title: Effects of socioeconomic status and health care access on low levels of human papillomavirus vaccination among Spanish-speaking Hispanics in California.
abstract: Little is known about the effect of language preference, socioeconomic status, and health care access on human papillomavirus (HPV) vaccination. We examined these factors in Hispanic parents of daughters aged 11 to 17 years in California (n = 1090). Spanish-speaking parents were less likely to have their daughters vaccinated than were English speakers (odds ratio [OR] = 0.55; 95% confidence interval [CI] = 0.31, 0.98). Adding income and access to multivariate analyses made language nonsignificant (OR = 0.68; 95% CI = 0.35, 1.29). This confirms that health care use is associated with language via income and access. Low-income Hispanics, who lack access, need information about free HPV vaccination programs.
authors.affiliation: The University of Texas School of Public Health, Dallas Regional Campus, Dallas, TX, USA.
authors.forename: Shingisai
authors.initials: S
authors.lastname: Chando
authors.forename: Jasmin A
authors.initials: JA
authors.lastname: Tiro
authors.forename: T Robert
authors.initials: TR
authors.lastname: Harris
authors.forename: Sarah
authors.initials: S
authors.lastname: Kobrin
authors.forename: Nancy
authors.initials: N
authors.lastname: Breen
mesh_terms: D000293:Adolescent; D000328:Adult; D002140:California / Q000453:epidemiology; D002648:Child; D003144:Communication Barriers; D005260:Female; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000208:ethnology; D006801:Humans; D007802:Language; D008297:Male; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000191:economics / Q000208:ethnology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010290:Parents; D012923:Social Class; D002583:Uterine Cervical Neoplasms / Q000191:economics / Q000208:ethnology / Q000517:prevention & control*; D014611:Vaccination / Q000706:statistics & numerical data
chemical_list: D053918:Papillomavirus Vaccines