Lewis Rayleen M, Markowitz Lauri E
Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329-4027, USA; Synergy America, Inc., 6340 Sugarloaf Parkway, Suite 200, Duluth, GA 30097, USA.
Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30329-4027, USA.
Vaccine. 2022 May 3;40(20):2828-2832. doi: 10.1016/j.vaccine.2022.03.028. Epub 2022 Apr 5.
We assessed disparities in HPV vaccination coverage by sociodemographic characteristics in the United States.
Using 2017-March 2020 National Health and Nutrition Examination Survey data, we estimated vaccination coverage of ≥ 1 dose of HPV vaccine by race/ethnicity and poverty, insurance, and nativity status for females and males aged 9-14, 15-19, and 20-29 years.
Among those aged 9-14 years, coverage among non-Hispanic Black (NHB), Hispanic, and non-Hispanic Asian (NHA) females (40.0%, 33.6%, 34.0%) and males (27.1%, 35.3%, 30.9%) was higher than non-Hispanic White (NHW) females (26.5%) and males (25.2%). Among those aged 15-19 and 20-29 years, coverage varied among NHB, Hispanic, and NHA compared to NHW females and was lower among NHB, Hispanic, and NHA than NHW males. Coverage was lower among uninsured than insured in most comparisons.
HPV vaccination coverage varied by race/ethnicity and other characteristics. Efforts are needed to increase HPV vaccination coverage in all populations.
我们评估了美国按社会人口学特征划分的人乳头瘤病毒(HPV)疫苗接种覆盖率差异。
利用2017年至2020年3月的国家健康与营养检查调查数据,我们估算了9至14岁、15至19岁以及20至29岁的女性和男性中,接种≥1剂HPV疫苗的覆盖率,按种族/族裔、贫困状况、保险情况和出生状态进行划分。
在9至14岁人群中,非西班牙裔黑人(NHB)、西班牙裔和非西班牙裔亚裔(NHA)女性(分别为40.0%、33.6%、34.0%)和男性(分别为27.1%、35.3%、30.9%)的接种覆盖率高于非西班牙裔白人(NHW)女性(26.5%)和男性(25.2%)。在15至19岁和20至29岁人群中,与NHW女性相比,NHB、西班牙裔和NHA女性的接种覆盖率有所不同,且NHB、西班牙裔和NHA女性的接种覆盖率低于NHW男性。在大多数比较中,未参保者的接种覆盖率低于参保者。
HPV疫苗接种覆盖率因种族/族裔和其他特征而异。需要努力提高所有人群的HPV疫苗接种覆盖率。