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Vaccination differences among U.S. adults by their self-identified sexual orientation, National Health Interview Survey, 2013–2015

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  • Anup Srivastav
  • Alissa O’Halloran
  • Peng-Jun Lu
  • Walter W Williams
  • Sonja S Hutchins

Abstract

Introduction: Very few studies have explored the associations between self-identified sexual orientation and comprehensive vaccination coverage. Most of the previous studies that reported health disparities among lesbian, gay and bisexual populations were not based on a nationally representative sample of U.S. adults, limiting the generalizability of the findings. Starting in 2013, the National Health Interview Survey (NHIS) included questions to ascertain the adult’s self-identified sexual orientation that allowed national level vaccination estimation by sexual orientation. This study examined associations of self-reported vaccination coverage for selected vaccines among U.S. adults by their sexual orientation. Methods: We analyzed combined data from 2013–2015 NHIS, a nationally representative probability-based health survey of the noninstitutionalized U.S. population ≥18 years. For vaccines other than influenza, weighted proportions were calculated. Influenza coverage was calculated using the Kaplan-Meier procedure. Multivariable logistic regression models were used to calculate adjusted prevalence differences for each vaccine overall and stratified by sexual orientation and to identify factors independently associated with vaccination. Results: Significant differences were observed by sexual orientation for self-reported receipt of human papillomavirus (HPV), hepatitis A (HepA), hepatitis B (HepB), and influenza vaccination. Bisexual females (51.6%) had higher HPV coverage than heterosexual females (40.2%). Gay males (40.3% and 53.6%, respectively) had higher HepA and HepB coverage than heterosexual males (25.4% and 32.6%, respectively). Bisexual females (33.9% and 58.5%, respectively) had higher HepA and HepB coverage than heterosexual females (23.5% and 38.4%, respectively) and higher HepB coverage than lesbian females (45.4%). Bisexual adults (34.1%) had lower influenza coverage than gay/lesbian (48.5%) and heterosexual adults (43.8%). Except for the association of having self-identified as gay/lesbian orientation with greater likelihood of HepA, HepB, and influenza vaccination, sexual orientation was not associated with higher or lower likelihood of vaccination. Health status or other behavioral characteristics studied had no consistent relationship with vaccination among all populations. Conclusion: Differences were identified in vaccination coverage among the U.S. adult population by self-reported sexual orientation. This study is the first to assess associations of sexual orientation with a comprehensive list of vaccinations. Findings from this study can serve as a baseline for monitoring changes over time. All populations could benefit from improved vaccination.

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  • Anup Srivastav & Alissa O’Halloran & Peng-Jun Lu & Walter W Williams & Sonja S Hutchins, 2019. "Vaccination differences among U.S. adults by their self-identified sexual orientation, National Health Interview Survey, 2013–2015," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-21, March.
    • Handle: RePEc:plo:pone00:0213431
    DOI: 10.1371/journal.pone.0213431
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    References listed on IDEAS

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    1. Conron, K.J. & Mimiaga, M.J. & Landers, S.J., 2010. "A population-based study of sexual orientation identity and gender differences in adult health," American Journal of Public Health, American Public Health Association, vol. 100(10), pages 1953-1960.
    2. Dilley, J.A. & Simmons, K.W. & Boysun, M.J. & Pizacani, B.A. & Stark, M.J., 2010. "Demonstrating the importance and feasibility of including sexual orientation in public health surveys: Health disparities in the Pacific Northwest," American Journal of Public Health, American Public Health Association, vol. 100(3), pages 460-467.
    3. Mays, V.M. & Yancey, A.K. & Cochran, S.D. & Weber, M. & Fielding, J.E., 2002. "Heterogeneity of health disparities among African American, Hispanic, and Asian American women: Unrecognized influences of sexual orientation," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 632-639.
    4. Matthews, D.D. & Lee, J.G.L., 2014. "A profile of north Carolina lesbian, gay, and bisexual health disparities, 2011," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 98-105.
    5. Fredriksen-Goldsen, K.I. & Kim, H.-J. & Barkan, S.E. & Muraco, A. & Hoy-Ellis, C.P., 2013. "Health disparities among lesbian, gay, and bisexual older adults: Results from a population-based study," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1802-1809.
    6. Weinbaum, C.M. & Lyerla, R. & MacKellar, D.A. & Valleroy, L.A. & Secura, G.M. & Behel, S.K. & Bingham, T. & Celentano, D.D. & Koblin, B.A. & LaLota, M. & Shehan, D.A. & Thiede, H. & Torian, L.V., 2008. "The young men's survey phase II: Hepatitis B immunization and infection among young men who have sex with men," American Journal of Public Health, American Public Health Association, vol. 98(5), pages 839-845.
    7. Cochran, S.D. & Bandiera, F.C. & Mays, V.M., 2013. "Sexual orientation-related differences in tobacco use and secondhand smoke exposure among US adults aged 20 to 59 years: 2003-2010 National Health and Nutrition Examination Surveys," American Journal of Public Health, American Public Health Association, vol. 103(10), pages 1837-1844.
    8. Gonzales, G. & Blewett, L.A., 2014. "National and state-specific health insurance disparities for adults in same-sex relationships," American Journal of Public Health, American Public Health Association, vol. 104(2), pages 95-104.
    9. J Whitehead & John Shaver & Rob Stephenson, 2016. "Outness, Stigma, and Primary Health Care Utilization among Rural LGBT Populations," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-17, January.
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    Cited by:

    1. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.

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