Journal article
County-level estimates of human papillomavirus vaccine coverage among young adult women in Texas, 2008
Texas public health journal, v 65(1)
01 Jan 2013
PMID: 24466565
Abstract
The purpose of this study is to describe the county-level geographic distribution of human papillomavirus (HPV) vaccine coverage among young women aged 18-26 in Texas using multilevel, small area estimation.
Multilevel (individual, county, public health region) random-intercept logit models were fit to HPV vaccination data (receipt of ≥ 1 dose Gardasil®) from the 2008 Behavioral Risk Factor Surveillance System and a number of secondary sources. Using the parameters from the final model, we simulated HPV vaccine coverage in each county.
Indirect county-level estimates ranged from 1.9-23.8%, with a weighted state average of 11.4%. The counties with the highest and lowest coverage estimates were Orange County, TX and Webb County, TX respectively. Significant correlations were observed between HPV vaccination and age, Hispanic ethnicity, and the percentage of uninsured at the county and public health region levels.
Small area analyses have been used in a variety of settings to assess a variety of health outcomes, and as shown in this study, can be used to highlight geographic disparities and opportunities for intervention in HPV vaccine coverage.
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Details
- Title
- County-level estimates of human papillomavirus vaccine coverage among young adult women in Texas, 2008
- Creators
- Jan M Eberth - The University of Texas MD Anderson Cancer CenterXingyou Zhang - University of South CarolinaMonir Hossain - Division of Adult and Community Health, Centers for Disease Control & Prevention, Atlanta, GeorgiaJasmin A Tiro - Cincinnati Children's Hospital Medical CenterJames B Holt - Department of Clinical Sciences, UT Southwestern Medical School, Dallas, TexasSally W Vernon - Division of Behavioral Sciences, University of Texas School of Public Health, Houston, Texas
- Publication Details
- Texas public health journal, v 65(1)
- Grant note
- R25 CA057712 / NCI NIH HHS P30 CA016672 / NCI NIH HHS R25 CA057730 / NCI NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Other Identifier
- 991021855175504721