Table 2.
Association Between Region of Residence and HPV Vaccination Uptake Among Young Adults 18–34 Years, BRFSS (2015–2017)
| AOR (95% CI) | |||
|---|---|---|---|
| Variable | HPV vaccine initiation (n=18,078) | HPV vaccine completion – overall (n=18,078) | HPV vaccine completion among initiators (n=4,336) |
| Geographic region | |||
| Northeast | ref | ref | ref |
| West/Midwest | 0.55 (0.45, 0.68) | 0.70 (0.56, 0.89) | 1.14 (0.82, 1.57) |
| Southern | 0.47 (0.40, 0.55) | 0.56 (0.46, 0.68) | 1.02 (0.78, 1.33) |
| Age, years | |||
| 18–24 | 6.32 (5.12, 7.81) | 5.63 (4.26, 7.44) | 1.46 (1.03, 2.07) |
| 25–29 | 2.41 (1.97, 2.95) | 2.77 (2.14, 3.58) | 1.34 (0.94, 1.90) |
| 30–34 | ref | ref | ref |
| Sex | |||
| Female | ref | ref | ref |
| Male | 0.19 (0.16, 0.22) | 0.12 (0.10, 0.15) | 0.33 (0.25, 0.44) |
| Race/Ethnicity | |||
| Non-Hispanic White | ref | ref | ref |
| Non-Hispanic Black | 1.00 (0.82, 1.22) | 0.46 (0.35, 0.60) | 0.33 (0.24, 0.46) |
| Hispanic | 0.92 (0.72, 1.17) | 0.62 (0.46, 0.84) | 0.53 (0.37, 0.76) |
| Non-Hispanic other | 0.80 (0.60, 1.08) | 0.65 (0.42, 1.01) | 0.68 (0.39, 1.18) |
| Marital status | |||
| Married | ref | ref | ref |
| Not married | 1.35 (1.13, 1.61) | 1.45 (1.16, 1.81) | 1.23 (0.93, 1.64) |
| Educational attainment | |||
| College graduate or higher | ref | ref | ref |
| Some college or associate degree | 0.82 (0.68, 0.98) | 0.57 (0.46, 0.70) | 0.52 (0.39, 0.69) |
| High school diploma | 0.69 (0.56, 0.84) | 0.47 (0.36, 0.62) | 0.46 (0.33, 0.64) |
| Less than high school diploma | 0.48 (0.34, 0.66) | 0.35 (0.20, 0.58) | 0.41 (0.22, 0.76) |
| Income level | |||
| ≥$50,000 | ref | ref | ref |
| $25,000 to $49,999 | 0.96 (0.78, 1.18) | 0.88 (0.68, 1.15) | 0.89 (0.62, 1.27) |
| <$25,000 | 0.89 (0.72, 1.10) | 0.89 (0.69, 1.15) | 1.01 (0.73, 1.41) |
| Refused/missing | 0.63 (0.50, 0.80) | 0.59 (0.45, 0.77) | 0.78 (0.54, 1.13) |
| Has insurance coverage | |||
| Yes | ref | ref | ref |
| No | 0.69 (0.56, 0.85) | 0.69 (0.51, 0.92) | 0.83 (0.57, 1.19) |
| Has regular provider | |||
| Yes | ref | ref | ref |
| No | 0.88 (0.74, 1.04) | 0.76 (0.61, 0.94) | 0.76 (0.58, 1.00) |
| Time since last medical checkup | |||
| Within past year | ref | ref | ref |
| More than a year | 0.79 (0.68, 0.92) | 0.87 (0.71, 1.06) | 0.92 (0.70, 1.21) |
| General health | |||
| Excellent/Very good | ref | ref | ref |
| Good | 0.84 (0.71, 1.00) | 0.83 (0.67, 1.03) | 0.85 (0.65, 1.13) |
| Poor/Fair | 0.94 (0.73, 1.21) | 0.89 (0.66, 1.19) | 0.83 (0.58, 1.21) |
| Survey year | |||
| 2017 | ref | ref | ref |
| 2016 | 0.72 (0.59, 0.86) | 0.77 (0.60, 0.97) | 1.08 (0.80, 1.45) |
| 2015 | 1.00 (0.83, 1.22) | 1.20 (0.94, 1.53) | 1.45 (1.05, 1.99) |
Note: Boldface indicates statistical significance (p<0.05).
BRFSS, Behavioral Risk Factor Surveillance System; HPV, human papillomavirus.