Ethnicity & Disease最新文献

{"title":"The Prevalence of Multimorbidity among Foreign-born Adults in the United States.","authors":"Rebecca E Jones,&nbsp;Lubaba Tasnim,&nbsp;Solveig A Cunningham","doi":"10.18865/ed.32.3.213","DOIUrl":"https://doi.org/10.18865/ed.32.3.213","url":null,"abstract":"<p><strong>Objective: </strong>We examined multimorbidity among foreign-born adults in the United States. This population may be particularly affected by chronic conditions and limited health care access.</p><p><strong>Design: </strong>Longitudinal cohort.</p><p><strong>Setting: </strong>United States.</p><p><strong>Participants: </strong>Foreign-born adults at the point of legal permanent residency.</p><p><strong>Main outcome measures: </strong>Multimorbidity defined as two or more of eight chronic conditions (hypertension, diabetes, obesity, arthritis, stroke, cancer, chronic lung disease, and heart problems).</p><p><strong>Methods: </strong>We estimated the prevalence of multimorbidity and patterns over time. Data are from the New Immigrant Survey (NIS), a nationally representative study of adult immigrants at green card status in 2003 (N=8,174) and reinterview in 2008.</p><p><strong>Results: </strong>The prevalence of multimorbidity was 6% in 2003, and 12% in 2008. The most common condition dyad at both time points was hypertension-obesity; the largest increase over time was in combinations that included hypertension, diabetes, and obesity. The odds of having multimorbidity compared to no chronic conditions were higher among older immigrants and those who had seen a doctor in the past year. The odds of gaining one chronic condition over a 5-year period increased with age; 45-65 years: OR 2.8[CI 2.3,3.5]; aged ≥65 years: OR 3.2 CI[2.2,4.7].</p><p><strong>Conclusions: </strong>The prevalence of multimorbidity among immigrants was lower than the prevalence in the overall US population of the same age, consistent with studies showing an immigrant health advantage.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311306/pdf/ethndis-32-213.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived Severity of COVID-19 in a Longitudinal Study in Detroit, Michigan.","authors":"Danting Yang,&nbsp;Abram L Wagner,&nbsp;Sherri Sheinfeld Gorin","doi":"10.18865/ed.32.3.231","DOIUrl":"https://doi.org/10.18865/ed.32.3.231","url":null,"abstract":"<p><strong>Objective: </strong>To slow down the spread of SARS-CoV-2, many countries have instituted preventive approaches (masks, social distancing) as well as the distribution of vaccines. Adherence to these preventive measures is crucial to the success of controlling the pandemic but decreased perceptions of disease severity could limit adherence. The aim of our study was to observe changes in perceived personal severity and perceived community severity; the study also explored their predictors.</p><p><strong>Methods: </strong>In a longitudinal study from an address-based probability survey in Detroit, we asked participants to rate their perceived severity of COVID-19 for themselves and for their community. In our analysis, 746 participants were queried across 5 waves of the Detroit Metro Area Communities Study surveys from March 31 to October 27 in 2020. We tested for trends in changes of self-reported perceived severity for themselves and for their community; we assessed the effects of different predictors of the two severities through mixed effects logistic regression models.</p><p><strong>Results: </strong>Our results highlight that the overall levels of perceived community and personal severity were decreasing over time even though both severities were fluctuating with rising confirmed case counts. Compared with non-Hispanic (NH) White Detroiters, NH Black Detroiters reported a higher perceived personal severity (OR: 5.30, 95% CI: 2.97, 9.47) but both groups reported similar levels of perceived community severity. We found steeper declines in perceived severity in NH White than NH Black Detroiters over time; the impact of education and income on perceived severity was attenuated in NH Black Detroiters compared with NH White Detroiters.</p><p><strong>Conclusions: </strong>Our findings suggested that perceived severity for COVID-19 decreased through time and was affected by different factors among varied racial/ethnic groups. Future interventions to slow the pace of the pandemic should take into account perceived personal and community severities among varied ethnic/racial subgroups.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311308/pdf/ethndis-32-231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Perspectives on Establishing COVID-19 Vaccine Confidence in Black Communities.","authors":"Lisa N Mansfield,&nbsp;Savanna L Carson,&nbsp;Yelba Castellon-Lopez,&nbsp;Alejandra Casillas,&nbsp;D'Ann Morris,&nbsp;Ejiro Ntekume,&nbsp;Juan Barron,&nbsp;Keith C Norris,&nbsp;Arleen F Brown","doi":"10.18865/ed.32.4.341","DOIUrl":"https://doi.org/10.18865/ed.32.4.341","url":null,"abstract":"<p><strong>Objective: </strong>To explore factors influencing COVID-19 vaccine decision-making among Black adults at high-risk for COVID-19 infection. Despite effective treatment and vaccination availability, Black Americans continue to be disproportionately impacted by COVID-19.