Geospatial patterns of human papillomavirus vaccine uptake in Minnesota

BMJ Open
Erik J NelsonShalini L Kulasingam

Abstract

To identify factors associated with human papillomavirus (HPV) vaccination and to determine the geographic distribution of vaccine uptake while accounting for spatial autocorrelation. This study is cross-sectional in design using data collected via the Internet from the Survey of Minnesotans About Screening and HPV study. The sample consists of 760 individuals aged 18-30 years nested within 99 ZIP codes surrounding the downtown area of Minneapolis, Minnesota. In all, 46.2% of participants had received ≥ 1 dose of HPV vaccine (67.7% of women and 13.0% of men). Prevalence of HPV vaccination was found to exhibit strong spatial dependence ([Formula: see text] = 0.9951) across ZIP codes. Accounting for spatial dependence, age (OR=0.76, 95% CI 0.70 to 0.83) and male gender (OR=0.04, 95% CI 0.03 to 0.07) were negatively associated with vaccination, while liberal political preferences (OR=4.31, 95% CI 2.32 to 8.01), and college education (OR=2.58, 95% CI 1.14 to 5.83) were found to be positively associated with HPV vaccination. Strong spatial dependence and heterogeneity of HPV vaccination prevalence were found across ZIP codes, indicating that spatial statistical models are needed to accurately identify and estimate factors associated...Continue Reading

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Citations

Jun 13, 2017·Human Vaccines & Immunotherapeutics·Abbey B BerensonMihyun Chang
May 5, 2017·Biomedical Informatics Insights·Moises E MaraviArthur J Davidson
Aug 4, 2021·Preventive Medicine·Nastaran PourebrahimMargaret M Madeleine
Aug 14, 2021·American Journal of Preventive Medicine·Stephanie A S StarasElizabeth A Shenkman

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