HPV Vaccination Coverage Among US Teens Across the Rural‐Urban Continuum
Bibliographic Data
| ID | 19432201 |
|---|---|
| Authors | Allison L Swiecki‐Sikora (0000-0002-0267-8291, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania, corresponding author), Katherine Henry (0000-0002-5348-9669, Fox Chase Cancer Center), Kevin A Henry (Department of Geography Temple University Philadelphia Pennsylvania), Deanna Kepka (0000-0002-7844-3309, College of Nursing University of Utah Salt Lake City Utah) |
| Year | 2019 |
| Volume | 35 |
| Issue | 4 |
| Pages | 506-517 |
| Publication date | 2019-09-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Journal of Rural Health (JOURNAL) |
| Journal identifiers | ISSN: 0890-765X • E-ISSN: 1748-0361 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/jrh.12353 |
| PMID | 30703854 |
| OpenAlex | W2911251297 |
| Language | EN |
| Citations received | 21 |
| References cited | 31 |
BACKGROUND: In this study, we used data from the National Immunization Survey-Teen (NIS-Teen) to examine HPV vaccination uptake by rural and urban residence defined by ZIP code. METHODS: We used 2012-2013 NIS-Teen data to examine associations of HPV vaccination among teens aged 13-17 years with ZIP code measures of rural/urban (Rural-Urban Commuting Area (RUCA) codes, population density). Multivariable logistic regression was used to estimate the odds of HPV vaccination initiation (≥ 1 dose) and completion (≥ 3 doses). RESULTS: HPV vaccination was lower among girls from isolated small rural towns (≥1 dose 51.0%; ≥3 doses 30.0%) and small rural towns (≥1 dose 50.2%; ≥3 doses 26.8%) than among urban girls (≥1 dose 56.0%; ≥3 doses 35.9%). Girls from small rural towns had lower odds of completion (0.74, 95% CI: 0.60-0.91) than girls from urban areas. HPV vaccination was lower among boys from isolated small rural towns (≥1 dose 17.3%; ≥3 doses 5.31%) and small rural towns (≥1 dose 18.7%; ≥3 doses 5.50%) than those in urban areas (≥1 dose 28.7%; ≥3 doses 10.7%). Boys in isolated small rural towns had statistically significantly lower odds of initiation (0.68, 95% CI: 0.52-0.88) and completion (0.63, 95% CI: 0.41-0.97) than urban boys. Girls and boys from high-poverty rural areas had lower odds of initiation and completion than did their counterparts from high-poverty urban areas. CONCLUSION: Rural girls had lower odds of completing the HPV vaccine than their urban counterparts. Rural boys had lower odds than urban boys for HPV vaccination initiation and completion
Environmental health · Geography · Sociology · Vaccination · Cervical Cancer and HPV Research · Demography · Head and Neck Cancer Studies · Medicine · Psychology · Vaccine Coverage and Hesitancy · Virology
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| Citations per year | 4.2 |
|---|---|
| Citation span | 2021 - 2026 (6) |
| Highly cited | No |