Disparities in human papillomavirus vaccination coverage in the United States, National Health and Nutrition Examination Survey, January 2017-March 2020

Background: We assessed disparities in HPV vaccination coverage by sociodemographic characteristics in the United States. Methods: Using 2017-March 2020 National Health and Nutrition Examination Survey data, we estimated vaccination coverage of > 1 dose of HPV vaccine by race/ethnicity and poverty, insurance, and nativity status for females and males aged 9-14, 15-19, and 20-29 years. Results: Among those aged 9-14 years, coverage among non-Hispanic Black (NHB), Hispanic, and nonHispanic Asian (NHA) females (40.0%, 33.6%, 34.0%) and males (27.1%, 35.3%, 30.9%) was higher than non-Hispanic White (NHW) females (26.5%) and males (25.2%). Among those aged 15-19 and 20- 29 years, coverage varied among NHB, Hispanic, and NHA compared to NHW females and was lower among NHB, Hispanic, and NHA than NHW males. Coverage was lower among uninsured than insured in most comparisons. Conclusions: HPV vaccination coverage varied by race/ethnicity and other characteristics. Efforts are needed to increase HPV vaccination coverage in all populations. (c) 2022 Elsevier Ltd. All rights reserved.

Automated summary

Disparities in HPV vaccination coverage were observed in different racial/ethnic and demographic groups in the United States. Efforts are needed to increase vaccination coverage in all populations.