Table 2.
Distribution of human papillomavirus vaccination initiation before (2007‐2010) and after (2011‐2015) the 2010 Affordable Care Act provisions overall and in relation to sexual orientation identity among U.S. women aged 15‐25 y (N = 7033)
| Variable | Pre‐2010 ACA provisions (2007‐2010) | Post‐2010 ACA provisions (2011‐2015) | ||||
|---|---|---|---|---|---|---|
| n | % | 95% CI | n | % | 95% CI | |
| Total | 3205 | 24.1 | 21.2, 27.2 | 3828 | 45.7* | 43.2, 48.3 |
| Sexual orientation identity | ||||||
| Heterosexual (reference) | 2911 | 24.1 | 21.2, 27.4 | 3359 | 46.4* | 43.7, 49.1 |
| Bisexual | 232 | 30.6 | 21.9, 40.9 | 382 | 46.6* | 40.3, 52.9 |
| Lesbian | 62 | 4.6 | 1.4, 14.1** | 87 | 27.1*, ** | 15.9, 42.2 |
Prevalence estimates (%) and 95% confidence intervals (CIs) account for the complex survey design. P‐values are based on the adjusted Wald test.
Abbreviation: ACA, Affordable Care Act.
*
Statistically significant (P < .05) difference between 2011‐2015 and 2007‐2010 (reference).
**
Statistically significant (P < .05) difference between sexual orientation identity groups (reference: heterosexual).