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Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States.

Publication ,  Journal Article
Adjei Boakye, E; Osazuwa-Peters, N; López, J; Pham, VT; Tobo, BB; Wan, L; Schootman, M; McElroy, JA
Published in: Hum Vaccin Immunother
February 1, 2021

OBJECTIVES: We compared HPV vaccine initiation and completion of heterosexual with lesbian and bisexual (LB) women. METHODS: We aggregated National Health and Nutrition Examination Survey data from 2009 to 2016 for 3,017 women aged 18 to 34 y in the United States. HPV vaccine initiation was defined as reported receipt of ≥1 dose of the vaccine and completion as receipt of the three recommended doses. Weighted percentages and multivariable logistic regression models were used to examine differences in HPV vaccine initiation and completion between heterosexual and LB women. RESULTS: Approximately 12% of respondents self-identified as LB women. Overall, a higher percentage of respondents (26%) had initiated the HPV vaccine than completed the three vaccine doses (17%). In the bivariate analysis, LB women had higher initiation ([35% of LB women versus 25% heterosexual]; p = .0012) and completion rates ([24% of LB women versus 17% heterosexual]; p = .0052) than heterosexual women. After adjusting for covariates, compared to heterosexual women, LB women were 60% (aOR = 1.60, 95% CI: 1.16-2.19) more likely to initiate and 63% (aOR = 1.63, 95% CI: 1.12-2.37) more likely to complete the HPV vaccine. CONCLUSIONS: Although LB women had higher likelihood of HPV vaccine initiation and completion compared with heterosexual women, their HPV vaccine uptake was well below the Healthy People 2020 target (80%). Understanding differences in the drivers of vaccine uptake in the LB population may inform strategies that would further increase HPV vaccine uptake toward achieving the 80% completion target.

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Published In

Hum Vaccin Immunother

DOI

EISSN

2164-554X

Publication Date

February 1, 2021

Volume

17

Issue

2

Start / End Page

428 / 433

Location

United States

Related Subject Headings

  • Virology
  • Vaccination
  • United States
  • Sexual Behavior
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Nutrition Surveys
  • Male
  • Humans
  • Female
 

Citation

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Adjei Boakye, E., Osazuwa-Peters, N., López, J., Pham, V. T., Tobo, B. B., Wan, L., … McElroy, J. A. (2021). Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States. Hum Vaccin Immunother, 17(2), 428–433. https://doi.org/10.1080/21645515.2020.1778407
Adjei Boakye, Eric, Nosayaba Osazuwa-Peters, Julia López, Vy T. Pham, Betelihem B. Tobo, Leping Wan, Mario Schootman, and Jane A. McElroy. “Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States.Hum Vaccin Immunother 17, no. 2 (February 1, 2021): 428–33. https://doi.org/10.1080/21645515.2020.1778407.
Adjei Boakye E, Osazuwa-Peters N, López J, Pham VT, Tobo BB, Wan L, et al. Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States. Hum Vaccin Immunother. 2021 Feb 1;17(2):428–33.
Adjei Boakye, Eric, et al. “Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States.Hum Vaccin Immunother, vol. 17, no. 2, Feb. 2021, pp. 428–33. Pubmed, doi:10.1080/21645515.2020.1778407.
Adjei Boakye E, Osazuwa-Peters N, López J, Pham VT, Tobo BB, Wan L, Schootman M, McElroy JA. Disparities in human papillomavirus (HPV) vaccine initiation and completion based on sexual orientation among women in the United States. Hum Vaccin Immunother. 2021 Feb 1;17(2):428–433.

Published In

Hum Vaccin Immunother

DOI

EISSN

2164-554X

Publication Date

February 1, 2021

Volume

17

Issue

2

Start / End Page

428 / 433

Location

United States

Related Subject Headings

  • Virology
  • Vaccination
  • United States
  • Sexual Behavior
  • Papillomavirus Vaccines
  • Papillomavirus Infections
  • Nutrition Surveys
  • Male
  • Humans
  • Female