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Exploring the Role of Neighborhood Socio-Demographic Factors on HPV Vaccine Initiation Among Low-Income, Ethnic Minority Girls

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Abstract

Little is known about whether neighborhood factors are associated with human papillomavirus (HPV) vaccine uptake, especially among disadvantaged groups that can benefit most from the vaccine. We used data collected from immigrant, low-income mothers of adolescent girls and data from the 2005–2009 American Community Survey to investigate the relationship between HPV vaccine initiation and neighborhood characteristics. We compared initiation rates across levels of neighborhood disadvantage and employed multilevel logistic regression models to examine contextual effects on uptake. Overall, 27 % of girls (n = 479) initiated the vaccine. Initiation rates were highest among girls from the most disadvantaged neighborhoods (30 %), however, neighborhood factors were not independently associated with vaccine initiation after adjusting for individual factors. Mother’s awareness of HPV, age, and insurance status were strong predictors for initiation. Future interventions should focus on improving awareness among low-income mothers as well as targeting vulnerable families outside the catchment area of public programs.

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Acknowledgments

This study was supported by the UCLA NIH/NCI R25 Cancer Education and Career Development Program and the AHRQ Grants for Health Services Research Dissertation Program (1-R36-HS020172-01). We would like to thank the Office of Women’s Health hotline operators for conducting the telephone surveys and the mothers who participated in the study.

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Authors and Affiliations

  1. Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 West 168th St., New York, NY, 10032, USA

    Jennifer Tsui

  2. Department of Health Policy and Management, Fielding School of Public Health, Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA, USA

    Beth A. Glenn & Roshan Bastani

  3. Department of Community Health Sciences, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA

    Gilbert C. Gee

  4. Department of Health Policy and Management, Fielding School of Public Health, University of California, Los Angeles, Los Angeles, CA, USA

    Hector P. Rodriguez & Gerald F. Kominski

  5. Office of Women’s Health, Los Angeles County Department of Public Health, El Monte, CA, USA

    Rita Singhal

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  1. Jennifer Tsui
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  2. Gilbert C. Gee
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Correspondence to Jennifer Tsui.

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Tsui, J., Gee, G.C., Rodriguez, H.P. et al. Exploring the Role of Neighborhood Socio-Demographic Factors on HPV Vaccine Initiation Among Low-Income, Ethnic Minority Girls. J Immigrant Minority Health 15, 732–740 (2013). https://doi.org/10.1007/s10903-012-9736-x

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  • DOI: https://doi.org/10.1007/s10903-012-9736-x

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