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Primary Submission Category: Infants/children/youth
Racial and Ethnic Differences in HPV Vaccine Initiation and Completion and Receipt of Healthcare Provider Recommendations for Teen Girls in the United States, 2008-2019
Authors: Kim-Phuong Truong-Vu, Grace Nakajima,
Presenting Author: Kim-Phuong Truong-Vu*
Despite the Human Papillomavirus (HPV) vaccine’s efficacy in preventing malignancy, teen girls’ uptake remains sharply stratified by race/ethnicity. Using National Immunization Survey-Teen (NIS-Teen) data, we examine racial/ethnic differences in (1) HPV vaccine initiation and completion among teen girls from 2008 to 2019 and (2) the receipt of a healthcare provider recommendation across two distinct time periods: the “innovation” phase (2008–2011) and the “standardized practice” phase (2016–2019). Logistic regression and complementary log-log regression models found large race/ethnic-based differences in initiating and completing the HPV vaccine series. The proportion of teen girls who initiated and completed the vaccine series was highest among white teen girls and lowest among Black teen girls. Additionally, after accounting for SES and language barriers, we found that Black teens and their parents have the lowest odds of receiving a recommendation from their providers across both major time periods of study. Findings suggest that informational inequities and gaps in healthcare provider recommendations continue to persist for teen girls of color, which influences future HPV-attributable cancer disparities. Mitigating HPV-attributable health disparities requires moving beyond individual-level interventions to address the systemic inequities in how clinical resources and health information are distributed within marginalized communities.