Table 3.
Multivariable Logistic Regression on Asian and NHW Adult Vaccination Rates, NHIS15
| Characteristics | HPV vaccine, AORa (95% CI) | Hepatitis B vaccine, AOR (95% CI) | Pneumococcal vaccine, AOR (95% CI) | Influenza vaccine, AOR (95% CI) | Tetanus-diphtheria vaccine, AOR (95% CI) | Shingles vaccine, AOR (95% CI) |
|---|---|---|---|---|---|---|
| Race | ||||||
| NHW | Ref | Ref | Ref | Ref | Ref | Ref |
| All Asian | 1.01 (0.78, 1.30) | 1.32 (1.20, 1.45) | 0.93 (0.70, 1.24) | 1.61 (1.45, 1.78) | 0.84 (0.76, 0.93) | 1.07 (0.84, 1.30) |
| Chinese | 1.15 (0.78, 1.71) | 1.10 (0.94, 1.30) | 0.70 (0.43, 1.13) | 1.28 (1.10, 1.49) | 0.62 (0.53, 0.73) | 0.88 (0.56, 1.39) |
| Filipino | 1.60 (0.93, 2.76) | 1.67 (1.42, 1.97) | 1.11 (0.67, 1.84) | 1.78 (1.49, 2.14) | 0.96 (0.81, 1.15) | 0.98 (0.67, 1.44) |
| Asian Indian | 0.49 (0.31, 0.78) | 1.08 (0.91, 1.28) | 1.61 (0.90, 2.88) | 1.65 (1.41, 1.93) | 0.96 (0.82, 1.12) | 0.61 (0.35, 1.07) |
| Other Asian | 1.03 (0.70, 1.50) | 1.48 (1.29, 1.70) | 0.77 (0.55, 1.09) | 1.72 (1.50, 1.98) | 0.86 (0.75, 0.99) | 1.41 (1.04, 1.91) |
| Sex | ||||||
| Female | NA | Ref | Ref | Ref | Ref | Ref |
| Male | NA | 0.70 (0.67, 0.73) | 0.83 (0.75, 0.92) | 0.82 (0.78, 0.85) | 1.21 (1.16, 1.26) | 0.75 (0.69, 0.80) |
| Age | ||||||
| 19–26 | NA | Ref | NA | Ref | Ref | NA |
| 27–49 | NA | 0.55 (0.51, 0.60) | NA | 1.03 (0.96, 1.12) | 0.72 (0.67, 0.77) | NA |
| 50–64 | NA | 0.28 (0.26, 0.30) | NA | 1.57 (1.45, 1.70) | 0.67 (0.62, 0.72) | NA |
| ≥65 | NA | 0.13 (0.12, 0.14) | NA | 3.98 (3.66, 4.31) | 0.49 (0.45, 0.53) | NA |
| Within HPV age-eligible adult females | 0.85 (0.84, 0.86) | NA | NA | NA | NA | NA |
| Within ≥60 (shingles) | NA | NA | NA | NA | NA | 1.040 (1.037, 1.047) |
| Within ≥65 (pneumococcal) | NA | NA | 1.06 (1.05, 1.07) | NA | NA | NA |
| Marital status | ||||||
| Married | Ref | Ref | Ref | Ref | Ref | Ref |
| Not married | 1.70 (1.50, 1.94) | 0.98 (0.93, 1.03) | 0.87 (0.78, 0.97) | 0.87 (0.83, 0.91) | 0.95 (0.91, 0.99) | 0.88 (0.80, 0.95) |
| Nativity | ||||||
| U.S. born | Ref | Ref | Ref | Ref | Ref | Ref |
| ≤10 years in the U.S. | 0.37 (0.27, 0.51) | 1.04 (0.89, 1.22) | 0.41 (0.18, 0.94) | 0.60 (0.51, 0.71) | 0.50 (0.43, 0.58) | 0.42 (0.19, 0.91) |
| >10 years in the U.S. | 0.77 (0.57, 1.06) | 0.96 (0.86, 1.06) | 0.42 (0.34, 0.53) | 0.76 (0.69, 0.84) | 0.60 (0.55, 0.66) | 0.60 (0.50, 0.72) |
| Education level | ||||||
| Bachelor's or higher | Ref | Ref | Ref | Ref | Ref | Ref |
