Inequalities in human papillomavirus vaccination for female adolescents in the United States

dc.contributor.advisorPotter, Lloyd B.
dc.contributor.authorSantos, Alexis R.
dc.contributor.committeeMemberHarris, Richard H.
dc.contributor.committeeMemberSaenz, Rogelio
dc.contributor.committeeMemberSingelmann, Joachim
dc.descriptionThis item is available only to currently enrolled UTSA students, faculty or staff. To download, navigate to Log In in the top right-hand corner of this screen, then select Log in with my UTSA ID.
dc.description.abstractThe dissertation has the purpose of providing a comprehensive analysis of Human Papillomavirus vaccination for female adolescents in the United States. Built on the premise that vaccination is a long process that starts before the obtaining the vaccine it sheds light as to race/ethnic differences in HPV vaccine related outcomes at multiple stages starting with access to information and culminating with the completion of the series. Grounded in the Theory of Planned Behavior/Theory of Reasoned Action (TPB/TRA) to justify the multiple stages approach and supported with multiple public health frameworks that drove the construction of the empirical models this dissertation aims to understand the role of race/ethnicity during each stage. This dissertation found race/ethnic disparities exist with regards to awareness about the HPV vaccine, where NH-Black and Hispanics are at lower probability of knowing about the vaccine. In this stage, differences are found for the effect of education and income level between race/ethnic groups. In the stages after awareness, the disparities transform with persons in race/ethnic minorities being more likely to accept and initiate the HPV vaccine series when compared to Non-Hispanic Whites. At the final stage (completion), the race/ethnic disparities are reduced to a marginal level, with Non-Hispanic Blacks having lower odds of completion. The results are discussed by comparing and contrasting the effects at the different stages. Eliminating race/ethnic differences in vaccination will require more than making the vaccine available. It will require addressing the fears towards the vaccine, by educating the parents about the benefits of it.
dc.format.extent106 pages
dc.subjectHealth and environmental sciences
dc.subjectStages of change
dc.subjectUnited States
dc.subject.classificationPublic health
dc.subject.lcshPapillomavirus vaccines -- Social aspects -- United States
dc.titleInequalities in human papillomavirus vaccination for female adolescents in the United States
dcterms.accessRightspq_closed of Texas at San Antonio of Philosophy


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