Table III.
HPV vaccination coverage of male adolescents aged 13-17 years in the US, by parental report of provider recommendation status, demographic, and access-to-care variables—NIS-Teen 2016
| HPV vaccination coverage, % (95% CI) |
||||
|---|---|---|---|---|
| Parental report of provider recommendation for vaccine |
Percentage points difference* | |||
| Characteristics | Overall | Yes | No | |
| Total | 57.3 (55.5-59.1) | 68.8 (66.8-70.8) | 35.4 (32.1-38.7)§ | 33.5 (29.6-37.4)† |
| Age, y | ||||
| 13-15‡ | 55.8 (53.4-58.1) | 67.1 (64.4-69.6) | 35.4 (31.3-39.9) | 31.6 (26.6-36.7)† |
| 16-17 | 59.6 (56.7-62.4) | 71.4 (68.0-74.5)§ | 35.3 (30.3-40.6) | 36.1 (30.0-42.2)† |
| Race/ethnicity | ||||
| Non-Hispanic white‡ | 51.3 (49.2-53.3) | 64.9 (62.3-67.4) | 24.1 (20.9-27.7) | 40.8 (36.6-45.0)† |
| Non-Hispanic black | 62.3 (57.5-66.9)§ | 71.0 (65.2-76.2) | 45.9 (37.5-54.5)§ | 25.1 (15.0-35.3)† |
| Hispanic | 69.1 (64.6-73.2)§ | 77.5 (72.5-81.8)§ | 53.7 (45.3-61.9)§ | 23.8 (14.2-33.3)† |
| American Indian/Alaskan Native | 54.6 (39.7-68.6) | 57.3 (35.9-76.3) | 49.7 (31.8-67.7)§ | 7.5 (−20.9 to 36.0) |
| Asian | 55.6 (42.9-67.6) | 73.3 (62.2-82.0) | 30.7 (16.9-49.0) | 42.6 (23.3-61.9)† |
| Other | 58.2 (49.3-66.7) | 67.5 (57.1-76.5) | 41.8 (25.8-59.7)§ | 25.8 (5.6-46.0)† |
| Mother’s educational level | ||||
| Less than high school‡ | 70.1 (64.1-75.5) | 78.3 (71.5-83.8) | 58.4 (48.1-68.0) | 19.9 (8.0-31.7)† |
| High school | 58.6 (54.6-62.5)§ | 72.7 (67.8-77.0) | 39.5 (33.5-45.8)§ | 33.2 (25.5-40.9)† |
| Some college or college graduate | 53.9 (50.4-57.3)§ | 65.4 (61.2-69.4)§ | 30.5 (24.5-37.3)§ | 34.9 (27.3-42.5)† |
| Beyond college graduate | 54.5 (51.9-57.2)§ | 66.7 (63.7-69.5)§ | 25.0 (20.5-30.0)§ | 41.7 (36.1-47.3)† |
| Mother’s marital status | ||||
| Married‡ | 55.0 (52.9-57.1) | 66.2 (63.7-68.6) | 32.2 (28.3-36.3) | 34.0 (29.3-38.7)† |
| Widowed/divorced/separated | 57.0 (52.7-61.3) | 70.4 (65.3-75.1) | 33.4 (26.9-40.8) | 37.0 (28.5-45.6)† |
| Never married | 69.4 (63.0-75.2)§ | 74.4 (66.5-80.9) | 59.5 (46.9-70.9)§ | 14.8 (0.6-29.1)† |
| Mother’s age, y | ||||
| ≤34‡ | 63.6 (56.8-69.9) | 77.1 (70.8-82.4) | 47.7 (36.2-59.4) | 29.4 (16.3-42.6)† |
| 35-44 | 55.8 (53.0-58.6)§ | 65.3 (61.9-68.5)§ | 39.6 (34.8-44.6) | 25.7 (19.7-31.6)† |
| ≥45 | 57.5 (54.9-60.0)§ | 70.6 (67.7-73.2) | 26.7 (22.5-31.3)§ | 43.9 (38.7-49.1)† |
| Country of birth | ||||
| Born in US‡ | 57.0 (55.1-58.8) | 69.0 (66.9-71.0) | 33.2 (29.9-36.6) | 35.8 (31.9-39.7)† |
| Born outside US | 61.3 (50.2-71.3) | 64.9 (50.1-77.4) | 57.6 (41.3-72.4)§ | 7.3 (−14.0 to 28.6) |
| Income-to-poverty ratio, % | ||||
| <133‡ | 65.3 (61.8-68.6) | 74.7 (70.5-78.5) | 51.1 (45.1-57.1) | 23.6 (16.3-30.8)† |
| 133 to <322 | 54.7 (51.3-57.9)§ | 67.6 (63.7-71.3)§ | 31.1 (25.8-37.0)§ | 36.4 (29.7-43.2)† |
| 322 to <503 | 50.7 (47.0-54.4)§ | 64.1 (59.6-68.4)§ | 23.9 (17.8-31.3)§ | 40.2 (32.1-48.2)† |
| >503 | 55.1 (51.3-58.9)§ | 67.2 (63.1-71.0)§ | 21.8 (16.5-28.2)§ | 45.4 (38.3-52.5)† |
| Medical insurance¶ | ||||
