Racial disparities in awareness of the human papillomavirus

Amanda Gelman, Cara Nikolajski, Eleanor Schwarz, Sonya Borrero

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States yet is one of the least recognized among the general public. HPV awareness may be relatively low among minority women. Because HPV awareness is associated with uptake of the HPV vaccine, it is critical to assess HPV awareness in the population and identify any racial/ethnic gaps. Methods: This study used nationally representative data collected by the National Survey of Family Growth between July 2007 and December 2008. A multivariable logistic regression model was used to determine the independent effect of race/ethnicity on HPV awareness while controlling for sociodemographic and clinical confounders in a sample of 4088 women. Stratified multivariable analysis was also conducted to assess the relationship between race/ethnicity and HPV awareness among women in different age groups. Results: After adjusting for confounders, Hispanic and black women overall were significantly less likely to have heard of HPV compared to white women (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.29-0.54 and OR 0.39, 95% CI 0.29-0.54, respectively). Black women aged 15-18 and Hispanic women aged 19-26 had particularly low rates of HPV awareness (OR 0.17, 95% CI 0.07-0.43 and OR 0.18, 95% CI 0.11-0.30, respectively) compared to white women of the same ages. Conclusions: Hispanic and black women have significantly lower levels of HPV awareness than white women. Targeted educational efforts will be important to improve HPV awareness and associated preventive health measures to avoid HPV-related morbidity and mortality.

Original languageEnglish (US)
Pages (from-to)1165-1173
Number of pages9
JournalJournal of Women's Health
Volume20
Issue number8
DOIs
StatePublished - Aug 1 2011
Externally publishedYes

Fingerprint

Odds Ratio
Hispanic Americans
Confidence Intervals
Logistic Models
Papillomavirus Vaccines
Sexually Transmitted Diseases
Age Groups
Morbidity
Mortality
Health
Growth
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Racial disparities in awareness of the human papillomavirus. / Gelman, Amanda; Nikolajski, Cara; Schwarz, Eleanor; Borrero, Sonya.

In: Journal of Women's Health, Vol. 20, No. 8, 01.08.2011, p. 1165-1173.

Research output: Contribution to journalArticle

Gelman, Amanda ; Nikolajski, Cara ; Schwarz, Eleanor ; Borrero, Sonya. / Racial disparities in awareness of the human papillomavirus. In: Journal of Women's Health. 2011 ; Vol. 20, No. 8. pp. 1165-1173.
@article{4e920dba61004357ba712c8a50e32072,
title = "Racial disparities in awareness of the human papillomavirus",
abstract = "Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States yet is one of the least recognized among the general public. HPV awareness may be relatively low among minority women. Because HPV awareness is associated with uptake of the HPV vaccine, it is critical to assess HPV awareness in the population and identify any racial/ethnic gaps. Methods: This study used nationally representative data collected by the National Survey of Family Growth between July 2007 and December 2008. A multivariable logistic regression model was used to determine the independent effect of race/ethnicity on HPV awareness while controlling for sociodemographic and clinical confounders in a sample of 4088 women. Stratified multivariable analysis was also conducted to assess the relationship between race/ethnicity and HPV awareness among women in different age groups. Results: After adjusting for confounders, Hispanic and black women overall were significantly less likely to have heard of HPV compared to white women (odds ratio [OR] 0.39, 95{\%} confidence interval [CI] 0.29-0.54 and OR 0.39, 95{\%} CI 0.29-0.54, respectively). Black women aged 15-18 and Hispanic women aged 19-26 had particularly low rates of HPV awareness (OR 0.17, 95{\%} CI 0.07-0.43 and OR 0.18, 95{\%} CI 0.11-0.30, respectively) compared to white women of the same ages. Conclusions: Hispanic and black women have significantly lower levels of HPV awareness than white women. Targeted educational efforts will be important to improve HPV awareness and associated preventive health measures to avoid HPV-related morbidity and mortality.",
author = "Amanda Gelman and Cara Nikolajski and Eleanor Schwarz and Sonya Borrero",
year = "2011",
month = "8",
day = "1",
doi = "10.1089/jwh.2010.2617",
language = "English (US)",
volume = "20",
pages = "1165--1173",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "8",

}

TY - JOUR

T1 - Racial disparities in awareness of the human papillomavirus

AU - Gelman, Amanda

AU - Nikolajski, Cara

AU - Schwarz, Eleanor

AU - Borrero, Sonya

PY - 2011/8/1

Y1 - 2011/8/1

N2 - Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States yet is one of the least recognized among the general public. HPV awareness may be relatively low among minority women. Because HPV awareness is associated with uptake of the HPV vaccine, it is critical to assess HPV awareness in the population and identify any racial/ethnic gaps. Methods: This study used nationally representative data collected by the National Survey of Family Growth between July 2007 and December 2008. A multivariable logistic regression model was used to determine the independent effect of race/ethnicity on HPV awareness while controlling for sociodemographic and clinical confounders in a sample of 4088 women. Stratified multivariable analysis was also conducted to assess the relationship between race/ethnicity and HPV awareness among women in different age groups. Results: After adjusting for confounders, Hispanic and black women overall were significantly less likely to have heard of HPV compared to white women (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.29-0.54 and OR 0.39, 95% CI 0.29-0.54, respectively). Black women aged 15-18 and Hispanic women aged 19-26 had particularly low rates of HPV awareness (OR 0.17, 95% CI 0.07-0.43 and OR 0.18, 95% CI 0.11-0.30, respectively) compared to white women of the same ages. Conclusions: Hispanic and black women have significantly lower levels of HPV awareness than white women. Targeted educational efforts will be important to improve HPV awareness and associated preventive health measures to avoid HPV-related morbidity and mortality.

AB - Background: Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States yet is one of the least recognized among the general public. HPV awareness may be relatively low among minority women. Because HPV awareness is associated with uptake of the HPV vaccine, it is critical to assess HPV awareness in the population and identify any racial/ethnic gaps. Methods: This study used nationally representative data collected by the National Survey of Family Growth between July 2007 and December 2008. A multivariable logistic regression model was used to determine the independent effect of race/ethnicity on HPV awareness while controlling for sociodemographic and clinical confounders in a sample of 4088 women. Stratified multivariable analysis was also conducted to assess the relationship between race/ethnicity and HPV awareness among women in different age groups. Results: After adjusting for confounders, Hispanic and black women overall were significantly less likely to have heard of HPV compared to white women (odds ratio [OR] 0.39, 95% confidence interval [CI] 0.29-0.54 and OR 0.39, 95% CI 0.29-0.54, respectively). Black women aged 15-18 and Hispanic women aged 19-26 had particularly low rates of HPV awareness (OR 0.17, 95% CI 0.07-0.43 and OR 0.18, 95% CI 0.11-0.30, respectively) compared to white women of the same ages. Conclusions: Hispanic and black women have significantly lower levels of HPV awareness than white women. Targeted educational efforts will be important to improve HPV awareness and associated preventive health measures to avoid HPV-related morbidity and mortality.

UR - http://www.scopus.com/inward/record.url?scp=80051721939&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80051721939&partnerID=8YFLogxK

U2 - 10.1089/jwh.2010.2617

DO - 10.1089/jwh.2010.2617

M3 - Article

C2 - 21668381

AN - SCOPUS:80051721939

VL - 20

SP - 1165

EP - 1173

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 8

ER -