</p><p><strong>Design setting and participants: </strong>Using community-engaged qualitative methods, we conducted virtual, semi-structured focus groups with Black residents in Los Angeles County before widespread vaccine rollout. Recruitment occurred through local community partners.</p><p><strong>Main outcome measures: </strong>Themes and subthemes on factors for vaccine confidence and accessibility.</p><p><strong>Methods: </strong>As part of a larger study exploring COVID-19 vaccine decision-making factors among multiethnic groups, two-hour virtual focus groups were conducted between December 15, 2020 and January 27, 2021. Transcripts were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Three focus groups were conducted with 17 Black participants, who were primarily female (n=15), residents of high-poverty zip codes (n=11) and employed full-time (n=6). Black-specific considerations for vaccine confidence and accessibility include: 1) reduced confidence in COVID-19 vaccines due to historical government inaction and racism (existing health inequities and disparities are rooted in racism; historical unethical research practices); 2) misunderstanding of Black communities' vaccine concerns (\"vaccine hesitancy\" as an inaccurate label to describe vaccine skepticism; ignorance to root causes of vaccine skepticism); and 3) recognizing and building on resources (community agency to address COVID-19 vaccine needs adequately).</p><p><strong>Conclusions: </strong>Vaccination campaigns should improve understanding of underlying vaccination concerns to improve vaccine outreach effectiveness and should partner with, provide resources to, and invest in local, trusted Black community entities to improve COVID-19 vaccination disparities.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590598/pdf/ethndis-32-341.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9321222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Financial Strain and Educational Attainment on Smoking Abstinence of African Americans and Whites Who Smoke.","authors":"Dale Dagar Maglalang,&nbsp;Jaqueline C Avila,&nbsp;Jasjit S Ahluwalia,&nbsp;Cara M Murphy,&nbsp;Adam C Alexander,&nbsp;Nicole L Nollen","doi":"10.18865/ed.32.3.223","DOIUrl":"https://doi.org/10.18865/ed.32.3.223","url":null,"abstract":"<p><strong>Objective: </strong>To examine if reduced financial strain and higher educational attainment would confer less advantage for successful cessation among African Americans than for White individuals.</p><p><strong>Design: </strong>A secondary data analysis of the Quit2Live study, a smoking cessation intervention for individuals who smoke.</p><p><strong>Setting: </strong>Recruited participants from a metropolitan city in the Midwest.</p><p><strong>Participants: </strong>The sample included 224 African American and 225 White individuals who smoke.</p><p><strong>Main outcome measures: </strong>Our outcome variable was cotinine-verified smoking abstinence at the end-of-treatment (week 12). Our explanatory variables were a combination of financial strain (high, low) and educational attainment (high, low).</p><p><strong>Methods: </strong>We implemented a logistic regression analysis and a two-way interaction of the combined financial strain and educational attainment variable and race on smoking abstinence.</p><p><strong>Results: </strong>About 25% of the study participants were low financial strain and high education, 41% high financial strain and high education, 23% high financial strain and low education, and 11% low financial strain and low education. A greater proportion of African Americans vs Whites were in the high financial strain/low educational attainment category (28% vs 18%, P = .01). Participants with high financial strain and low educational attainment had substantially lower odds of abstinence (OR = .29 [95% CI: .12, .68]) compared to participants with low financial strain and high educational attainment. Contrary to our hypothesis, race did not moderate this association.</p><p><strong>Conclusion: </strong>Findings highlight the constraining role of high financial strain and low educational attainment, irrespective of race, on smoking abstinence among smokers actively engaged in a quit attempt.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311309/pdf/ethndis-32-223.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 Vaccine Attitudes and Barriers among Unvaccinated Residents in Rural Northern/Central Illinois.","authors":"Manorama M Khare,&nbsp;Kristine Zimmermann,&nbsp;Francis K Kazungu,&nbsp;David Pluta,&nbsp;Alexia Ng,&nbsp;Amanda R Mercadante,&nbsp;Anandi V Law","doi":"10.18865/ed.32.4.305","DOIUrl":"https://doi.org/10.18865/ed.32.4.305","url":null,"abstract":"<p><strong>Background: </strong>Rural communities have lower COVID-19 vaccine uptake and poorer health outcomes compared to non-rural communities, including in rural, northern/central Illinois. Understanding community perceptions about vaccination is critical for developing targeted responses to improve vaccine uptake in rural communities and meet global vaccination targets.</p><p><strong>Purpose: </strong>This study examines COVID-19 vaccine attitudes and barriers as well as the impact of COVID-19 on specific health behaviors of residents in rural northern/central Illinois to inform efforts to increase vaccine uptake.