Presenter Biography
Amy “Mickey” McVeety -- Mick -- and Miyuki are both second-year MPH students in the Epidemiology program at the OHSU-PSU School of Public Health.
Program/Major
Epidemiology
Student Level
Masters
Presentation Type
Poster
Start Date
4-10-2025 1:30 PM
End Date
4-10-2025 2:45 PM
Creative Commons License or Rights Statement
This work is licensed under a Creative Commons Attribution 4.0 License.
Persistent Identifier
https://archives.pdx.edu/ds/psu/43475
Subjects
Human Papillomavirus, Access to Care, Primary Care
Abstract
Background: While access to health care is a known risk factor for many infectious diseases, including sexually transmitted infections, little research has investigated the relationship between access to primary care services and prevalent human papillomavirus (HPV) infection. Given HPV’s prevalence in the general population and lack of available treatments, it is necessary to understand possible risk factors to identify areas for intervention. This study uses primary place to go for health services as a proxy measure for access to care, in order to understand which sources of health care are serving patients with the highest prevalence of HPV infections and thus would benefit most from prevention and vaccination programs.
Methods: Using population-based data from the United States National Health and Nutrition Examination Survey (NHANES) from the 2013-2014 and 2015-2016 cycles, we created minimally (adjusted for age) and fully adjusted (adjusted for age, sex, income, level of education, race/ethnicity, and sexual orientation) multivariable logistic regression models to compare primary location to go for health care to prevalent HPV infection in adults ages 18-59 years. The final analytic sample included 6,466 participants.
Results: Forty-one percent of the final sample had a prevalent HPV infection (95% CI: 39-44%). In the minimally adjusted model, primarily using hospital emergency departments for health care was associated with 1.89 times the odds of prevalent HPV infection, compared to individuals who primarily go to doctor’s offices or HMOs (95% CI: 1.34, 2.65), while the fully adjusted model reported an odds ratio of 1.41 (95% CI: 1.00, 2.00).
Conclusion: There is evidence of an association of HPV prevalence with primary place to go for healthcare, particularly in hospital emergency departments. These finding suggest that emergency departments may be an effective location to target for HPV prevention interventions, such as vaccination and education. The understanding of potential underlying mechanisms should be the focus of further research.
Included in
Community Health and Preventive Medicine Commons, Epidemiology Commons, Health Services Research Commons, Primary Care Commons, Virus Diseases Commons
Primary Place to Go For Health Care and its Association with HPV Prevalence in US Adults: Results from NHANES 2013-2016
Background: While access to health care is a known risk factor for many infectious diseases, including sexually transmitted infections, little research has investigated the relationship between access to primary care services and prevalent human papillomavirus (HPV) infection. Given HPV’s prevalence in the general population and lack of available treatments, it is necessary to understand possible risk factors to identify areas for intervention. This study uses primary place to go for health services as a proxy measure for access to care, in order to understand which sources of health care are serving patients with the highest prevalence of HPV infections and thus would benefit most from prevention and vaccination programs.
Methods: Using population-based data from the United States National Health and Nutrition Examination Survey (NHANES) from the 2013-2014 and 2015-2016 cycles, we created minimally (adjusted for age) and fully adjusted (adjusted for age, sex, income, level of education, race/ethnicity, and sexual orientation) multivariable logistic regression models to compare primary location to go for health care to prevalent HPV infection in adults ages 18-59 years. The final analytic sample included 6,466 participants.
Results: Forty-one percent of the final sample had a prevalent HPV infection (95% CI: 39-44%). In the minimally adjusted model, primarily using hospital emergency departments for health care was associated with 1.89 times the odds of prevalent HPV infection, compared to individuals who primarily go to doctor’s offices or HMOs (95% CI: 1.34, 2.65), while the fully adjusted model reported an odds ratio of 1.41 (95% CI: 1.00, 2.00).
Conclusion: There is evidence of an association of HPV prevalence with primary place to go for healthcare, particularly in hospital emergency departments. These finding suggest that emergency departments may be an effective location to target for HPV prevention interventions, such as vaccination and education. The understanding of potential underlying mechanisms should be the focus of further research.
