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s / Annals of Epidemiology 24 (2014) 682e702 689 examine the independent effects of race/ethnicity on HPV vaccine series completion. Results: Despite similar initiation rates, Hispanic girls who had initiated the series were less likely to complete the series than non-Hispanic whites (60.0% vs. 69.4%). After accounting for age at HPV series initiation, mother’s education, and home ownership, disparities in completion rates were not statistically significant. Age at interview and age at HPV series initiationwere associated with completion for Hispanics. Continuous health insurance since 11 years of age, age at HPV series initiation, home ownership, and number of children in the household were associated with HPV series completion for non-Hispanic whites. Conclusions: This study confirms previous findings that Hispanic adolescent girls have lower overall completion rates of the HPV vaccine series than nonHispanic Whites among initiators. Differences in completion rates could be addressed by early initiation of the HPV vaccine series. P28. Lower Regional Pediatric In-hospital Mortality Albeit Racial/Ethnic Disparities Laurens Holmes PhD, DrPH, MPH, Brianne Earnest, Oceanic Patricia MS, Diane Fitzgerald BSN, MEd, RN, Arie L. Nettles PhD, Kelli Grant AS, Kirk Dabney MD, MHCDS. Nemours Center for Childhood Cancer Research Purpose: Pediatric mortality (PM) continues to vary by race/ethnicity, and racial/ethnic minorities tend to bear disproportionately the burden. We aimed to assess the prevalence of PM, racial/ethnic disparities, and possible explanation for the variations. Methods: Using a non-concurrent cohort study, we examined the medical records of patients diagnosed with any pediatric condition during 2009 and 2010 in our institution (Delaware Valley). Death from all causes was the primary outcome variable. Other variables studied were race, vital status, sex, length of stay (LOS), severity of illness (SOI), income and insurance status. Chi-square statistic and logistic regression models were used. Results: The in-hospital pediatric mortality prevalence was relatively low (86 deaths, 0.5%) compared to similar settings in U.S (national average range 0.8% to 1.1%). African Americans (AA) and Some Other Race (SOR) had slightly higher overall mortality compared to others, AA (2.6%) and SOR (3.5%). Income indicated an inverse trend with mortality; compared to children in the lowest (1st) quartile those in 2nd, 3rd, and 4th were 7%, 26% and 37% less likely to die respectively. Relative to Caucasians, Asians were 61% less likely to die, while AA were 5% and SOR were 48% more likely to die, OR,1.48, 95% CI,1.15-1.91. After controlling for potential confounders (SOI, insurance status, LOS), racial disparities did not persist between Caucasians and SOR, adjusted OR 1⁄4 1.08, 99% CI 1⁄4 0.75-1.5. Conclusion: In-hospital pediatric mortality prevalence is relatively low, and racial disparities in PM exist, but did not persist after controlling for insur |
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