title: HPV vaccination among lesbian and bisexual women: Findings from a national survey of young adults.
abstract: BACKGROUND
  Human papillomavirus (HPV) infection and associated cervical disease are common among all women, regardless of sexual identity, yet limited research has examined HPV vaccination among lesbian and bisexual women.
  
  
  METHODS
  A national sample of lesbian and bisexual women ages 18-26 (n=543) completed our online survey during Fall 2013. We used multivariable logistic regression to identify correlates of HPV vaccine initiation (receipt of at least 1 dose) and completion (receipt of all 3 recommended doses among initiators).
  
  
  RESULTS
  Overall, 45% of respondents had initiated HPV vaccine and 70% of initiators reported completing the series. HPV vaccine initiation was higher among respondents who were students, had received a healthcare provider's recommendation, perceived greater positive social vaccination norms, or anticipated greater regret if they did not get vaccinated and later got HPV. Initiation was lower among those who perceived greater HPV vaccine harms or greater barriers to getting the vaccine (all p<.05). HPV vaccine completion was higher among initiators who had a college degree while it was lower among those who perceived a greater likelihood of acquiring HPV or who anticipated greater regret if they got the vaccine and fainted (all p<.05). Among HPV vaccine initiators who had not yet completed the series, about half (47%) intended to get the remaining doses.
  
  
  CONCLUSIONS
  Many lesbian and bisexual women are not getting vaccinated against HPV. Healthcare provider recommendations and women's health beliefs may be important leverage points for increasing vaccination among this population.
authors.affiliation: College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA; Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA. Electronic address: almcree@cph.osu.edu.
authors.forename: Annie-Laurie
authors.initials: AL
authors.lastname: McRee
authors.affiliation: College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA; Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA; Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
authors.forename: Mira L
authors.initials: ML
authors.lastname: Katz
authors.affiliation: College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA; Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA; Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
authors.forename: Electra D
authors.initials: ED
authors.lastname: Paskett
authors.affiliation: College of Public Health, The Ohio State University, 1841 Neil Avenue, Columbus, OH 43210, USA; Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA; Division of Cancer Prevention and Control, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
authors.forename: Paul L
authors.initials: PL
authors.lastname: Reiter
mesh_terms: D000293:Adolescent; D000328:Adult; D001727:Bisexuality; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D018452:Homosexuality, Female; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: HPV vaccine; Human papillomavirus; Lesbian and bisexual women; Vaccination; Young adults