352 |
| institution | Directory Open Access Journal |
| issn | 2164-5515 2164-554X |
| language | English |
| last_indexed | 2024-03-11T11:58:07Z |
| publishDate | 2019-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Human Vaccines & Immunotherapeutics |
| spelling | doaj.art-c12ca065ff5e48e29d8ed5992a0873522023-11-08T11:55:19ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2019-08-01157-81897190310.1080/21645515.2019.15785921578592Nativity status and genital HPV infection among adults in the U.S.Manami Bhattacharya0Paul L. Reiter1Annie-Laurie McRee2University of MinnesotaThe Ohio State UniversityUniversity of Minnesota Medical SchoolOver 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 vaccine-preventable 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.http://dx.doi.org/10.1080/21645515.2019.1578592human papillomavirus (hpv)immigrant healthhealth disparitiesnativity statussexually transmitted infectionnational health and nutrition examination survey |
| spellingShingle | Manami Bhattacharya Paul L. Reiter Annie-Laurie McRee Nativity status and genital HPV infection among adults in the U.S. Human Vaccines & Immunotherapeutics human papillomavirus (hpv) immigrant health health disparities nativity status sexually transmitted infection national health and nutrition examination survey |
| title | Nativity status and genital HPV infection among adults in the U.S. |
| title_full | Nativity status and genital HPV infection among adults in the U.S. |
| title_fullStr | Nativity status and genital HPV infection among adults in the U.S. |
| title_full_unstemmed | Nativity status and genital HPV infection among adults in the U.S. |
| title_short | Nativity status and genital HPV infection among adults in the U.S. |
| title_sort | nativity status and genital hpv infection among adults in the u s |
| topic | human papillomavirus (hpv) immigrant health health disparities nativity status sexually transmitted infection national health and nutrition examination survey |
| url | http://dx.doi.org/10.1080/21645515.2019.1578592 |
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