PDF(Pubmed)
Abstract：
UNASSIGNED: HPV is responsible for most cervical, oropharyngeal, anal, vaginal, and vulvar cancers. The HPV vaccine has decreased cervical cancer incidence, but only 49% of Texas adolescents have initiated the vaccine. Texas shows great variation in HPV vaccination rates. We used geospatial analysis to identify areas with high and low vaccination rates and explored differences in neighborhood characteristics.
UNASSIGNED: Using Anselin\'s Local Moran\'s I statistic, we conducted an ecological analysis of hot and cold spots of adolescent HPV vaccination coverage in Texas from 2017 to 2021. Next, we utilized a Mann-Whitney U test to compare neighborhood characteristics of vaccination coverage in hot spots versus cold spots, leveraging data from the Child Opportunity Index (COI) and American Community Survey.
UNASSIGNED: In Texas, there are 64 persistent vaccination coverage hotspots and 55 persistent vaccination coverage cold spots. The persistent vaccination coverage hot spots are characterized by ZIP codes with lower COI scores, higher percentages of Hispanic residents, higher poverty rates, and smaller populations per square mile compared to vaccine coverage cold spots. We found a more pronounced spatial clustering pattern for male adolescent vaccine coverage than we did for female adolescent vaccine coverage.
UNASSIGNED: In Texas, HPV vaccination coverage rates differ depending on the community\'s income level, with lower-income areas achieving higher success rates. Notably, there are also gender-based discrepancies in vaccination coverage rates, particularly among male adolescents. This knowledge can aid advocates in customizing their outreach initiatives to address these disparities.
UNASSIGNED: Using Anselin\'s Local Moran\'s I statistic, we conducted an ecological analysis of hot and cold spots of adolescent HPV vaccination coverage in Texas from 2017 to 2021. Next, we utilized a Mann-Whitney U test to compare neighborhood characteristics of vaccination coverage in hot spots versus cold spots, leveraging data from the Child Opportunity Index (COI) and American Community Survey.
UNASSIGNED: In Texas, there are 64 persistent vaccination coverage hotspots and 55 persistent vaccination coverage cold spots. The persistent vaccination coverage hot spots are characterized by ZIP codes with lower COI scores, higher percentages of Hispanic residents, higher poverty rates, and smaller populations per square mile compared to vaccine coverage cold spots. We found a more pronounced spatial clustering pattern for male adolescent vaccine coverage than we did for female adolescent vaccine coverage.
UNASSIGNED: In Texas, HPV vaccination coverage rates differ depending on the community\'s income level, with lower-income areas achieving higher success rates. Notably, there are also gender-based discrepancies in vaccination coverage rates, particularly among male adolescents. This knowledge can aid advocates in customizing their outreach initiatives to address these disparities.
摘要：
■HPV是大多数宫颈的原因，口咽,肛门,阴道,和外阴癌。HPV疫苗降低了宫颈癌的发病率，但只有49%的德克萨斯州青少年开始接种疫苗。德克萨斯州的HPV疫苗接种率差异很大。我们使用地理空间分析来确定疫苗接种率高和低的地区，并探索了邻里特征的差异。
■使用Anselin\的LocalMoran\的I统计数据，我们对2017年至2021年德克萨斯州青少年HPV疫苗接种覆盖率的热点和冷点进行了生态学分析.接下来,我们利用Mann-WhitneyU检验来比较热点地区和冷点地区疫苗接种覆盖率的邻域特征，利用儿童机会指数(COI)和美国社区调查的数据。
■在德克萨斯州，有64个持续疫苗接种覆盖率热点和55个持续疫苗接种覆盖率冷点。持续疫苗接种覆盖率热点的特点是邮政编码较低的COI评分，西班牙裔居民的百分比更高，贫困率更高，与疫苗覆盖率寒冷地区相比，每平方英里的人口较少。我们发现男性青少年疫苗覆盖率比女性青少年疫苗覆盖率更明显的空间聚类模式。
■在德克萨斯州，HPV疫苗接种率因社区收入水平而异，低收入地区获得更高的成功率。值得注意的是,疫苗接种率也存在基于性别的差异，尤其是男性青少年。这些知识可以帮助倡导者定制他们的外联举措，以解决这些差距。
■使用Anselin\的LocalMoran\的I统计数据，我们对2017年至2021年德克萨斯州青少年HPV疫苗接种覆盖率的热点和冷点进行了生态学分析.接下来,我们利用Mann-WhitneyU检验来比较热点地区和冷点地区疫苗接种覆盖率的邻域特征，利用儿童机会指数(COI)和美国社区调查的数据。
■在德克萨斯州，有64个持续疫苗接种覆盖率热点和55个持续疫苗接种覆盖率冷点。持续疫苗接种覆盖率热点的特点是邮政编码较低的COI评分，西班牙裔居民的百分比更高，贫困率更高，与疫苗覆盖率寒冷地区相比，每平方英里的人口较少。我们发现男性青少年疫苗覆盖率比女性青少年疫苗覆盖率更明显的空间聚类模式。
■在德克萨斯州，HPV疫苗接种率因社区收入水平而异，低收入地区获得更高的成功率。值得注意的是,疫苗接种率也存在基于性别的差异，尤其是男性青少年。这些知识可以帮助倡导者定制他们的外联举措，以解决这些差距。
