TY - JOUR
T1 - Rural-urban differences in human papillomavirus knowledge and awareness among US adults
AU - Mohammed, Kahee A.
AU - Subramaniam, Divya S.
AU - Geneus, Christian J.
AU - Henderson, Emmett R.
AU - Dean, Caress A.
AU - Subramaniam, Dipti P.
AU - Burroughs, Thomas E.
N1 - Publisher Copyright:
© 2018
PY - 2018/4
Y1 - 2018/4
N2 - Rural residents of the United States have higher HPV-associated cancer incidence and mortality, and suboptimal HPV vaccine uptake compared to urban residents. This study aimed to assess differences in knowledge and awareness of HPV, the HPV vaccine, and HPV-associated cancers among rural and urban residents. We analyzed data from the Health Information National Trends Survey 2013–2017 on 10,147 respondents ages ≥18 years. Multivariable logistic regression analyses compared urban/rural differences in knowledge and awareness of HPV, associated cancers, and HPV vaccine. Models were adjusted for sex, age, race/ethnicity, education, household income, census region, health insurance, regular provider, internet use, and personal history of cancer. Overall, 67.2% and 65.8% of urban residents were aware of HPV and HPV vaccine, respectively, compared to only 55.8% and 58.6% of rural residents. Adjusted models illustrated that compared to urban residents, rural residents were less likely to be aware of HPV (OR = 0.68, 95% CI = 0.53–0.86) and HPV vaccine (OR = 0.78, 95% CI = 0.63–0.97). Among those who were aware of HPV, rural residents were less likely to know that HPV causes cervical cancer (OR = 0.62, 95% CI = 0.46–0.84) and that HPV can be transmitted through sexual contact (OR = 0.72, 95% CI = 0.56–0.94). No significant differences between rural and urban residents were noted for knowledge that HPV is transmitted sexually and that it causes oral, anal, and penile cancers. This study highlights significant rural health disparities in knowledge and awareness of HPV and the HPV vaccine compared to urban counterparts.
AB - Rural residents of the United States have higher HPV-associated cancer incidence and mortality, and suboptimal HPV vaccine uptake compared to urban residents. This study aimed to assess differences in knowledge and awareness of HPV, the HPV vaccine, and HPV-associated cancers among rural and urban residents. We analyzed data from the Health Information National Trends Survey 2013–2017 on 10,147 respondents ages ≥18 years. Multivariable logistic regression analyses compared urban/rural differences in knowledge and awareness of HPV, associated cancers, and HPV vaccine. Models were adjusted for sex, age, race/ethnicity, education, household income, census region, health insurance, regular provider, internet use, and personal history of cancer. Overall, 67.2% and 65.8% of urban residents were aware of HPV and HPV vaccine, respectively, compared to only 55.8% and 58.6% of rural residents. Adjusted models illustrated that compared to urban residents, rural residents were less likely to be aware of HPV (OR = 0.68, 95% CI = 0.53–0.86) and HPV vaccine (OR = 0.78, 95% CI = 0.63–0.97). Among those who were aware of HPV, rural residents were less likely to know that HPV causes cervical cancer (OR = 0.62, 95% CI = 0.46–0.84) and that HPV can be transmitted through sexual contact (OR = 0.72, 95% CI = 0.56–0.94). No significant differences between rural and urban residents were noted for knowledge that HPV is transmitted sexually and that it causes oral, anal, and penile cancers. This study highlights significant rural health disparities in knowledge and awareness of HPV and the HPV vaccine compared to urban counterparts.
KW - Awareness
KW - Cervical cancer
KW - HPV
KW - HPV vaccine
KW - Knowledge
KW - Rural
KW - Urban
UR - http://www.scopus.com/inward/record.url?scp=85041400615&partnerID=8YFLogxK
U2 - 10.1016/j.ypmed.2018.01.016
DO - 10.1016/j.ypmed.2018.01.016
M3 - Article
C2 - 29378268
AN - SCOPUS:85041400615
SN - 0091-7435
VL - 109
SP - 39
EP - 43
JO - Preventive Medicine
JF - Preventive Medicine
ER -