ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2016
Geographic Factors and Human Papillomavirus (HPV) Vaccination Initiation among Adolescent Girls in the United States.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cancer screening educational interventions in rural and farmworker communities: a systematic literature review.Ethnicity & health · 2023Pooled it
- Area-Level Variation and Human Papillomavirus Vaccination among Adolescents and Young Adults in the United States: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Pooled it
- Disparities and reverse disparities in HPV vaccination: A systematic review and meta-analysis.Preventive medicine · 2019Pooled it
- The Association Between HPV Vaccination and Neighborhood-Level Social Deprivation Among Latinos by Nativity.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Temporal Trends in Vulvar Cancer Cases and Associated Factors of Adverse Clinical Features: A 6-year Retrospective Study From a Tertiary Hospital in Indonesia.International journal of women's health · 2026Article
- Socioeconomic/health-related factors associated with HPV vaccination initiation/completion among females of paediatric age: A systematic review with meta-analysis.Public health in practice (Oxford, England) · 2025Review
- Area Socioeconomic Status, Vaccination Access, and Female Human Papillomavirus Vaccination.JAMA network open · 2025Article
- Identifying Measures for Understanding and Addressing County-Level Disparities in Adolescent HPV Vaccination Coverage in North Carolina.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025Article
- Factors Associated With Adolescents' Human Papillomavirus Vaccination Intention: A Cross-Sectional Survey.Nursing open · 2024Article
- #4Corners4Health Social Media Cancer Prevention Campaign for Emerging Adults: Protocol for a Randomized Stepped-Wedge Trial.JMIR research protocols · 2024Article
- Understanding Prognostic Factors for Human Papillomavirus Vaccination: A Rural Community Case-Control Study.Vaccines · 2023Article
- Article
- Lower human papillomavirus vaccine initiation and completion among Asian American adolescents compared to their peers: National Health and Nutritional Examination Survey 2011-2018.Cancer causes & control : CCC · 2023Article
- Implementation and evaluation of a multilevel intervention to increase uptake of the human papillomavirus vaccine among rural adolescents.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2023Article
- Prevalence of HPV and associated factors in a population of women living in southern Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022Article
- Missed Vaccination Opportunities Among U.S. Adolescents by Area Characteristics.American journal of preventive medicine · 2022Article
- Examining multilevel neighborhood socioeconomic characteristics associated with colorectal cancer screening in Vietnamese Americans residing in Philadelphia County.Translational behavioral medicine · 2022Article
- Factors Associated with HPV Vaccine Adherence among Latino/a Adolescents in a Rural, Texas-Mexico Border County.Ethnicity & disease · 2022Article
- Disparities in healthcare access and utilization and human papillomavirus (HPV) vaccine initiation in the United States.Human vaccines & immunotherapeutics · 2021Article
- Article
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4 authors.
Funding
Abstract
backgroundThis study is among the first to explore geographic factors that may be associated with human papillomavirus (HPV) vaccine uptake in the United States.
methodsData from the 2011 and 2012 National Immunization Survey-Teen for 20,565 female adolescents aged 13 to 17 years were analyzed to examine associations of HPV vaccine initiation (receipt of at least one dose) with ZIP code-level geographic factors. Logistic regression including individual and geographic factors was used to estimate the odds of HPV vaccine initiation.
resultsApproximately 53% of girls initiated the HPV vaccine in both years. Girls in high poverty communities had higher HPV vaccine initiation compared with those in low poverty communities [61.1% vs. 52.4%; adjusted OR (AOR), 1.18; 95% confidence intervals (CI), 1.04-1.33]. Initiation was higher among girls in communities where the majority of the population was Hispanic (69.0% vs. 49.9%; AOR, 1.64; 95% CI, 1.43-1.87) or non-Hispanic mixed race (60.4% vs. 49.9%; AOR, 1.30; 95% CI, 1.17-1.44) compared with majority non-Hispanic white communities. Interactions between individual-level race/ethnicity and community racial-ethnic composition indicated significantly higher odds of initiation among Hispanic girls living in Hispanic communities compared with Hispanic girls living in predominantly non-Hispanic White (NHW) (AOR, 2.23; 95% CI, 1.87-2.65) or non-Hispanic Black (NHB) (AOR, 1.90; 95% CI, 1.20-3.04) communities, respectively.
conclusionInitiation rates of HPV vaccination among teen girls were highest in the poorest communities and among Hispanics living in communities where the racial-ethnic composition was predominantly Hispanic or mixed race. IMPACT: Given low HPV vaccination rates in the United States, these results provide important evidence to inform public health interventions to increase HPV vaccination.
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