Effects of Socioeconomic Status and Health Care Access on Low Levels of Human Papillomavirus Vaccination Among Spanish-Speaking Hispanics in California

Shingisai Chando and T. Robert Harris are with The University of Texas School of Public Health, Dallas Regional Campus. Jasmin A. Tiro is with the Department of Clinical Sciences, University of Texas Southwestern Medical Center and the Harold C. Simmons Cancer Center, Dallas. Sarah Kobrin and Nancy Breen are with the Division Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD.
American Journal of Public Health (Impact Factor: 4.23). 12/2012; 103(2). DOI: 10.2105/AJPH.2012.300920
Source: PubMed

ABSTRACT Little is known about the effect of language preference, socioeconomic status, and health care access on human papillomavirus (HPV) vaccination. We examined these factors in Hispanic parents of daughters aged 11 to 17 years in California (n = 1090). Spanish-speaking parents were less likely to have their daughters vaccinated than were English speakers (odds ratio [OR] = 0.55; 95% confidence interval [CI] = 0.31, 0.98). Adding income and access to multivariate analyses made language nonsignificant (OR = 0.68; 95% CI = 0.35, 1.29). This confirms that health care use is associated with language via income and access. Low-income Hispanics, who lack access, need information about free HPV vaccination programs.(Am J Public Health. Published online ahead of print December 13, 2012: e1-e3. doi:10.2105/AJPH.2012.300920).

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