title: Use of human papillomavirus vaccines among young adult women in the United States: an analysis of the 2008 National Health Interview Survey.
abstract: BACKGROUND
  The Centers for Disease Control and Prevention recommends catch-up administration of human papillomavirus (HPV) vaccines to girls and women ages 13 to 26 who have not been vaccinated previously. In response to debate regarding catch-up vaccination of young adult women, this study examined whether 18- to 26-year-old women most likely to benefit from catch-up vaccination were aware of the HPV vaccine, and initiated the vaccine series by the end of 2008.
  
  
  METHODS
  We used data from the 2008 National Health Interview Survey to assess HPV vaccine awareness and use, and reasons for not vaccinating, among women aged 18-26 years (n = 1583). Sociodemographic, health care access, and health history factors associated with vaccine initiation were assessed using multivariate logistic regression.
  
  
  RESULTS
  Overall, 11.7% of women aged 18-26 years reported receiving at least 1 dose of the HPV vaccine by the end of 2008. In multivariate analyses, younger age, history of previous HPV infection, unmarried status, health insurance, flu shot in the past year, and receipt of 1 or more recommended lifetime vaccines were significantly associated with HPV vaccine initiation. Two-fifths (39.6%) of unvaccinated women were interested in receiving the HPV vaccine (n = 1327). Primary reasons for lack of interest in the vaccine were belief that it was not needed, not knowing enough about it, concerns about safety, and not being sexually active.
  
  
  CONCLUSIONS
  HPV vaccine coverage among young adult women was low, and lower among the uninsured than the insured. Public financing and care provision programs have the potential to expand vaccine coverage among uninsured women, who are at increased risk of cervical cancer.
authors: RAND Corporation, Arlington, Virginia 22202-5050, USA. ranhangp@rand.org
authors: Rebecca
authors: R
authors: Anhang Price
authors: Jasmin A
authors: JA
authors: Tiro
authors: Mona
authors: M
authors: Saraiya
authors: Helen
authors: H
authors: Meissner
authors: Nancy
authors: N
authors: Breen
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D019538:Health Care Surveys; D007722:Health Knowledge, Attitudes, Practice; D054625:Healthcare Disparities / Q000706:statistics & numerical data; D006801:Humans; D007114:Immunization / Q000706:statistics & numerical data*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000276:immunology; D014481:United States; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines