![]() Lower socioeconomic status was associated with decreased rates of initiation, completion of the second dose, and completion of the third dose. Results: In adjusted models, increasing age and female sex were associated with increased HPV vaccination. All models were estimated using Integrated Nested Laplace Approximations. Geolocation was modeled as an approximated Gaussian field using a Stochastic Partial Differential Equations approach. Bayesian hierarchical logistic regression was used to model incident vaccination rates, adjusting for individual- and area-level sociodemographic characteristics, and geolocation. ![]() ![]() Geocoded individual patient data were spatially linked to socioeconomic data from the American Community Survey at the census block group level. Method: We used the Rochester Epidemiology Project data linkage system to ascertain HPV vaccination rates between 20 in a 7-county region of southern Minnesota. ![]() Studies evaluating the association of geographic and area-level characteristics with HPV vaccination rates provide a valuable resource for public health planning. Background: Human papillomavirus (HPV) vaccination rates in the United States remain low and lag behind other recommended adolescent vaccines.
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