Premium
Early adoption of the human papillomavirus vaccine among Hispanic adolescent males in the United States
Author(s) -
Reiter Paul L.,
Brewer Noel T.,
Gilkey Melissa B.,
Katz Mira L.,
Paskett Electra D.,
Smith Jennifer S.
Publication year - 2014
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/cncr.28871
Subject(s) - medicine , odds ratio , confidence interval , vaccination , demography , human papillomavirus , logistic regression , population , odds , hpv vaccines , adolescent health , immunization , receipt , young adult , family medicine , gynecology , hpv infection , cervical cancer , gerontology , immunology , cancer , environmental health , nursing , sociology , antigen , world wide web , computer science
BACKGROUND Human papillomavirus (HPV) infection is common among Hispanic males, but to the authors' knowledge little is known regarding HPV vaccination in this population. The authors examined the early adoption of the HPV vaccine among a national sample of Hispanic adolescent males. METHODS The authors analyzed provider‐verified HPV vaccination data from the 2010 through 2012 National Immunization Survey‐Teen (NIS‐Teen) for Hispanic males aged 13 years to 17 years (n = 4238). Weighted logistic regression identified correlates of HPV vaccine initiation (receipt of ≥1 doses). RESULTS HPV vaccine initiation was 17.1% overall, increasing from 2.8% in 2010 to 31.7% in 2012 ( P <.0001). Initiation was higher among sons whose parents had received a provider recommendation to vaccinate compared with those whose parents had not (53.3% vs 9.0%; odds ratio, 8.77 [95% confidence interval, 6.05‐12.70]). Initiation was also higher among sons who had visited a health care provider within the previous year (odds ratio, 2.42; 95% confidence interval, 1.39‐4.23). Among parents with unvaccinated sons, Spanish‐speaking parents reported much higher intent to vaccinate compared with English‐speaking parents (means: 3.52 vs 2.54; P <.0001). Spanish‐speaking parents were more likely to indicate lack of knowledge (32.9% vs 19.9%) and not having received a provider recommendation (32.2% vs 17.7%) as the main reasons for not intending to vaccinate (both P <.05). CONCLUSIONS HPV vaccination among Hispanic adolescent males has increased substantially in recent years. Ensuring health care visits and provider recommendation will be key for continuing this trend. Preferred language may also be important for increasing HPV vaccination and addressing potential barriers to vaccination. Cancer 2014;120:3200–3207. © 2014 American Cancer Society .