ArticleJournal of racial and ethnic health disparities2026
Unmet Social Needs and HPV Vaccination Among Parents and Children Residing in a Major Metropolitan Area.
Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveAlthough childhood HPV vaccination reduces adult cancer risk, national uptake remains suboptimal. This study examined associations between unmet social needs and HPV vaccine uptake in a metropolitan area.
methodsParents (N = 412) with children aged 10-17 were recruited to complete a survey through Meta advertisements and at a health fair.
resultsOverall, 54.9% of children were fully vaccinated, 81.0% of parents had initiated vaccination, and 54% of parents reported > = 1 unmet social need. In an income-adjusted model, under-vaccinated children were more likely to be younger (OR = 1.96, 95% CI = 1.25, 3.07), and have parents who were non-white (OR = 1.74, 95% CI = 1.11, 2.71), non-Hispanic (OR = 1.96, 95% CI = 1.15, 3.35), and unvaccinated (OR = 3.53, 95% CI = 2.00, 6.22). The association between housing instability and childhood under-vaccination was overshadowed by the strong effect of parental vaccination status. In a healthcare access-, income-, and sex-adjusted model, parents were 25% more likely to be unvaccinated with each additional unmet social need experienced (OR = 1.25, 95% CI = 1.05, 1.49).
conclusionUnvaccinated parents were more likely to have under-vaccinated children and reported more unmet social needs. Unmet social needs may help identify families experiencing structural vulnerabilities associated with HPV under-vaccination.
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