Table 1. Individual-level and Geographic Characteristics of HPV Vaccine Initiation (Receipt of at Least One Dose) Among Female Adolescents Aged 13 to 17 Years and Their Families: National Immunization Survey–Teen, 2011-2012.
| Characteristics | Survey Participants, n weighted % | Weighted % (95% CI), Vaccine Initiation (Yes) | P-value |
|---|---|---|---|
| Total | 20,565 | 53.5 (52.3-54.7) | |
| Year 2011 | 11380 (50.1) | 53.2(51.5-54.8) | 0.6077 |
| 2012 | 9185 (49.9) | 53.8 (52.0-55.7) | |
| Age 13 | 4179 (20.3) | 44.5(41.8-47.1) | <.0001 |
| 14 | 4158 (19.4) | 47.2(44.5-50.0) | |
| 15 | 4242 (20.8) | 55.1(52.4-57.8) | |
| 16 | 4152 (21.0) | 57.5(54.6-60.4) | |
| 17 | 3834 (18.4) | 63.6(60.9-66.3) | |
| Insurance coverage | |||
| No insurance | 1246 (7.6) | 49.1(44.4-53.8) | <.0001 |
| Employer or union | 11629 (46.3) | 49.2(47.6-50.8) | |
| SCHIP or Medicaid | 5021 (34.0) | 60.6(58.3-63.0) | |
| IHS, military, other | 2669 (12.1) | 52.5(48.8-56.1) | |
| Mother's education | |||
| < 12 years | 2041 (14.4) | 65.9(62.4-69.4) | |
| 12 years | 3912 (24.3) | 54.4(51.7-57.1) | |
| >12 years, non-college graduate | 5717 (27.5) | 50.3(48.0-52.7) | |
| College graduate | 8895 (33.8) | 50.1(48.3-52.0) | |
| Mother's marital status | |||
| Married | 15273 (64.8) | 51.6(50.2-53.0) | 0.0001 |
| Not married | 5292 (35.1) | 57.0(54.7-59.3) | |
| Mother's age, years | |||
| <= 34 | 1531 (10.7) | 60.9(56.7-65.2) | 0.0011 |
| 35 TO 44 | 8394 (45.0) | 53.1(51.2-55.0) | |
| >= 45 | 10640 (44.3) | 52.0(50.3-53.8) | |
| Poverty Statusa | |||
| Above poverty, >$75,000 | 8917 (31.9) | 52.3(50.6-54.1) | <.0001 |
| Above poverty, ≤$75,000 | 7692 (39.0) | 48.6(46.6-50.6) | |
| Below poverty | 3275 (24.7) | 63.6(60.8-66.5) | |
| Unknown poverty status | 681 (4.4) | 47.9(41.7-54.2) | |
| Race/ethnicity of teen | |||
| Hispanic | 2842 (21.5) | 64.3(61.1-67.4) | <.0001 |
| Non-Hispanic White | 13822 (55.3) | 49.2(47.8-50.6) | |
| Non-Hispanic Black | 2072 (14.5) | 53.0(49.4-56.6) | |
| Non-Hispanic other and multiple race | 1829 (8.8) | 54.8(50.3-59.3) | |
| Facility types for teen's providers | |||
| All public facilities | 3042 (15.7) | 49.2(45.8-52.5) | 0.0046 |
| All hospital facilities | 1703 (7.5) | 59.6(55.3-63.9) | |
| All private facilities | 9693 (49.5) | 53.5(51.7-55.3) | |
| Mixed & STD/school/teen clinics or other facilities | 4945 (22) | 54.8(52.3-57.4) | |
| Unknown | 1182 (5.3) | 54.0 (48.8-59.2) | |
| Provider recommendation to get HPV vaccine | |||
| Yes | 12737 (59.2) | 64.1(62.6-65.5) | <.0001 |
| No | 7002 (36.4) | 36.8(34.7-39.0) | |
| Don't Know | 670 (4.3) | 50.8(43.1-58.6) | |
| ZIP Code Geographic Measures | |||
| Racial Composition (50%+ of that group) | |||
| Hispanic | 1384 (10.1) | 69.0(64.3-73.7) | <.0001 |
| Mixed | 1884 (13) | 60.4(56.2-64.5) | |
| Non-Hispanic Black | 1266 (6.3) | 54.0(49.2-58.8) | |
| Non-Hispanic White | 15525 (69.5) | 49.9(48.6-51.2) | |
| Non-Hispanic other | 249 (1.1) | 75.7(60.4-91.1) | |
| Poverty (% below poverty)a | |||
| 0-4.99 % | 3117 (12.8) | 52.4(49.6-55.1) | <.0001 |
| 5-9.9% | 5342 (24.1) | 49.9(47.5-52.3) | |
| 10-19.9% | 7416 (37.4) | 51.6(49.5-53.7) | |
| 4 20+% | 4425 (25.7) | 61.1(58.5-63.7) | |
| Income (Quartiles) | |||
| 1 $2499-37750 | 3444 (18.6) | 58.1(55.2-61.0) | 0.0056 |
| 2 $37751-47,292 | 4038 (21.9) | 54.2(51.3-57.1) | |
| 3 $47293-60356 | 4857 (23.0) | 53.0 (50.4-55.6) | |
| 4 $60357-250,000 | 7961 (36.6) | 51.7(49.8-53.6) | |
| Residence type (rural-urban) | |||
| 1. Isolated Small Rural Town | 985 (2.4) | 44.6(38.3-50.9) | 0.0014 |
| 2. Small Rural Town | 944 (3.0) | 47.7(42.1-53.2) | |
| 3. Large Rural Town | 1685 (6.0) | 50.5(46.2-54.8) | |
| 4. Urban focused | 16694 (88.6) | 54.4(53.0-55.7) | |
| Population density, (Quartiles) | <.0001 | ||
| 1, 1-20 per sq mile | 1480 (3.3) | 44.6(39.5-49.7) | |
| 2. 21-71 per sq mile | 2463 (9.4) | 47.7(44.3-51.2) | |
| 3. 72-651 per sq mile | 5697 (27.7) | 51.9(49.6-54.2) | |
| 4. >651-203,546 per sq mile | 10668 (59.5) | 56(54.3-57.7) | |
Note. CI = confidence interval; HPV = human papillomavirus; IHS = Indian Health; SCHIP = State Children's Health Insurance Program; Frequencies (n) were not weighted; Percent's weighted based on sampling weight.
a
Poverty status was based on the US Census poverty thresholds for 2011 and 2012, respectively