| HS graduate/GED/some college | 0.48 (0.42, 0.54) | 0.71 (0.68, 0.74) | 0.89 (0.80, 0.99) | 0.65 (0.62, 0.68) | 0.88 (0.84, 0.91) | 0.73 (0.67, 0.79) |
| Less than high school | 0.29 (0.21, 0.41) | 0.43 (0.38, 0.48) | 0.66 (0.55, 0.78) | 0.60 (0.55, 0.65) | 0.72 (0.66, 0.77) | 0.45 (0.38, 0.53) |
| Family income | ||||||
| >$75,000 | Ref | Ref | Ref | Ref | Ref | Ref |
| $35,000–$74,999 | 0.86 (0.68, 0.89) | 0.95 (0.90, 1.00) | 0.94 (0.82, 1.06) | 0.83 (0.79, 0.87) | 0.93 (0.88, 0.98) | 0.87 (0.79, 0.96) |
| <$35,000 | 0.78 (0.73, 1.02) | 0.96 (0.89, 1.02) | 0.84 (0.72, 0.97) | 0.85 (0.80, 0.91) | 0.84 (0.78, 0.90) | 0.66 (0.59, 0.73) |
| Health insurance status | ||||||
| Private only | Ref | Ref | Ref | Ref | Ref | Ref |
| Public only | 0.91 (0.77, 1.08) | 0.93 (0.86, 1.00) | 0.78 (0.66, 0.91) | 0.85 (0.80, 0.91) | 0.91 (0.85, 0.97) | 0.91 (0.81, 1.03) |
| Both private and public | 0.96 (0.53, 1.75) | 1.19 (0.91, 1.56) | 0.98 (0.61, 1.58) | 1.21 (0.93, 1.57) | 0.96 (0.74, 1.25) | 1.31 (0.89, 1.92) |
| Not covered | 0.84 (0.67, 1.05) | 0.80 (0.73, 0.88) | 0.16 (0.07, 0.36) | 0.36 (0.33, 0.40) | 0.76 (0.85, 0.97) | 0.24 (0.16, 0.37) |
| Self-reported health status | ||||||
| Excellent/very good | Ref | Ref | Ref | Ref | Ref | Ref |
| Good | 0.94 (0.81, 1.08) | 0.95 (0.90, 0.99) | 1.13 (1.01, 1.26) | 1.04 (0.99, 1.09) | 0.92 (0.88, 0.97) | 0.77 (0.71, 0.84) |
| Fair/poor | 0.86 (0.65, 1.14) | 0.87 (0.80, 0.94) | 1.12 (0.97, 1.29) | 1.09 (0.97, 1.30) | 0.84 (0.78, 0.91) | 0.65 (0.57, 0.73) |
| Number of visits to doctor's office in the past 12 months | ||||||
| 8 visits or more | Ref | Ref | Ref | Ref | Ref | Ref |
| 4–7 visits | 0.97 (0.8, 1.15) | 0.87 (0.81, 0.94) | 0.77 (0.67, 0.87) | 0.86 (0.81, 0.91) | 0.84 (0.78, 0.89) | 1.01 (0.92, 1.11) |
| 2–3 visits | 0.85 (0.73, 0.99) | 0.84 (0.79, 0.89) | 0.64 (0.56, 0.73) | 0.70 (0.66, 0.74) | 0.75 (0.70, 0.80) | 0.84 (0.77, 0.92) |
| 1 visit | 0.66 (0.54, 0.80) | 0.74 (0.67, 0.80) | 0.48 (0.40, 0.56) | 0.52 (0.49, 0.55) | 0.60 (0.56, 0.65) | 0.68 (0.59, 0.77) |
| No visits | 0.53 (0.42, 0.65) | 0.59 (0.55, 0.64) | 0.20 (0.16, 0.24) | 0.29 (0.27, 0.31) | 0.40 (0.37, 0.43) | 0.31 (0.25, 0.37) |
Note: Boldface indicates a statistically significant (p<0.05 by Wald test) difference from the reference level.
HPV, human papillomavirus; NA, not applicable; NHIS, National Health Interview Survey; NHW, non-Hispanic White.
a
Adjusted ORs, adjusted for all variables included in the above table.