Table 5 Multivariable logistic regression analyses of factors associated with reasons for no-intent to receivea human papillomavirus vaccine (HPV) series among unvaccinated female adolescents aged 13–17 years, National Immunization Survey - Teen, 2008–2012 (n = 12,274b)
Adjusted odds ratio (95% confidence interval)c | |||||
|---|---|---|---|---|---|
Factors | Safety and Effectiveness Concernsd | Systemic Barrierse | Vaccine Misinformationf | Lack of Knowledge about the Vaccineg | Socio-cultural reasonsh |
Age, years | |||||
13 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
14 | 0.99 (0.78–1.27) | 1.15 (0.86–1.52) | 0.90 (0.74–1.10) | 1.27 (0.95–1.70) | 0.78 (0.54–1.13) |
15 | 0.94 (0.75–1.19) | 0.93 (0.69–1.24) | 0.88 (0.72–1.08) | 1.37 (1.05–1.80) | 1.57 (1.09–2.26) |
16 | 1.01 (0.79–1.30) | 0.84 (0.63–1.13) | 0.76 (0.61–0.93) | 1.52 (1.13–2.05) | 1.29 (0.82–2.01) |
17 | 1.00 (0.78–1.29) | 1.01 (0.76–1.36) | 0.69 (0.56–0.84) | 1.10 (0.83–1.47) | 1.52 (1.01–2.30) |
Race/ethnicity | |||||
White, non–Hispanic | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Black, non–Hispanic | 0.75 (0.57–0.98) | 1.05 (0.78–1.41) | 0.98 (0.80–1.20) | 1.42 (1.09–1.86) | 1.63 (1.15–2.32) |
Hispanic | 0.80 (0.59–1.10) | 1.02 (0.75–1.38) | 0.93 (0.73–1.19) | 1.58 (1.14–2.17) | 1.14 (0.72–1.81) |
Otheri | 0.70 (0.52–0.94) | 1.39 (1.00–1.94) | 0.80 (0.62–1.02) | 1.45 (1.04–2.00) | 0.88 (0.54–1.44) |
Number of people in the household, per person over two | 0.86 (0.81–0.91) | 0.97 (0.91–1.04) | 1.08 (1.03–1.14) | 1.00 (0.92–1.09) | 1.09 (0.98–1.22) |
Annual household income, US $ | |||||
≤35,000 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
35,001–75,000 | 1.13 (0.88–1.47) | 0.64 (0.49–0.83) | 1.03 (0.84–1.27) | 1.20 (0.91–1.59) | 1.62 (1.04–2.55) |
>75,000 | 1.10 (0.84–1.46) | 0.62 (0.46–0.83) | 1.04 (0.83–1.31) | 0.95 (0.70–1.30) | 1.91 (1.14–3.19) |
Mother’s education | |||||
Less than high school | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
High school | 1.52 (1.02–2.28) | 0.77 (0.52–1.13) | 1.12 (0.82–1.53) | 0.95 (0.66–1.38) | 1.18 (0.58–2.43) |
Some college | 1.79 (1.20–2.68) | 0.76 (0.53–1.10) | 1.24 (0.91–1.68) | 0.76 (0.53–1.08) | 1.32 (0.67–2.59) |
College graduate | 1.84 (1.21–2.81) | 0.82 (0.56–1.20) | 1.51 (1.10–2.06) | 0.48 (0.34–0.69) | 1.55 (0.74–3.24) |
Mother’s marital status | |||||
Otherj | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
Married | 1.22 (0.98–1.52) | 1.18 (0.92–1.52) | 1.09 (0.88–1.34) | 0.88 (0.63–1.22) | 0.71 (0.51–0.98) |
Mother’s age, years | |||||
≤34 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
35–44 | 0.99 (0.71–1.36) | 0.91 (0.63–1.33) | 0.85 (0.64–1.13) | 1.56 (1.06–2.31) | 0.55 (0.31–0.98) |
≥45 | 0.86 (0.62–1.21) | 0.98 (0.67–1.43) | 0.92 (0.69–1.23) | 1.48 (1.00–2.22) | 0.56 (0.31–1.01) |
Health insurance statusk | |||||
Private | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
SCHIP or Medicaid | 1.21 (0.93–1.56) | 0.97 (0.73–1.30) | 0.83 (0.66–1.02) | 0.73 (0.54–1.00) | 1.34 (0.86–2.07) |
IHS or Military | 1.20 (0.71–2.06) | 0.76 (0.35–1.70) | 0.75 (0.47–1.19) | 0.83 (0.42–1.64) | 1.63 (0.76–3.49) |
Other | 0.88 (0.63–1.22) | 0.99 (0.66–1.47) | 0.87 (0.64–1.19) | 1.32 (0.77–2.27) | 1.31 (0.74–2.34) |
Uninsured | 0.98 (0.69–1.38) | 1.06 (0.73–1.52) | 0.86 (0.65–1.15) | 1.30 (0.91–1.88) | 0.69 (0.38–1.25) |
Healthcare provider recommended HPV vaccine | |||||
Yes | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
No | 0.42 (0.36–0.49) | 6.84 (5.25–8.91) | 1.18 (1.02–1.35) | 0.86 (0.69–1.07) | 0.49 (0.38–0.63) |
Survey Year | |||||
2008 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
2009 | 1.45 (1.09–1.93) | 0.93 (0.70–1.24) | 0.80 (0.64–0.99) | 0.96 (0.71–1.30) | 2.07 (1.39–3.07) |
2010 | 2.83 (2.16–3.70) | 0.93 (0.70–1.24) | 0.85 (0.69–1.04) | 0.63 (0.47–0.85) | 0.95 (0.60–1.52) |
2011 | 2.18 (1.68–2.83) | 0.87 (0.65–1.16) | 1.02 (0.83–1.25) | 0.66 (0.50–0.87) | 1.14 (0.75–1.72) |
2012 | 1.45 (1.09–1.93) | 1.57 (1.17–2.09) | 0.67 (0.53–0.84) | 0.64 (0.47–0.87) | 1.47 (0.95–2.27) |