TY - JOUR
T1 - Human papillomavirus vaccination coverage among sexually active young adults aged 18 to 26 at a sexually transmitted infections clinic
AU - Tao, Jun
AU - Kapadia, Jhanavi
AU - Fenn, Natalie
AU - Almonte, Alexi A.
AU - Toma, Emily
AU - Murphy, Matthew
AU - Nunn, Amy
AU - Su, L. Joseph
AU - Chan, Philip A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Dr. Tao is supported by grants from the National Institutes of Health (K01MH19660) and the Providence/Boston Center for AIDS Research (P30AI042853).
Publisher Copyright:
© The Author(s) 2023.
PY - 2023/4
Y1 - 2023/4
N2 - Background: Human papillomavirus (HPV) vaccination is the most effective biomedical intervention for HPV infections. HPV vaccination rate among sexually active young adults is largely unknown. Methods: Patients aged 18–26 years, who attended the Rhode Island Sexually Transmitted Infections Clinic between 2013–2018, were included in the study. We extracted demographics, behavioral characteristics, and HPV vaccination status from electronic medical records. Exploratory logistic regressions were conducted to identify factors associated with vaccination status. Results: Among 2729 eligible individuals, the median age was 23 years (interquartile range: 22–25). Only 8.1% of males and 24.8% of females received at least one dose of HPV vaccine. Females were 144% (crude odds ratio [cOR]: 2.44, 95% confidence interval [CI]: 2.03, 2.94) more likely to receive at least one dose of HPV vaccine than males. Being Black/African American (B/AA) or Hispanic/Latino (H/L) was associated with a 21% (cOR: 0.79, 95% CI: 0.62, 1.00) and 34% (cOR: 0.66, 95% CI: 0.53, 0.81) decrease in the odds of vaccination, respectively. Conclusions: HPV vaccination rate was low among sexually active young adults. Gender and racial/ethnic disparities existed in HPV vaccination. Interventions are needed to promote HPV vaccination among sexually active young adults, especially B/AA and H/L communities.
AB - Background: Human papillomavirus (HPV) vaccination is the most effective biomedical intervention for HPV infections. HPV vaccination rate among sexually active young adults is largely unknown. Methods: Patients aged 18–26 years, who attended the Rhode Island Sexually Transmitted Infections Clinic between 2013–2018, were included in the study. We extracted demographics, behavioral characteristics, and HPV vaccination status from electronic medical records. Exploratory logistic regressions were conducted to identify factors associated with vaccination status. Results: Among 2729 eligible individuals, the median age was 23 years (interquartile range: 22–25). Only 8.1% of males and 24.8% of females received at least one dose of HPV vaccine. Females were 144% (crude odds ratio [cOR]: 2.44, 95% confidence interval [CI]: 2.03, 2.94) more likely to receive at least one dose of HPV vaccine than males. Being Black/African American (B/AA) or Hispanic/Latino (H/L) was associated with a 21% (cOR: 0.79, 95% CI: 0.62, 1.00) and 34% (cOR: 0.66, 95% CI: 0.53, 0.81) decrease in the odds of vaccination, respectively. Conclusions: HPV vaccination rate was low among sexually active young adults. Gender and racial/ethnic disparities existed in HPV vaccination. Interventions are needed to promote HPV vaccination among sexually active young adults, especially B/AA and H/L communities.
KW - HPV (human papillomavirus)
KW - vaccination
KW - viral disease
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U2 - 10.1177/09564624221146605
DO - 10.1177/09564624221146605
M3 - Article
C2 - 36655673
AN - SCOPUS:85147524987
SN - 0956-4624
VL - 34
SP - 315
EP - 321
JO - International Journal of STD and AIDS
JF - International Journal of STD and AIDS
IS - 5
ER -