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HPV Initiation by Sexual Orientation and Race

J Womens Heath; ePub 2018 Jun 29; Agénor, et al

Black lesbians were identified as a particularly underserved subgroup in a recent study that took an intersectional approach to ascertain human papillomavirus (HPV) vaccine uptake among sexual orientation identity and racial/ethnic subgroups of US women and girls. Using 2011–2015 National Survey of Family Growth data, researchers used multivariable logistic regression to estimate differences in the odds of HPV vaccination initiation (ie, ≥1 dose) across sexual orientation identity and racial/ethnic subgroups of black and white US women aged 15–24 years (n=2,413), adjusting for demographic factors. They also assessed whether socioeconomic and health care factors helped explain observed disparities. Findings included:

  • The overall prevalence of HPV vaccination initiation was 47.7%.
  • Compared to white heterosexual women, black lesbians had the lowest adjusted odds of HPV vaccination initiation, followed by white lesbians and black heterosexual women.
  • Including socioeconomic factors in the model only slightly attenuated the HPV vaccination initiation odds ratios for black lesbians, white lesbians, and black heterosexual women compared to white heterosexual women.
  • Adding health care factors only slightly additionally attenuated the odds ratio comparing black lesbians and white heterosexual women.
Citation:

Agénor M, Pérez AE, Peitzmeier SM, Potter J, Borrero S. Human papillomavirus vaccination initiation among sexual orientation identity and racial/ethnic subgroups of black and white U.S. women and girls: An intersectional analysis. [Published online ahead of print June 29, 2018]. J Womens Health. doi:10.1089/jwh.2017.6768.

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