Uptake of HPV Vaccine among young adults with disabilities, 2011 to 2018.
Carly Herbert, Carol Curtin, Mara Epstein and 2 others
PMID 35659860WHAT IT FOUND
Young adults with disabilities had HPV vaccination rates similar to young adults without disabilities.
Lower uptake was linked to older age, foreign-born status, and lacking insurance, not disability itself.
Key findings
01HPV vaccination uptake was similar for young adults with and without disabilities after adjustment.
02HPV vaccination among young adults with disabilities was lower in the older age groups.
03Foreign-born status was associated with lower HPV vaccination in adjusted female analyses, and being uninsured was associated with lower HPV vaccination among both female and male young adults with disabilities.
STILL TO COME
How it was doneWhat they found
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What it does not show
HPV vaccination status was self-reported, so some people may have reported it incorrectly. The survey measured disability at one point in time, and disability status can change. The six disability questions were broad, so they did not identify specific diagnoses or how many people had intellectual disability. Only 992 people with disabilities were eligible for analysis after combining eight years, and sex-specific samples were small, with wide confidence intervals. 5.5% of the sample had missing HPV vaccination data and were excluded. The survey did not sample people in institutions or people without a fixed household address. The study could not tell when people were vaccinated, or whether the young adult or a parent or guardian made the vaccination decision.
Declared interests
Publication types list Research Support, N.I.H., Extramural. No conflicts-of-interest declaration is included in the article text.
The easy way to misread this
Do not conclude that disability itself lowers HPV vaccination uptake. The adjusted comparison was similar to young adults without disabilities, and the disability subgroup was small, with 992 eligible people and wide confidence intervals.