Table IV.
Multivariable logistic regression and predictive marginal analysis of HPV vaccination 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
| Overall, adjusted prevalence difference (95% CI) | Parental report of provider recommendation for vaccine, adjusted prevalence difference, % (95% CI) |
||
|---|---|---|---|
| Characteristics | Yes | No | |
| Parental report of provider recommendation for vaccine | |||
| Yes* | Ref | ||
| No | −32.0 (−35.7 to −28.3)† | ||
| Age, y | |||
| 13-15* | Ref | Ref | Ref |
| 16-17 | 4.0 (0.5-7.6)† | 4.9 (0.9-9.0)† | 3.9 (−1.8 to 9.6) |
| Race/ethnicity | |||
| Non-Hispanic white* | Ref | Ref | Ref |
| Non-Hispanic black | 7.0 (1.2-12.8)† | 3.3 (−3.6 to 10.3) | 13.2 (4.0-22.4)† |
| Hispanic | 11.4 (6.0-16.9)† | 9.2 (2.8-15.5)† | 18.9 (10.1-27.8)† |
| American Indian/Alaskan Native | −4.2 (−24.2 to 15.7) | −20.3 (−43.0 to 2.4) | 20.1 (3.2-36.9)† |
| Asian | 4.4 (−5.3 to 14.1) | 8.9 (−1.5 to 19.3) | −1.2 (−15.7 to 13.3) |
| Other | 5.3 (−3.9 to 4.4) | 1.7 (−7.4 to 10.8) | 9.6 (−5.5 to 24.7) |
| Mother’s educational level | |||
| Less than high school* | Ref | Ref | Ref |
| High school | −3.1 (−10.4 to 4.3) | −0.7 (−10.0 to 8.6) | −5.7 (−16.2 to 4.7) |
| Some college or college graduate | −8.4 (−15.8 to −0.9)† | −4.8 (−14.3 to 4.6) | −11.5 (−21.7 to −1.4)† |
| Beyond college graduate | −6.2 (−13.8 to 1.3) | −2.8 (−12.3 to 6.7) | −10.7 (−21.3 to 0.0) |
| Mother’s marital status | |||
| Married* | Ref | Ref | Ref |
| Widowed/divorced/separated | −0.1 (−4.7 to 4.6) | 1.5 (−3.9 to 6.9) | 1.0 (−5.7 to 7.8) |
| Never married | 2.5 (−5.3 to 10.3) | 1.5 (−7.6 to 10.6) | 7.5 (−3.2 to 18.1) |
| Mother’s age, y | |||
| ≤34* | Ref | Ref | Ref |
| 35-44 | −8.0 (−14.2 to −1.8)† | −9.4 (−17.0 to −1.7)† | −3.3 (−12.5 to 6.0) |
| ≥45 | −5.2 (−11.6 to 1.1) | −3.3 (−11.0 to 4.4) | −6.1 (−15.8 to 3.6) |
| Country of birth | |||
| Born in US* | Ref | Ref | Ref |
| Born outside US | 3.2 (−7.6 to 14.1) | −6.6 (−19.9 to 6.7) | 17.6 (3.9-31.3)† |
| Income-to-poverty ratio, % | |||
| <133* | Ref | Ref | Ref |
| 133 to <322 | −0.9 (−6.4 to 4.6) | 2.5 (−4.5 to 9.5) | −7.2 (−15.3 to 0.9) |
| 322 to <503 | −1.2 (−7.8 to 5.5) | 4.8 (−3.4 to 12.9) | −11.7 (−21.5 to −2.0)† |
| >503 | 0.1 (−6.9 to 7.2) | 7.3 (−1.0 to 15.5) | −15.0 (−25.5 to −4.4)† |
| Medical insurance‡ | |||
| Private only* | Ref | Ref | Ref |
| Any Medicaid | 12.1 (6.9-17.4)† | 15.2 (9.0-21.5)† | 3.3 (−4.1 to 10.7) |
| Other§ | 4.9 (−1.9 to 11.8) | 9.2 (1.2-17.2)† | −1.3 (−12.8 to 10.1) |
| Uninsured | 5.7 (−4.8 to 16.2) | 13.8 (0.1-27.4)† | −6.6 (−17.6 to 4.5) |
| Physician contacts within past year | |||
| None* | Ref | Ref | Ref |
| 1 | 3.3 (−2.3 to 8.9) | 7.0 (−0.1 to 14.1) | −0.8 (−8.4 to 6.8) |
| 2-3 | 7.4 (1.9-13.0)† | 10.9 (3.9-17.9)† | 4.9 (−2.7 to 12.4) |
| ≥4 | 7.8 (1.8-13.8)† | 13.2 (5.8-20.6)† | 0.7 (−8.3 to −9.7) |
| Well child visit at age 11-12 y¶ | |||
| Yes* | Ref | Ref | Ref |
| No | −9.4 (−14.0 to −4.9)† | −6.4 (−12.0 to −0.8)† | −11.0 (−17.7 to −4.2)† |
| Don’t know | −7.9 (−12.0 to −3.9)† | −7.2 (−12.0 to −2.5)† | −7.7 (−14.4 to −0.9)† |
| Number of providers | |||
| 1 | 2.5 (−3.2 to 8.2) | 7.2 (0.6-13.9)† | −3.6 (−11.7 to 4.5) |
| 2 | −0.8 (−6.5 to 5.0) | 1.9 (−5.0 to 8.8) | −3.5 (−12.2 to 5.2) |
| ≥3* | Ref | Ref | Ref |
| MSA | |||
| MSA, central city | 11.3 (6.3-16.3)† | 7.9 (1.6-14.3)† | 11.7 (4.8-18.7)† |
| MSA, non-central city | 9.6 (4.6-14.6)† | 5.4 (−0.9 to 11.8) | 13.2 (6.5-20.0)† |
| Non-MSA* | Ref | Ref | Ref |
| Facility type | |||
| All private facilities* | Ref | Ref | Ref |
| All public facilities | 6.4 (0.8-12.0) | 4.5 (−2.8 to 11.8) | 8.8 (1.0-16.6)† |
| All hospital facilities | 4.7 (−0.4 to 9.9) | 5.6 (−0.5 to 11.6) | 1.7 (−7.1 to 10.5) |
| All STD/school/teen clinics or other facilities | 0.7 (−11.3 to 12.6) | 3.1 (−10.2 to 16.3) | 0.0 (−21.0 to 21.0) |
| Mixed** | 1.3 (−3.7 to 6.2) | 4.3 (−1.5 to 10.1) | −5.4 (−12.7 to 2.0) |
| Other†† | −17.4 (−32.6 to −2.2)† | −19.4 (−36.9 to −2.0)† | −11.9 (−33.3 to 9.4) |
*
Reference level.
†
P< .05 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.
**
Mixed indicates that the facility is identified to be in more than one of the facility categories such as private, public, hospital, and STD/school/teen clinics.
††
Includes military, WIC clinics, and pharmacies.