1 Department of Health and Exercise Science, University of Oklahoma, Norman, OK, USA.
2 Department of Health Behavior and Health Systems, University of North Texas Health Science Center, Fort Worth, TX, USA.
Public Health Rep. 2019 May/Jun;134(3):264-273. doi: 10.1177/0033354919838219. Epub 2019 Apr 5.
Despite cancer prevention benefits associated with the human papillomavirus (HPV) vaccine, uptake in the United States is relatively low among males and females. Our objective was to use the Healthy People 2020 social determinants of health framework to determine the availability and characteristics of data on economic, educational, social, health care, and community factors affecting HPV vaccine uptake in the United States.
We included the most recent data sets from 6 publicly available, US-based, federally funded surveys that contained at least 1 measure of HPV vaccination among adolescents and young adults. We searched each data set for any social determinants of health measures within the 5 domains of the framework: economic stability, education, social and community context, health and health care, and neighborhood and built environment.
The social determinants of health domains of education, economic stability, and health and health care appeared in all data sets. The domains of social and community context and neighborhood and built environment appeared in only 3 data sets. Even when domains were represented, we discovered gaps in the data sets, in which only limited measures of the social determinants were available.
The addition of questions about the social determinants of health to the surveys that generate these data sets, particularly in the domains of social and community context and neighborhood and built environment, would strengthen the ability of public health researchers, policy makers, and professionals to identify associations between the social determinants of health and HPV vaccine uptake.
尽管人乳头瘤病毒 (HPV) 疫苗具有预防癌症的益处，但在美国，男性和女性对该疫苗的接种率相对较低。我们的目的是利用《健康人 2020》中的社会决定因素健康框架，确定影响 HPV 疫苗接种率的经济、教育、社会、医疗保健和社区因素的数据的可用性和特征。
我们纳入了 6 个可公开获取的、基于美国的、联邦资助的最新数据集，这些数据集至少包含一项青少年和年轻人 HPV 疫苗接种的措施。我们在每个数据集中搜索了框架的 5 个领域内的任何社会决定因素健康措施：经济稳定、教育、社会和社区环境、健康和医疗保健以及邻里和建筑环境。
教育、经济稳定和健康与医疗保健这三个社会决定因素健康领域出现在所有数据集中。社会和社区环境以及邻里和建筑环境领域仅出现在 3 个数据集中。即使在有代表性的领域，我们也发现了数据集中的空白，这些数据集中只有有限的社会决定因素的措施可用。
向生成这些数据集的调查中添加有关社会决定因素健康的问题，特别是在社会和社区环境以及邻里和建筑环境领域，将增强公共卫生研究人员、政策制定者和专业人员识别社会决定因素健康与 HPV 疫苗接种率之间关联的能力。
