| HPV vaccine series completion a |  |  | |
---|---|---|---|---|
Characteristics | Undadjustedb,cOR (95%CI) | Individual-level only, (Model 1) AOR a, b(95% CI) | Individual-level + ZCTA racial composition + ZCTA population density (Model 2), AOR a, b (95% CI) | Individual-level + ZCTA poverty, + ZCTA population density (Model 3), AOR a, b (95% CI) |
Individual-level variables | ||||
 Teens Age | ||||
  13 | Ref | Ref | Ref | Ref |
  14 | 1.04 (0.89, 1.21) | 1.06 (0.91, 1.25) | 1.08 (0.92, 1.27) | 1.05 (0.90, 1.24) |
  15 | 1.32 (1.14, 1.52)* | 1.50 (1.29, 1.75)** | 1.48 (1.27, 1.73)** | 1.48 (1.27, 1.73)** |
  16 | 1.09 (0.84, 1.27) | 1.16 (0.99, 1.37) | 1.16 (0.98, 1.36) | 1.15 (0.98, 1.35) |
  17 | 1.27 (1.10, 1.48)* | 1.48 (1.26, 1.74)** | 1.46 (1.24, 1.71)** | 1.45 (1.23, 1.70)** |
 Mother’s marital status | ||||
  Married | Ref | Ref | Ref | Ref |
  Not married | 1.11 (1.01, 1.22)* | 0.93 (0.83, 1.04) | 0.94 (0.84, 1.05) | 0.93 (0.83, 1.04) |
 Type of insurance coverage insurance | ||||
  No insurance | 0.65 (0.52, 0.81)* | 0.60 (0.47, 0.76)** | 0.59 (0.46, 0.76)** | 0.59 (0.46, 0.75)** |
  Employer or union | Ref | Ref | Ref | Ref |
  SCHIP or Medicaid | 1.69 (1.52, 1.87)** | 1.37 (1.18, 1.59)** | 1.38 (1.18, 1.60)** | 1.36 (1.17, 1.58)** |
  IHS, military, other | 1.35 (1.16, 1.56)** | 1.27 (1.08, 1.49)* | 1.30 (1.10, 1.53)* | 1.25 (1.06, 1.47)* |
 Mother’s education, years | ||||
   < 12 years | 1.90 (167, 2.16)** | 1.73 (1.45, 2.07)** | 1.77 (1.48, 2.13)** | 1.69 (1.41, 2.03)** |
  12 years | 0.95 (0.83, 1.07) | 0.90 (0.77, 1.05) | 0.91 (0.78, 1.07) | 0.90 (0.77, 1.05) |
   > 12 years, non-college graduate | 0.88 (0.78, 1.00) | 0.90 (0.78, 1.04) | 0.92 (0.79, 1.05) | 0.90 (0.78, 1.04) |
  College graduate | Ref | Ref | Ref | Ref |
 Poverty status | ||||
  Above poverty, >$75,000 | Ref | Ref | Ref | Ref |
  Above poverty, ≤$75,000 | 1.08 (0.96, 1.21) | 0.99 (0.86, 1.14) | 0.99 (0.85, 1.14) | 0.10 (0.86, 1.15) |
  Below poverty | 1.58 (1.40, 1.79)** | 1.11 (0.93, 1.34) | 1.13 (0.93, 1.36) | 1.11 (0.92, 1.34) |
  Unknown poverty status | 1.21 (0.96, 1.53) | 0.91 (0.70, 1.19) | 0.90 (0.69, 1.18) | 0.90 (0.69, 1.17) |
 Race/ethnicity of teen | ||||
  Hispanic | 2.19 (1.95, 2.46)** | 1.95 (1.70, 2.24)** | 1.89 (1.62, 2.19)** | 1.86 (1.61, 2.15)** |
  Non-Hispanic White | Ref | Ref | Ref | Ref |
  Non-Hispanic Black | 1.44 (1.24, 1.66)** | 1.26 (1.08, 1.48)* | 1.21 (1.01, 1.44)* | 1.19 (1.01, 1.40)* |
  Non-Hispanic other and multiple race | 1.24 (1.03, 1.48)* | 1.22 (1.01, 1.47)* | 1.24 (1.03, 1.51)* | 1.20 (0.10, 1.45) |
 Received provider recommendation to get HPV vaccine | ||||
  Yes | 6.59 (5.89, 7.36)** | 6.53 (5.83, 7.33)** | 6.60 (5.89, 7.42)** | 6.53 (5.82, 7.33)** |
  No | Ref | Ref | Ref | Ref |
  Don’t know | 2.20 (1.78, 2.71)** | 2.19 (1.77, 2.70)** | 2.20 (1.77, 2.73)** | 2.19 (1.78, 2.71)** |
ZCTA Area-based measures | ||||
 Racial composition (50% + of that group) | ||||
  Hispanic | 1.88 (1.62, 2.19) | — | 0.98 (0.81, 1.18) | --- |
  Mixed | 1.58 (1.38, 1.81) | — | 1.16 (0.99, 1.36) | --- |
  Non-Hispanic Black | 1.23 (1.00, 1.51) | — | 0.99 (0.78, 1.23) | --- |
  Non-Hispanic White | Ref | — | Ref | Ref |
  Non-Hispanic other | 0.60 (0.32, 1.14) | — | 0.27 (0.14, 0.54)* | --- |
 Poverty (% below poverty) d | ||||
  0-4.99%, least impoverished | Ref | — | — | Ref |
  5-9.9% | 1.08 (0.92, 1.28) | — | — | 1.09 (0.92, 1.30) |
  10-19.9% | 1.08 (0.92, 1.27) | — | — | 1.05 (0.88, 1.25) |
  20 + %, poorest | 1.58 (1.34, 1.86)** | — | — | 1.22 (1.01, 1.48)* |
 Population density quartiles (people per sqr mile) | ||||
  1, lowest density) 1-20 per sq. mile | Ref | — | Ref | Ref |
  2. 21-71 persons per sq. mile | 0.71 (1.00, 0.50) | — | 0.60 (0.42, 0.86)* | 0.61 (0.42, 0.86)* |
  3. 72-651 persons per sq. mile | 1.19 (0.88, 1.62) | — | 1.01 (0.73, 1.39) | 1.02 (0.74, 1.40) |
  4. highest density > 651 person per sq. mile | 1.34 (0.99, 1.82) |  | 0.95 (0.69, 1.30) | 0.95 (0.69, 1.30) |
  Q4 vs Q2 | 1.90 (1.55, 2.32)** |  | 1.57 (1.27, 1.94)** | 1.57 (1.27, 1.94)** |
  Q4 vs Q3 | 1.13 (1.01, 1.26)* |  | 0.94 (083, 1.06) | 0.93 (0.83, 1.05) |
 Residence type | ||||
  1. Isolated Small Rural T | Ref |  | — | — |
  2. Small Rural Town | 1.05 (0.61, 1.80) |  | — | — |
  3. Large Rural Town | 1.25 (0.77, 2.01 |  | — | — |
  4. Urban focused | 1.92 (1.26, 2.92)* |  | — | — |