Division of Epidemiology and Community Health, University of Minnesota School of Public Health, 300 West Bank Office Building, 1300 S 2Nd St, Minneapolis, MN, 55454, USA.
Division of Hematology, Oncology and Transplantation, University of Minnesota Medical School Masonic Cancer Center, 420 Delaware St, MMC 480, Minneapolis, MN, 55455, USA.
Cancer Causes Control. 2023 Jun;34(6):543-552. doi: 10.1007/s10552-023-01685-z. Epub 2023 Mar 27.
To compare human papillomavirus (HPV) vaccination initiation and completion between Asian American adolescents and their peers.
HPV vaccine initiation and completion of adolescents aged 9-17 years old were analyzed using the National Health and Nutritional Examination Survey data from 2011 to 2018. The outcomes were HPV vaccine initiation percentage among all adolescents and completion percentage among initiators. Odds ratios for initiation or completion among Hispanics, Blacks, and Asians (referred to as racial/ethnic minorities) versus Whites were compared using logistic regression, adjusted for adolescent's age, annual family income, parent education, and insurance coverage.
From 2011 to 2018, overall initiation was less than 40% among U.S. adolescents. The initiation increased among boys (from 10% in 2011-12 to over 30% in 2017-2018) but not among girls. Compared to White girls, Black and Hispanic girls were more likely, while Asian girls were less likely to initiate vaccination. Although not statistically significant, Asian girls had ORs ranging from 0.65 to 0.99 for initiation compared to White girls in each of the four survey cycles. Black and Hispanic boys were more likely to initiate vaccination compared to White boys. Initiation among Asian boys increased to 39% in the 2017-2018 survey cycle. Racial/ethnic minority girls were less likely to complete the series compared to White girls, while the opposite was seen in Black boys.
HPV vaccination status varies among racial/ethnic groups. Future efforts should be made to achieve the Healthy People 2020 goal of 80% vaccination among U.S. adolescents and address the gap among Asian American girls.
比较亚裔美国青少年与同龄人之间的人乳头瘤病毒（HPV）疫苗接种启动和完成情况。
利用 2011 年至 2018 年全国健康和营养调查数据，分析 9-17 岁青少年 HPV 疫苗接种启动和完成情况。所有青少年 HPV 疫苗接种启动率和启动者接种完成率为结局指标。采用 logistic 回归比较西班牙裔、非裔和亚裔（简称少数族裔）与白人青少年 HPV 疫苗接种启动或完成的比值比，调整了青少年年龄、家庭年收入、家长教育程度和保险覆盖情况。
2011 年至 2018 年，美国青少年 HPV 疫苗总体接种启动率不足 40%。男孩接种启动率（从 2011-12 年的 10%上升到 2017-2018 年的 30%以上）有所上升，但女孩接种启动率没有上升。与白人女孩相比，黑人和西班牙裔女孩更有可能接种疫苗，而亚裔女孩接种疫苗的可能性较小。尽管没有统计学意义，但在四个调查周期中，亚裔女孩接种疫苗的比值比均在 0.65 至 0.99 之间，与白人女孩相比。与白人男孩相比，黑人和西班牙裔男孩更有可能接种疫苗。2017-2018 年调查周期中，亚裔男孩接种率上升至 39%。少数族裔女孩接种疫苗完成率低于白人女孩，而黑人群体则相反。
HPV 疫苗接种情况在不同种族/族裔群体中存在差异。未来应努力实现 2020 年“健康人”目标，即美国青少年 HPV 疫苗接种率达到 80%，并解决亚裔美国女孩的差距问题。
