What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States?
Purpose: To identify factors that explain differences in HPV vaccination rates for male and female adolescents and to determine self-reported barriers by parents affecting vaccination decisions. Methods: The sample included adolescents 13–17 years old with a vaccination record documented in the 2012...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-12-01
|
| Series: | Papillomavirus Research |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405852116000021 |
| _version_ | 1818446193539153920 |
|---|---|
| author | Yoonyoung Choi Efe Eworuke Richard Segal |
| author_facet | Yoonyoung Choi Efe Eworuke Richard Segal |
| author_sort | Yoonyoung Choi |
| collection | DOAJ |
| description | Purpose: To identify factors that explain differences in HPV vaccination rates for male and female adolescents and to determine self-reported barriers by parents affecting vaccination decisions. Methods: The sample included adolescents 13–17 years old with a vaccination record documented in the 2012 and 2013 National Immunization Survey-Teen dataset. A logistic regression model was developed with 13 socio-demographic factors and survey year, along with significant interaction pairs with gender. Results: Subjects included 20,355 and 18,350 adolescent boys and girls, respectively. About half of the females (56%) received at least one dose of HPV vaccine, compared to 28% of males. Several factors differed between males and females, including higher vaccination rates among non-Hispanic Black males and lower vaccination rates for non-Hispanic Black females compared to Whites; and a stronger association with health care provider recommendation among males. The most common parental reasons for not vaccinating their children included ‘not recommended by a health care provider’ for males (24%), and ‘unnecessary’ for females (18%). Conclusion: We found a significant gender interaction with several socio-demographic variables in predicting vaccination uptake. These gender differences may be partially an artifact of timing, because male vaccination became routine approximately five years after female vaccination. Keywords: Human papillomavirus, Adolescent health, Vaccination, NIS-Teen, Gender interaction |
| first_indexed | 2024-12-14T19:43:50Z |
| format | Article |
| id | doaj.art-d51ead7a88754f1292471d068eac4820 |
| institution | Directory Open Access Journal |
| issn | 2405-8521 |
| language | English |
| last_indexed | 2024-12-14T19:43:50Z |
| publishDate | 2016-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Papillomavirus Research |
| spelling | doaj.art-d51ead7a88754f1292471d068eac48202022-12-21T22:49:37ZengElsevierPapillomavirus Research2405-85212016-12-0124651What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States?Yoonyoung Choi0Efe Eworuke1Richard Segal2Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, P.O. Box 100496, Gainesville, FL 32610, USADepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, P.O. Box 100496, Gainesville, FL 32610, USA; Division of Epidemiology II, Office of Surveillance and Epidemiology, Office of Pharmacovigilance and Epidemiology, Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, MD 20993, USADepartment of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, P.O. Box 100496, Gainesville, FL 32610, USA; Corresponding author. Tel.: +1 352 273 6265; fax: +1 352 273 6270.Purpose: To identify factors that explain differences in HPV vaccination rates for male and female adolescents and to determine self-reported barriers by parents affecting vaccination decisions. Methods: The sample included adolescents 13–17 years old with a vaccination record documented in the 2012 and 2013 National Immunization Survey-Teen dataset. A logistic regression model was developed with 13 socio-demographic factors and survey year, along with significant interaction pairs with gender. Results: Subjects included 20,355 and 18,350 adolescent boys and girls, respectively. About half of the females (56%) received at least one dose of HPV vaccine, compared to 28% of males. Several factors differed between males and females, including higher vaccination rates among non-Hispanic Black males and lower vaccination rates for non-Hispanic Black females compared to Whites; and a stronger association with health care provider recommendation among males. The most common parental reasons for not vaccinating their children included ‘not recommended by a health care provider’ for males (24%), and ‘unnecessary’ for females (18%). Conclusion: We found a significant gender interaction with several socio-demographic variables in predicting vaccination uptake. These gender differences may be partially an artifact of timing, because male vaccination became routine approximately five years after female vaccination. Keywords: Human papillomavirus, Adolescent health, Vaccination, NIS-Teen, Gender interactionhttp://www.sciencedirect.com/science/article/pii/S2405852116000021 |
| spellingShingle | Yoonyoung Choi Efe Eworuke Richard Segal What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? Papillomavirus Research |
| title | What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? |
| title_full | What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? |
| title_fullStr | What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? |
| title_full_unstemmed | What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? |
| title_short | What explains the different rates of human papillomavirus vaccination among adolescent males and females in the United States? |
| title_sort | what explains the different rates of human papillomavirus vaccination among adolescent males and females in the united states |
| url | http://www.sciencedirect.com/science/article/pii/S2405852116000021 |
| work_keys_str_mv | AT yoonyoungchoi whatexplainsthedifferentratesofhumanpapillomavirusvaccinationamongadolescentmalesandfemalesintheunitedstates AT efeeworuke whatexplainsthedifferentratesofhumanpapillomavirusvaccinationamongadolescentmalesandfemalesintheunitedstates AT richardsegal whatexplainsthedifferentratesofhumanpapillomavirusvaccinationamongadolescentmalesandfemalesintheunitedstates |