Abstract
Background
Obesity is recognized as a barrier to receiving women's preventive health services,
including cervical and breast cancer screening. Little is known about whether obesity
is associated with a lower incidence of human papillomavirus (HPV) vaccination, another
important preventive care service for adolescent girls and young women. The objective
of this study was to determine if adolescent girls and young women with obesity are
less likely to receive HPV vaccination compared with individuals with normal weight.
Methods
We examined whether HPV vaccination was associated with obesity status in women aged
9–30 years surveyed from 2009 to 2016 by the U.S. National Health and Nutrition Examination
Survey. Results from logistic and linear regression models were adjusted for age,
race, income, insurance status, self-reported health, and health care use, accounting
for the weighted survey design.
Results
The final cohort included 5,517 women. Overall, 32.9% of participants reported vaccination,
with a mean age at vaccination of 15.8 years. Adolescent girls and young women with
obesity were less likely to report vaccination; the adjusted odds ratio of vaccination
was 0.79 (p = .01) compared with normal weight women. Among those vaccinated, the age at vaccination
was significantly older for women with obesity, 16.3 years compared with 15.2 years
(p = .002), but there was no difference in the completion of the vaccination series
rate by obesity.
Conclusions
Adolescent girls and young women with obesity were less likely to report HPV vaccination
and, if they were vaccinated, received the vaccination at a later age.
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Biography
John A. Harris, MD, MSc, is an Assistant Professor in the Department of Obstetrics, Gynecology and Reproductive Sciences at the University of Pittsburgh, Pittsburgh, Pennsylvania.
Biography
Alison A. Garrett MD is an Obstetrics and Gynecology Resident Physician at Magee-Women's Hospital of UPMC, Pittsburgh, Pennsylvania.
Biography
Aletha Y. Akers is an Assistant Professor of Obstetrics and Gynecology and Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Article info
Publication history
Published online: November 13, 2018
Accepted:
September 25,
2018
Received in revised form:
September 10,
2018
Received:
May 10,
2018
Footnotes
Conflicts of interest: The authors have no conflicts of interest to disclose.
Identification
Copyright
© 2018 Jacobs Institute of Women's Health. Published by Elsevier Inc.