| Private only‡ | 51.3 (49.0-53.7) | 63.5 (60.8-66.1) | 24.0 (20.2-28.4) | 39.5 (34.6-44.4)† |
| Any Medicaid | 66.3 (63.3-69.3)§ | 77.8 (74.5-80.7)§ | 48.6 (43.0-54.2)§ | 29.1 (22.7-35.6)† |
| Other** | 56.1 (49.7-62.3) | 66.8 (58.5-74.1) | 30.8 (21.7-41.7) | 35.9 (23.1-48.7)† |
| Uninsured | 55.7 (44.8-66.0) | 74.3 (58.5-85.6) | 38.6 (27.2-51.3)§ | 35.7 (17.3-54.1)† |
| Physician contacts within past year | ||||
| None‡ | 50.1 (44.7-55.5) | 62.1 (55.3-68.5) | 37.1 (29.2-45.7) | 25.1 (14.4-35.7)† |
| 1 | 55.1 (51.8-58.4)§ | 66.4 (62.5-70.0) | 31.9 (26.3-38.0) | 34.5 (27.6-41.4)† |
| 2-3 | 60.9 (58.0-63.8)§ | 71.4 (67.9-74.6)§ | 38.2 (32.7-44.0) | 33.2 (26.6-39.7)† |
| ≥4 | 60.5 (56.6-64.4)§ | 72.8 (68.6-76.6)§ | 32.6 (25.8-40.3) | 40.2 (31.8-48.5)† |
| Well-child visit at age 11-12 y†† | ||||
| Yes‡ | 63.0 (60.6-65.4) | 71.5 (68.9-74.0) | 41.6 (36.1-47.4) | 29.9 (23.7-36.1)† |
| No | 48.8 (45.0-52.6)§ | 64.1 (59.1-68.9)§ | 29.6 (24.8-34.8)§ | 34.5 (27.5-41.6)† |
| Don’t know | 54.9 (51.3-58.4)§ | 67.3 (63.1-71.3) | 33.1 (27.6-39.1)§ | 34.2 (27.1-41.3)† |
| Number of providers | ||||
| 1 | 58.9 (56.5-61.2) | 71.4 (68.8-73.8) | 35.9 (31.8-40.2) | 35.5 (30.5-40.4)† |
| 2 | 54.9 (51.6-58.1) | 65.5 (61.5-69.3) | 33.8 (27.8-40.4) | 31.7 (24.3-39.1)† |
| ≥3‡ | 55.3 (50.1-60.5) | 64.9 (58.5-70.8) | 35.9 (26.9-46.2) | 29.0 (17.4-40.5)† |
| MSA | ||||
| MSA central city | 62.7 (59.7-65.6)§ | 71.9 (68.6-75.1)§ | 43.5 (37.7-49.5)§ | 28.4 (21.6-35.2)† |
| MSA non-central city | 55.9 (53.3-58.6)§ | 67.6 (64.6-70.5) | 33.4 (28.9-38.2)§ | 34.2 (28.7-39.8)† |
| Non-MSA‡ | 45.0 (41.2-48.8) | 62.4 (57.3-67.2) | 21.0 (16.7-25.9) | 41.4 (34.6-48.2)† |
| Facility type | ||||
| All private facilities‡ | 56.8 (54.3-59.3) | 68.3 (65.5-71.0) | 33.1 (28.6-37.9) | 35.3 (29.8-40.7)† |
| All public facilities | 60.4 (55.7-64.9) | 71.0 (65.0-76.2) | 47.5 (40.0-55.2)§ | 23.5 (13.9-33.0)† |
| All hospital facilities | 61.6 (56.5-66.4) | 73.7 (68.4-78.4) | 37.1 (26.9-48.6) | 36.6 (24.5-48.7)† |
| All STD/school/teen clinics or other facilities | 53.3 (35.8-70.1) | 71.2 (54.7-83.6) | ‡‡ | ‡‡ |
| Mixed§§ | 56.0 (51.8-60.0) | 68.8 (63.8-73.3) | 30.1 (23.9-37.1) | 38.7 (30.5-46.8)† |
| Other¶¶ | 37.8 (24.5-53.2)§ | 41.5 (25.9-59.0)§ | ‡‡ | ‡‡ |
*
Difference between provider recommendation vs no provider recommendation.
†
P< .05 by the t test comparing provider recommendation vs no provider recommendation.
‡
Reference level.
§
P< .05 by the t test compared with the reference level.
¶
Insurance categories are mutually exclusive.
**
Includes IHS, military, CHIP, and some private.
††
Status of healthcare visit at age 11-12 years based on provider-reported data.
‡‡
Data are not reliable due to sample size <30 or relative standard error (standard error/estimate) > 0.3.
§§
Mixed indicates that the facility is identified to be in more than 1 of the facility categories, such as private, public, hospital, and STD/school/teen clinics.
¶¶
Includes military, WIC clinics, and pharmacies.