ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health
Human papillomavirus vaccine coverage among females aged 11 to 17 in Texas counties: an application of multilevel, small area estimation.
Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 22 citations in OpenAlex.
- Human Papillomavirus Vaccination and Human Papillomavirus-Related Cancer Rates.JAMA network open · 2024Article
- Associations of geographic-based socioeconomic factors and HPV vaccination among male and female children in five US states.BMC public health · 2024Article
- Estimating county-level vaccination coverage using small area estimation with the National Immunization Survey-Child.Vaccine · 2024Review
- Understanding Prognostic Factors for Human Papillomavirus Vaccination: A Rural Community Case-Control Study.Vaccines · 2023Article
- Estimates of Childhood Overweight and Obesity at the Region, State, and County Levels: A Multilevel Small-Area Estimation Approach.American journal of epidemiology · 2021Article
- Multilevel analysis in rural cancer control: A conceptual framework and methodological implications.Preventive medicine · 2019Article
- Are we speaking the same language? an argument for the consistent use of terminology and definitions for childhood vaccination indicators.Human vaccines & immunotherapeutics · 2019Article
- Impact of Pharmacists on Access to Vaccine Providers: A Geospatial Analysis.The Milbank quarterly · 2018Article
- Comparison of Methods for Estimating Prevalence of Chronic Diseases and Health Behaviors for Small Geographic Areas: Boston Validation Study, 2013.Preventing chronic disease · 2017Article
- Generating Health Estimates by Zip Code: A Semiparametric Small Area Estimation Approach Using the California Health Interview Survey.American journal of public health · 2015Article
- Validation of multilevel regression and poststratification methodology for small area estimation of health indicators from the behavioral risk factor surveillance system.American journal of epidemiology · 2015Article
- Application of the Carolina Framework for Cervical Cancer Prevention.Gynecologic oncology · 2014Article
- Self-rated health: small area large area comparisons amongst older adults at the state, district and sub-district level in India.Health & place · 2014Article
- 'In general, how do you feel today?'--self-rated health in the context of aging in India.Global health action · 2014Article
- County-level estimates of human papillomavirus vaccine coverage among young adult women in Texas, 2008.Texas public health journal · 2013Article
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Authors and funding
6 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundLocal data are often used to plan and evaluate public health interventions and policy. With increasingly fewer public resources to collect sufficient data to support direct estimation of local outcomes, methods for deriving small area estimates are vital. The purpose of this study is to describe the county-level geographic distribution of human papillomavirus (HPV) vaccine coverage among adolescent females in Texas using multilevel small area estimation.
methodsMultilevel (individual, county, public health region) random-intercept logit models were fit to HPV vaccination data (≥1 dose Gardasil) from the 2008 Behavioral Risk Factor Surveillance System. Using the parameter estimates from the final model, we simulated 10,000 data sets for each regression coefficient from the normal distribution and applied them to the logit model to estimate HPV vaccine coverage in each county.
resultsCounty-level coverage estimates ranged from 7% to 29%, compared with the state average of 18% (95% confidence interval [CI], 13.59-21.88). Many Southwestern border and metropolitan counties exhibited high coverage estimates. Low coverage estimates were noted in the Panhandle, Southeastern border region, and Northeast. Significant correlations were observed between HPV vaccination and Hispanic ethnicity, county poverty, and public health region poverty.
conclusionHarnessing the flexibility of multilevel small area models to estimate HPV vaccine coverage at the county level, we have provided data that may inform the development of health education programs/policies, the provision of health services, and the planning of new research studies. Additionally, we have provided a framework for modeling other health outcomes at the county level using national survey data.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.