</p><p><strong>Methods: </strong>In collaboration with community partners and local health departments, we conducted a 54-item, English-language, online questionnaire from Feb 11 to March 22, 2021; the questionnaire included the COVID behavioral questionnaire scale (CoBQ), as well as questions on intention to vaccinate, vaccination attitudes, and barriers to vaccine access. Descriptive and bivariate analyses assessed participant differences based on intention to vaccinate.</p><p><strong>Results: </strong>Most unvaccinated survey respondents (n = 121) were White (89.3%) and female (78.5%), with an average age of 52.3±14.1 years. Lack of intention to vaccinate was negatively associated with trust in the science behind vaccine development (P = .040), belief in the safety of the vaccine (P = .005) and belief that the vaccine was needed (P=.050). CoBQ scores of respondents who intended to get vaccinated differed significantly from those who did not (P<.001), showing a greater negative impact of COVID-19 on engaging in health behaviors for vaccine-hesitant participants.</p><p><strong>Conclusion: </strong>Study findings show mistrust of science and lack of confidence in vaccine safety are barriers to vaccination in rural northern Illinois residents. Similar results have been reported in low- and middle-income countries.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590596/pdf/ethndis-32-305.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global and Rural Health Disparities.","authors":"Isabel C Scarinci,&nbsp;Jodie A Dionne","doi":"10.18865/ed.32.4.265","DOIUrl":"https://doi.org/10.18865/ed.32.4.265","url":null,"abstract":"Ethn Dis. 2022;32(4):265-268; doi:10.18865/ed.32.4.265","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590599/pdf/ethndis-32-265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Convergent Mixed Methods Study of Cardiovascular Disease Risk Factors among Young Black Men in the United States.","authors":"Bridgette M Brawner,&nbsp;Lloyd M Talley,&nbsp;Jillian L Baker,&nbsp;Lisa Bowleg,&nbsp;Tiffany B Dominique,&nbsp;Daiquiri Y Robinson,&nbsp;Barbara Riegel","doi":"10.18865/ed.32.3.169","DOIUrl":"https://doi.org/10.18865/ed.32.3.169","url":null,"abstract":"<p><strong>Background: </strong>An understanding of the factors that influence cardiovascular (CVD) risk among young Black men is critically needed to promote cardiovascular health earlier in the life course and prevent poor outcomes later in life.</p><p><strong>Purpose: </strong>To explore how individual (eg, depression, racial discrimination) and environmental factors (eg, neighborhood resources) are associated with CVD risk factors among young Black men.</p><p><strong>Methods: </strong>We conducted a convergent mixed methods study (qualitative/quantitative, QUAL+quant) with Black men aged 18 to 30 years (N = 21; 3 focus groups). Participants completed a self-administered electronic survey immediately prior to the focus groups.</p><p><strong>Results: </strong>Participants (M age = 23) reported: two or more CVD risk factors (75%; eg, high blood pressure); racial discrimination (32%); and depressive symptoms in the past 2 weeks (50%). Five themes emerged: 1) emergence and navigation of Black manhood stressors; 2) high expectations despite limited available resources; 3) heart disease socialization: explicit and vicarious experiences; 4) managing health care needs against fear, avoidance and toughing it out; and 5) camaraderie and social support can motivate or deter. The integrated qualitative and quantitative analyses highlight race, gender, and class intersectionality factors that are relevant to what it means to be young, Black, male and of lower socioeconomic status in the United States.</p><p><strong>Conclusion: </strong>Our findings help to identify modifiable, culturally specific and contextually relevant factors that relate to CVD risk factors among young Black men. Such work is crucial to inform interventions, primary prevention efforts, policies, and social-structural changes to thwart the development of CVD and advanced disease stages.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311303/pdf/ethndis-32-169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10607437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barely Tweeting and Rarely About Racism: Assessing US State Health Department Twitter Use During the COVID-19 Vaccine Rollout.","authors":"Natalie J Bradford,&nbsp;Bita Amani,&nbsp;Valencia P Walker,&nbsp;Mienah Z Sharif,&nbsp;Chandra L Ford","doi":"10.18865/ed.32.3.257","DOIUrl":"https://doi.org/10.18865/ed.32.3.257","url":null,"abstract":"<p><strong>Introduction: </strong>The general public was discussing racism and potential inequities in COVID-19 vaccinations among African Americans on Twitter before the first COVID-19 vaccine received emergency use authorization, but it is unclear how US state health departments (SHDs) were using Twitter to address the inequities. This study examines the frequency, content and timing of SHD tweets during the US rollout of the first SARS Co-V2 vaccine.</p><p><strong>Methods: </strong>This was a prospective study of tweets posted from the official Twitter accounts of each of the 50 US SHDs and the DC health department from October 19, 2020 to February 28, 2021. We retrieved the content and metadata of 100% of their tweets; calculated frequencies and proportions of tweets containing key terms related to COVID-19 vaccines, equity and racism; stratified the data by region; and charted longitudinal trends.