Socioeconomic Position, Gender, and HPV Vaccine Utilization

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dc.contributor.advisorBoudreaux, Michelen_US
dc.contributor.advisorThomas, Stephen Ben_US
dc.contributor.authorRogers, Tayloren_US
dc.contributor.departmentHealth Services Administrationen_US
dc.contributor.publisherDigital Repository at the University of Marylanden_US
dc.contributor.publisherUniversity of Maryland (College Park, Md.)en_US
dc.date.accessioned2018-07-17T06:23:56Z
dc.date.available2018-07-17T06:23:56Z
dc.date.issued2018en_US
dc.description.abstractIn 2011-2014, the prevalence of HPV was higher in adult males compared to adult females. HPV and its associated health outcomes can be prevented through the completion of the 3-dose HPV vaccine series. Using the 2010 - 2016 National Immunization Survey - Teen, I examined the association of family income and gender with three HPV vaccine utilization outcomes: (1) receipt of provider recommendation; (2) HPV vaccine initiation; and (3) HPV vaccine completion using logistic regressions. Results suggested that family income was negatively correlated with HPV vaccine outcomes regardless of gender and controlling for other covariates. I also found that males had lower vaccine use compared to females, regardless of income. In the second analysis I investigated if the 2011 ACIP guideline increased vaccine utilization outcomes using a difference-in-differences. This analysis suggested that the new guideline increased recommendations by 24 percentage points for males, relative to females (P<0.01), HPV vaccine initiation improved by 23 percentage points (P<0.01), and vaccine completion improved by 10 percentage points (P<0.01).en_US
dc.identifierhttps://doi.org/10.13016/M2H41JQ7G
dc.identifier.urihttp://hdl.handle.net/1903/21024
dc.language.isoenen_US
dc.subject.pqcontrolledPublic healthen_US
dc.subject.pquncontrolleddisparitiesen_US
dc.subject.pquncontrolledgenderen_US
dc.subject.pquncontrolledHPV Vaccineen_US
dc.subject.pquncontrolledHuman Papillomavirusen_US
dc.subject.pquncontrolledroutine immunizationen_US
dc.subject.pquncontrolledsocioeconomic positionen_US
dc.titleSocioeconomic Position, Gender, and HPV Vaccine Utilizationen_US
dc.typeThesisen_US

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