Racial and ethnic differences in human papillomavirus positivity and risk factors among low-income women in Federally Qualified Health Centers in the United States

Details

• Alternative Title:
  Prev Med
• Personal Author:
  Lin, Lavinia ; Benard, Vicki B. ; Greek, April ; Hawkins, Nikki A. ; Roland, Katherine B. ; Saraiya, Mona
• Description:
  Reasons for racial/ethnic disparities in HPV infection are unclear. This study assessed racial/ethnic differences in and risk factors for HPV positivity among low-income women. Data were collected from 984 low-income women visiting Federally Qualified Health Centers across Illinois (2009-2011). Pearson chi square and Logistic regression analyses were used to examine associations with HPV positivity. Our results showed Mexican-born Hispanics had the lowest HPV positivity (16%), followed by non-Hispanic whites (29%), US-born Hispanics (35%), and non-Hispanic blacks (39%). Mexican-born Hispanics reported fewer risk behaviors for HPV positivity, including first sexual intercourse before age 16 years (9% versus 27%), multiple sexual partners in lifetime (48% versus 90%), and current cigarette smoking status (10% versus 35%) when compared to non-Hispanic whites (p<0.001). In multivariate-adjusted logistic regression, being non-Hispanic black, first sexual intercourse before age 16 years, increasing numbers of recent or lifetime sexual partners and current cigarette smoking status were associated with a higher likelihood of HPV positivity. Our findings highlight racial/ethnic differences in HPV positivity and risk factors in a population of women with similar socioeconomic characteristics. When measuring HPV risk factors within the Hispanic population, foreign-born status and other mediating factors, such as social norms and cultural characteristics, may be relevant to assess the intragroup heterogeneity.
• Subjects:
  Adult Female Health Services Accessibility Hispanic Or Latino Human Papillomavirus DNA Tests Humans Middle Aged Papillomaviridae Papillomavirus Infections Poverty Racial Groups Risk Factors

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• Source:
  Prev Med. 81:258-261.
• Pubmed ID:
  26361751
• Pubmed Central ID:
  PMC4751981
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  Illinois
• Volume:
  81
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:2fce0c64175464ae53aa199298f6e93e8bce23b548eed9f1c937998c2cb7507c
• Download URL:
  https://stacks.cdc.gov/view/cdc/37971/cdc_37971_DS1.pdf
• File Type:
  [PDF - 205.60 KB ]