</p><p><strong>Results: </strong>Overall, SHDs tweeted infrequently, and rarely tweeted about inequities, mistrust or racism. Though 55.48% of all SHD tweets were about COVID-19, hardly any tweets contained the terms: race/ethnicity (1.20%); equity (1.09); mistrust (.59%); or racism (.06%). Similar patterns existed among vaccination-related tweets, which accounted for 24.38% of all tweets. Only 21.64% of vaccination-related tweets containing any race/ethnicity, equity, mistrust, or racism terms were posted prior to the first Emergency Use Authorization (EUA). Those about African Americans (70.45%) were posted ≥8 weeks after EUA.</p><p><strong>Conclusions: </strong>Concerns about racism and inequities in COVID-19 vaccination continue on Twitter, but SHDs rarely tweet about them. This strikes a worrisome chord of disconnection from the science linking health inequities to racism.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311300/pdf/ethndis-32-257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9103831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Establishing a Framework for Sustainable Community Action Research.","authors":"Malcolm Jones,&nbsp;Danielle Hoague,&nbsp;Raenita Spriggs,&nbsp;Elijah Catalan,&nbsp;Naomi Adams,&nbsp;Timothy Watkins,&nbsp;Aradhna Tripati,&nbsp;Keith C Norris","doi":"10.18865/ed.32.4.333","DOIUrl":"https://doi.org/10.18865/ed.32.4.333","url":null,"abstract":"<p><p>Community-based participatory research/community-partnered participatory research (CBPR/CPRR) is viewed as a critical approach for improving health and addressing inequities found in under-resourced communities by pairing community partners and academic partners to address health and environmental concerns. This article aims to amplify the potential of the current CBPR/CPPR models through insights learned from the underserved community of Watts in south central Los Angeles. We discuss our framework that shifts the primary academic focus in the community-academia partnership from individual investigators and/or research groups to the academic institution to generate sustainable partnerships. We summarize the Community Action Research Engagement (CARE) Framework as a new set of recommended tenets to expand CBPR/CPPR. This framework can provide guidance for how universities can catalyze: 1) building trust; 2) facilitating knowledge; 3) advancing solutions; and 4) fostering mentorship in the context of leveraging a university's position to address the root causes of community inequities and thus create more sustained partnerships that achieve greater impact within their surrounding communities.</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590601/pdf/ethndis-32-333.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with HPV Vaccine Adherence among Latino/a Adolescents in a Rural, Texas-Mexico Border County.","authors":"Daisy Y Morales-Campos,&nbsp;Marisol D McDaniel,&nbsp;Gabriel Amaro,&nbsp;Bertha E Flores,&nbsp;Deborah Parra-Medina","doi":"10.18865/ed.32.4.275","DOIUrl":"https://doi.org/10.18865/ed.32.4.275","url":null,"abstract":"<p><strong>Objective: </strong>Completion of human papillomavirus (HPV) vaccine series among Texas Hispanic adolescents is low compared to national data. We examined the association between HPV vaccine initiation and completion among Hispanic adolescents in a rural, Texas-Mexico border county and specific individual and neighborhood-level characteristics.</p><p><strong>Design: </strong>Cross-sectional analysis of data from a broader cancer prevention program.</p><p><strong>Setting: </strong>Underserved colonias communities in a Texas-Mexico border county.</p><p><strong>Participants: </strong>Hispanic mothers or caregivers (n=712) and adolescents aged 11-17 years (n=1120) linked to publicly available data about their neighborhood.</p><p><strong>Main outcome measures: </strong>HPV vaccine adherence (ie, initiation and completion) as reported in either the Texas Immunization Registry or adolescents' electronic medical records, measured at the end of the cancer prevention program.</p><p><strong>Methods: </strong>Logit and multi-level mixed-effects logistic regression of individual- and neighborhood-level data.</p><p><strong>Results: </strong>Factors associated with HPV vaccine initiation and completion were female gender (P<.01), adolescent insurance status (P<.001), and receipt of required vaccines (P<.001). After controlling for neighborhood-level characteristics, only receipt of required vaccines remained significant.</p><p><strong>Conclusions: </strong>Findings indicate a relationship between Hispanic adolescents' receiving the required vaccine series for school admission and HPV vaccine initiation and completion. In resource-limited settings like federally qualified health centers, further efforts should focus on implementing best practices at both the provider level (eg, education on bundled vaccine recommendation) and practice-level (eg, outreach and support by trained immunization navigators).</p>","PeriodicalId":50495,"journal":{"name":"Ethnicity & Disease","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9590603/pdf/ethndis-32-275.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}