Allison Swiecki-Sikora|Kevin A. Henry|Deanna Kepka
HPV Vaccination Coverage Among US Teens Across the Rural?Urban Continuum
Temple University Hospital|Temple University|Fox Chase Cancer Center|University of Utah|Huntsman Cancer Institute
abstract background study used data national immunization surveyteen nisteen examine hpv vaccination uptake rural urban residence defined zip code methods used 20122013 nisteen data examine associations hpv vaccination among teens aged 1317 years zip code measures ruralurban ruralurban commuting area ruca codes population density multivariable logistic regression used estimate odds hpv vaccination initiation 1 dose completion 3 doses results hpv vaccination lower among girls isolated small rural towns 1 dose 510 3 doses 300 small rural towns 1 dose 502 3 doses 268 among urban girls 1 dose 560 3 doses 359 girls small rural towns lower odds completion 074 95 ci 060091 girls urban areas hpv vaccination lower among boys isolated small rural towns 1 dose 173 3 doses 531 small rural towns 1 dose 187 3 doses 550 urban areas 1 dose 287 3 doses 107 boys isolated small rural towns statistically significantly lower odds initiation 068 95 ci 052088 completion 063 95 ci 041097 urban boys girls boys highpoverty rural areas lower odds initiation completion counterparts highpoverty urban areas conclusion rural girls lower odds completing hpv vaccine urban counterparts rural boys lower odds urban boys hpv vaccination initiation completion