Actions improving HPV vaccination uptake – Results from a national survey in Italy

Giambi, Cristina; Manso, Martina Del; D’Ancona, Fortunato; Mei, Barbara De; Giovannelli, Ilaria; Cattaneo, Chiara; Possenti, Valentina; Declich, Silvia

doi:10.1016/j.vaccine.2015.04.007

Cited by 13 publications

(7 citation statements)

References 9 publications

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“…Our work is one of the few Italian studies which compares immunisation coverage between vaccination strategies with and without active invitation. Our results are consistent with those reached by Giambi et al ’s 30 study and a previous systematic review, 31 although considering secondary prevention programmes.…”

Section: Discussionsupporting

confidence: 93%

“… 29 An Italian survey showed that regions adopting active invitation by Public Health Authority with fixed appointment for vaccination and more than one recall for non-responders reached wider vaccination coverage. 30 Other studies analysed secondary prevention, leading to similar findings. In a 2012 systematic review, active invitation with letter led to a higher participation level for cervical, breast and colorectal cancer screening programmes compared with non-invitation, 31 moreover organised screening programmes decreased the gradient of coverage according to socio-economic status.…”

Section: Introductionmentioning

confidence: 57%

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Association between mothers’ screening uptake and daughters’ HPV vaccination: a quasi-experimental study on the effect of an active invitation campaign

et al. 2017

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ObjectivesIn Emilia-Romagna, the Human Papillomavirus (HPV) vaccination campaign started in 2008 offering free vaccines for 1996 and 1997 cohorts. Systematic active invitation was implemented for the 1997 cohort. Our study aimed at measuring the impact of the active invitation campaign on HPV vaccine coverage and on coverage inequalities in 11-year-old girls. Second, we evaluated the effect of the HPV vaccination campaign on participation in cervical cancer screening by mothers of target girls.MethodsWe collected information on vaccination status for girls residing in Reggio Emilia in 2008 and mothers’ screening history, before and after the 2008 vaccination campaign. Log-binomial regression models were performed to estimate Relative Risk (RR) and 95% confidence intervals (CIs) of being vaccinated as regarded citizenship, siblings, mothers’ education, marital status and screening history, stratified by birth cohort. We also calculated RR of receiving a Pap test after the vaccination campaign as regarded education, daughter’s cohort and mothers’ decision to have their daughter vaccinated. Interaction between education and cohort in mothers overdue for Pap testing was calculated.ResultsVaccination coverage was 46.3% for the uninvited cohort (1046/2260) and 77.9% for the invited cohort (1798/2307). In the uninvited cohort, daughters’ vaccination showed association with mothers’ education (8 to 11 years of education vs. graduated mothers, RR 1.61 95% CI 1.14–2.28), citizenship (foreigners vs. Italians, RR 0.45 95% CI 0.37–0.56) and screening history (regular vs. non-participant; RR 1.72 95% CI 1.26–2.36). In the invited cohort, only a slight association with screening history persisted (regular vs. non-participant; RR 1.20 95% CI 1.04–1.40). Highly educated under-screened mothers of the invited cohort showed a higher probability of receiving a Pap test after the vaccination campaign period (RR 1.27 95% CI 1.04–1.56) compared with those not invited,ConclusionActive invitation could increase overall HPV immunisation coverage and reduce socio-demographic inequalities and the association with mothers’ screening participation.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 57%

Association between mothers’ screening uptake and daughters’ HPV vaccination: a quasi-experimental study on the effect of an active invitation campaign

et al. 2017

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“…Furthermore, school health service was also superseded by the same legislation about the organization of the Italian health service by paediatricians [ 17 ]. On the other side, the ‘Valore project’ showed that Italian pre-adolescents were interested in acquiring additional information about HPV vaccination, and identified school as a setting where they are free to express themselves without fear of being judged, especially if the dialogue takes place with trusted teachers [ 18 ]. These results suggested the possible key role of schools in the promotion of correct information about HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation

Restivo

Costantino

Fazio

et al. 2018

IJERPH

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In Italy, the Human Papillomavirus (HPV) vaccination was implemented for twelve years old girls in 2007, but its coverage was lower than the recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, with a value of 59% for those born in 1996 increasing to 62% coverage for those born in 1999. The aim of the study was to investigate factors associated with the refusal of HPV vaccination among young adult women of Palermo, Italy. The study was approved by the Ethics Committee of the Policlinico “Paolo Giaccone” Hospital (Palermo 1) and the questionnaire was validated in a convenience sample representing 10% of the young women. A cross-sectional study was conducted through the administration of a telephone questionnaire, consisting of 23 items on HPV infection and vaccination knowledge based on the Health Belief Model framework. The eligible population were young women (18–21 years old) who had at least a vaccination among all included in the Sicilian vaccination schedule, without starting or completing HPV vaccination. Overall, 141 young women were enrolled (response rate 22%). Among them, 84.4% were unvaccinated and 15.6% had at least one dose of the HPV vaccine. In multivariate analysis, the factors associated with the refusal of the HPV vaccination were a bachelor’s as the education level (OR = 10.2, p = 0.041), lower participation at school seminar on HPV (OR = 0.2, p = 0.047) and lower perception of HPV vaccine benefits (OR = 0.4, p = 0.048). Public health educational program focusing and tailored on benefits perception of HPV vaccine and HPV disease severity, carried out at school or during medical visits, can be useful to improve HPV vaccination uptake.

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“…In Italy, the results of the ‘Valore project’ suggested that pre-adolescents are interested in acquiring information about HPV vaccination, identifying the school as an ideal setting for the freedom of expression without fear of being judged, especially with teachers [ 48 ]. Multidisciplinary teams of health professionals could play a key role in the school-based HPV immunization program.…”

Section: The Involvement Of Multidisciplinary Teams Parents and Pre-mentioning

confidence: 99%

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

Icardi

Costantino

Guido

et al. 2020

CPD

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Despite infections due to HPV nowadays represent the most common sexually transmitted diseases worldwide with recognized effective and safe preventive strategies, knowledge, attitudes; however, awareness on HPV is considerably low. The present study has two main objectives: 1. To conduct a literature review to analyze the evolution of preventive tools, the complexity of the vaccine choice process, and the challenges posed by HPV vaccine hesitancy and refusal among pre-adolescents and their parents; 2. To assess knowledge, practices and attitudes toward HPV infection and vaccination in a sample of Italian pre-adolescents and their parents. The observational study was carried out through the use of two anonymous and self-administered pre- and postintervention questionnaires dedicated to the target populations. Between the administrations of the pre- and postintervention questionnaires, an educational intervention on HPV infection and related diseases, and prevention strategies was conducted. All participants demonstrated suboptimal knowledge and positive attitudes in the preintervention questionnaire. Higher levels of knowledge and attitudes were observed among pre-adolescents thatused social networks and had heard of sexually transmitted diseases at home/school/physician and from parents and also who had heard of HPV from General Practitioners, Gynecologists, family members and newspapers. A significant increase in HPV vaccination awareness was observed among pre-adolescents after the educational sessions. Health education programs aimed at increasing knowledge, attitudes and awareness on HPV are needed to implement the outcomes of HPV immunization programs, especially if supported by the physicians involved in counselling and recommendation processes.

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Actions improving HPV vaccination uptake – Results from a national survey in Italy

Cited by 13 publications

References 9 publications

Association between mothers’ screening uptake and daughters’ HPV vaccination: a quasi-experimental study on the effect of an active invitation campaign

Association between mothers’ screening uptake and daughters’ HPV vaccination: a quasi-experimental study on the effect of an active invitation campaign

Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation

Burden and Prevention of HPV. Knowledge, Practices and Attitude Assessment Among Pre-Adolescents and their Parents in Italy

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