标题：Effects of Socioeconomic Status and Health Care Access on Low Levels of Human Papillomavirus Vaccination Among Spanish-Speaking Hispanics in California
摘要：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. In the United States, uptake of the recently recommended human papillomavirus (HPV) vaccine by Hispanic female adolescents could reduce cervical cancer disparities. 1–4 Little is known about HPV vaccine use among Hispanics; past studies have mostly focused on vaccine acceptability and awareness. 5–10 Research on populations with large immigrant subgroups, like Hispanics, can inform whether daughters of immigrants are less likely to be immunized and why. Parental correlates of vaccination are important because the vaccine is recommended for girls aged 11 to 17 years, 11 parents are primary decision-makers for childhood immunization, and most states require parental consent. 12,13 Previous research with Hispanic immigrants showed that speaking Spanish, low socioeconomic status (SES), and poor access to care all impede use of preventive health services. 14–16 We examined whether language is independently correlated with HPV vaccination in the presence of other barriers (e.g., low SES, poor access) among Hispanic parents living in California. Specifying whether language is an additional barrier that needs to be separately addressed could improve the focus of HPV vaccine interventions and policies.
