Abstract B79: Disparities in HPV vaccine initiation and completion based on sexual orientation among women in the United States

Author(s):  
Eric Adjei Boakye ◽  
Nosayaba Osazuwa-Peters ◽  
Leping Wan ◽  
Betelihem B. Tobo ◽  
Vy Pham ◽  
...  

All known societies exclude and stigmatize one or more minority groups. Frequently these exclusions are underwritten with a rhetoric of disgust: people of a certain group, it is alleged, are filthy, hyper-animal, or not fit to share such facilities as drinking water, food, and public swimming pools with the ‘clean’ and ‘fully human’ majority. But exclusions vary in their scope and also in the specific disgust-ideologies underlying them. In this volume, interdisciplinary scholars from the United States and India present a detailed comparative study of the varieties of prejudice and stigma that pervade contemporary social and political life: prejudice along the axes of caste, race, gender, age, sexual orientation, transgender, disability, religion, and economic class. In examining these forms of stigma and their intersections, the authors present theoretically pluralistic and empirically sensitive accounts that both explain group-based stigma and suggest ways forward. These forward-looking remedies, including group resistance to subordination as well as institutional and legal change, point the way towards a public culture that is informed by our diverse histories of discrimination and therefore equipped to eliminate stigma in all of its multifaceted forms.


2021 ◽  
pp. 101053952110274
Author(s):  
Sameer Vali Gopalani ◽  
Amanda E. Janitz ◽  
Sydney A. Martinez ◽  
Janis E. Campbell ◽  
Sixia Chen

Native Hawaiian and Pacific Islander (NHPI) adults bear a disproportionate burden of certain human papillomavirus (HPV)-associated cancers. In 2015, data from the National Health Interview Survey (NHIS) showed vaccination coverage among adults by racial and ethnic groups; however, coverage data for NHPI adults were unavailable. In this study, we estimated the initiation and completion of HPV vaccination and assessed the factors associated with vaccination among NHPI adults aged 18 to 26 years in the United States. We analyzed public data files from the 2014 NHPI NHIS (n = 1204). We specified sampling design parameters and fitted weighted logistic regression models to calculate the odds of HPV vaccine initiation. We developed a directed acyclic graph to identify a minimally sufficient set for adjustment and adjusted for insurance coverage (for education and ethnicity) and doctor visit (for insurance coverage, earnings, ethnicity, and sex). Overall, 24.9% and 11.5% of NHPI adults had initiated and completed the HPV vaccination series, respectively. Weighted logistic regression models elucidated that the odds of HPV vaccine initiation were higher for females (weighted odds ratio = 5.4; 95% confidence interval = 2.8-10.4) compared with males. Low vaccination coverage found among NHPI adults provides an opportunity for targeted programs to reduce the burden of HPV-associated cancers.


2021 ◽  
pp. 181-196
Author(s):  
Sean G Massey ◽  
Richard E. Mattson ◽  
Mei-Hsiu Chen ◽  
Melissa Hardesty ◽  
Ann Merriwether ◽  
...  

This trend study analyzed 9 years (2011–2019) of cross-sectional survey responses to Klein’s Sexual Orientation Grid to explore changes in sexual orientation among emerging adult college students. Categorical regression models based on ordinal responses revealed that participants were moving away from exclusive heterosexuality on attraction, behavior, and identity subscales at a rate of approximately 6% per year. This trend augments for women after 2014, coinciding with increased advocacy efforts related to U.S. marriage equality, but attenuates for men. Participants’ race also related to variations in sexual orientation: Black participants were less likely than White participants to identify as exclusively heterosexual, whereas the pattern reversed for Asian participants relative to White participants. These findings suggest that changes in sexual orientation are occurring among emerging adults in the United States, potentially in response to changing social and political contexts, but these changes are more pronounced in women and Black emerging adults.


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