title: A Cross-Sectional Study of Human Papillomavirus Vaccine Utilization Among University Women: The Role of Ethnicity, Race, and Risk Factors.
abstract: OBJECTIVE
  We estimated the prevalence of human papillomavirus (HPV) vaccination by ethnicity and race and compared vaccination use by known risk factors.
  
  
  METHODS
  We applied a cross-sectional design using an anonymous, online survey distributed in 2011 to female undergraduates (n = 284) between the ages of 18 and 26 years. The study was approved by the University of Arizona Institutional Review Board.
  
  
  RESULTS
  Overall, 55% of women reported receiving the HPV vaccine. Within racial and ethnic groups, HPV vaccination was highest among American Indian/Alaska Native women with 71%, followed by Hispanic women with 68%, black/African American women with 58%, white women with 51%, and Asian/Pacific Island women with 31%. Moreover, Hispanic women were twice as likely to be vaccinated compared with white women (OR = 2.08; 95% CI = 1.14-3.78). Among unvaccinated women, 55% had discussed HPV with a provider and 56% had reported no concerns about the vaccine and/or had high levels of HPV knowledge.
  
  
  CONCLUSIONS
  Human papillomavirus vaccine is highly acceptable among college women, particularly among Hispanic women. Efforts to vaccinate should include time of college enrollment. Such efforts are critical for the large scale prevention of cervical cancer and its precursor lesions and ultimately for preventable cervical cancer mortality.
authors.affiliation: 1Department of Health Promotion Sciences, University of Arizona, Tucson, AZ; 2South Bay Obstetrics and Gynecology, Chula Vista, CA; and 3Pima County Health Department, Tucson, AZ.
authors.forename: Velia Leybas
authors.initials: VL
authors.lastname: Nuño
authors.forename: Marisa
authors.initials: M
authors.lastname: Gonzalez
authors.forename: Salena Meyer
authors.initials: SM
authors.lastname: Loredo
authors.forename: Brittany M
authors.initials: BM
authors.lastname: Nigon
authors.forename: Francisco
authors.initials: F
authors.lastname: Garcia
mesh_terms: D000293:Adolescent; D000328:Adult; D001130:Arizona; D003430:Cross-Sectional Studies; D005006:Ethnicity; D005260:Female; D006801:Humans; D030361:Papillomavirus Infections / Q000150:complications* / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care; D044469:Racial Groups; D012307:Risk Factors; D013334:Students; D014495:Universities; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control*; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines