Impact of the Affordable Care Act on human papillomavirus vaccination initiation among lesbian, bisexual, and heterosexual U.S. women.
Adolescent
Adult
Female
Heterosexuality
/ psychology
Humans
Papillomavirus Infections
/ prevention & control
Papillomavirus Vaccines
/ economics
Patient Acceptance of Health Care
/ psychology
Patient Protection and Affordable Care Act
/ economics
Sexual and Gender Minorities
/ psychology
United States
Vaccination
/ psychology
Young Adult
Affordable Care Act
health inequities
human papillomavirus vaccination
sexual orientation
women
Journal
Health services research
ISSN: 1475-6773
Titre abrégé: Health Serv Res
Pays: United States
ID NLM: 0053006
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
12
11
2019
medline:
25
8
2020
entrez:
12
11
2019
Statut:
ppublish
Résumé
To examine the effect of the 2010 Affordable Care Act (ACA) extended dependent coverage and no cost-sharing provisions on human papillomavirus (HPV) vaccination in relation to sexual orientation identity among U.S. women. 2006-2010 and 2011-2015 National Survey of Family Growth. We used an interrupted time series design and multivariable Poisson regression to assess differences in HPV vaccination initiation before (2007-2010) and after (2011-2015) the 2010 ACA provisions among heterosexual, bisexual, and lesbian U.S. women aged 15-25 years (N = 7033), adjusting for temporal trends and demographic factors. Computer-assisted personal interview and audio computer-assisted self-interview questionnaires. The adjusted prevalence of HPV vaccination initiation was significantly higher among lesbian and bisexual women after compared to before the 2010 ACA-at 19.1 (95% confidence interval [CI]: 5.4, 32.9) and 15.7 (95% CI: 4.4, 27.1) percentage points in 2015 compared to 2007-2010, respectively. We observed no association between the 2010 ACA provisions and HPV vaccination initiation among heterosexual women after adjusting for temporal trends and demographic factors. The 2010 ACA provisions may have improved HPV vaccination initiation among lesbian and bisexual women. Policies and programs that increase access to health insurance and provide HPV vaccines at no cost to patients may facilitate HPV vaccine uptake in these marginalized populations.
Identifiants
pubmed: 31709542
doi: 10.1111/1475-6773.13231
pmc: PMC6980951
doi:
Substances chimiques
Papillomavirus Vaccines
0
Types de publication
Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
18-25Informations de copyright
© Health Research and Educational Trust.
Références
Health Serv Res. 2009 Feb;44(1):288-302
pubmed: 18793213
Am J Public Health. 2015 Nov;105 Suppl 5:S668-75
pubmed: 26447920
Cancer Causes Control. 2016 Oct;27(10):1187-96
pubmed: 27507284
Health Aff (Millwood). 2015 May;34(5):757-64
pubmed: 25941276
Health Serv Res. 2020 Feb;55(1):18-25
pubmed: 31709542
CA Cancer J Clin. 2007 Jan-Feb;57(1):7-28
pubmed: 17237032
MMWR Morb Mortal Wkly Rep. 2014 Jan 31;63(4):69-72
pubmed: 24476977
Cancer. 2011 Aug 15;117(16):3796-804
pubmed: 21557209
Health Aff (Millwood). 2015 Oct;34(10):1769-73
pubmed: 26438755
Am J Public Health. 2013 Oct;103(10):1837-44
pubmed: 23948019
Vital Health Stat 2. 2010 Jun;(150):1-36
pubmed: 20928970
BMC Med Res Methodol. 2003 Oct 20;3:21
pubmed: 14567763
Am J Epidemiol. 2010 Mar 1;171(5):618-23
pubmed: 20133516
MMWR Recomm Rep. 2007 Mar 23;56(RR-2):1-24
pubmed: 17380109
Ann Intern Med. 2015 Jul 21;163(2):99-106
pubmed: 25961737
J Natl Cancer Inst. 2013 Feb 6;105(3):175-201
pubmed: 23297039
Public Health Rep. 2011 Jan-Feb;126(1):130-5
pubmed: 21337939
Am J Public Health. 2001 Apr;91(4):591-7
pubmed: 11291371
Clin Infect Dis. 2011 Dec;53 Suppl 3:S84-91
pubmed: 22080273
Cancer. 2017 May 1;123(9):1585-1589
pubmed: 28067955
Sex Transm Dis. 2013 Mar;40(3):187-93
pubmed: 23403598
Cancer Causes Control. 2007 May;18(4):343-9
pubmed: 17325829
Am J Public Health. 2014 Feb;104(2):e68-73
pubmed: 24328650
J Pediatr Adolesc Gynecol. 2018 Feb;31(1):23-27
pubmed: 28756028
J Womens Health (Larchmt). 2015 Aug;24(8):621-8
pubmed: 25961855