High uptake of HPV immunisation in Scotland – perspectives on maximising uptake

Potts, Alison; Sinka, Katy; Love, J. Christopher; Gordon, Ruth; McLean, S.K.; Malcolm, William; Ross, Daniel J; Donaghy, Martin

doi:10.2807/1560-7917.es2013.18.39.20593

Cited by 22 publications

(17 citation statements)

References 12 publications

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“…This is true also for the Swedish national vaccination programme where the uptake is above 80% [ 26 ]. Likewise, recent evaluations of implementation strategies for HPV catch-up vaccination among adolescents in Australia and Scotland has suggested that school-based campaigns are successful in terms of reaching high vaccination coverage [ 20 , 22 , 23 ]. Our study provides evidence that school-based delivery of HPV vaccine to the catch-up group results in high HPV vaccine uptake.…”

Section: Discussionmentioning

confidence: 99%

Highest Vaccine Uptake after School-Based Delivery - A County-Level Evaluation of the Implementation Strategies for HPV Catch-Up Vaccination in Sweden

et al. 2016

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BackgroundThe Swedish school-based vaccination programme offers HPV vaccine to girls born ≥1999 in 5-6th grade. In 2012, all counties introduced free-of-charge catch-up vaccination campaigns targeting girls born 1993–1998. Varying vaccine uptake in the catch-up group by December 2012 suggested that some implementation strategies were more successful than others. In order to inform future vaccination campaigns, we assessed the impact of different implementation strategies on the county-level catch-up vaccine uptake.MethodsWe conducted an ecological study including all Swedish counties (n = 21), asking regional health offices about the information channels they used and where vaccination of the catch-up target group took place in their counties. The uptake of ≥1 dose by 30 September 2014 was estimated using data from the voluntary national vaccination register. We investigated associations between counties’ catch-up vaccine uptake, information channels and vaccination settings by calculating incidence rate ratios (IRR) and 95% confidence intervals (CI), using negative binomial regression models.ResultsCounty level catch-up vaccine uptake varied between 49–84%. All counties offered vaccination through primary health care settings. Apart from this eight (34%) also offered the vaccine in some of their schools, four (19%) in all their schools, and two (10%) in other health care centres. The information channels most frequently used were: information at the national on-line health care consulting web-page (100%), letter/invitations (90%), and advertisement (81%). Counties offering vaccination to girls in all schools and counties offering vaccination in some of their schools, reached higher vaccine uptake compared to counties not offering vaccination in any of their schools (all schools adjusted IRR: 1.3, 95% CI: 1.1–1.5, some schools adjusted IRR: 1.2, 95% CI: 1.1–1.3).ConclusionCounties offering HPV vaccination to catch-up groups in schools reached the highest vaccine uptake. No information channel explained differences in county-level vaccine uptake. Our findings suggest that catch-up vaccination outside the national vaccination program can reach a high uptake at the population level if it is implemented primarily with an organized delivery (e.g. in schools).

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Section: Discussionmentioning

confidence: 99%

Highest Vaccine Uptake after School-Based Delivery - A County-Level Evaluation of the Implementation Strategies for HPV Catch-Up Vaccination in Sweden

et al. 2016

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“…Coverage in the target cohort in Scotland has exceeded 90% for three doses for over 4 years running 16 . The Scottish program was highly organised, taking a project management approach to program implementation, and using existing comprehensive community health data systems and registers, which are supported by a unique identification number for each person 17 . For Australia to achieve higher coverage, a systems‐based approach to identifying and minimising barriers may be required.…”

Section: Discussionmentioning

confidence: 99%

Human papillomavirus vaccine coverage among female Australian adolescents: success of the school‐based approach

Brotherton

Murray

Hall

et al. 2013

Medical Journal of Australia

109

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“…37,51,[56][57][58][59][60] A school-based vaccination programme can achieve a vaccination uptake rate of 65.1% to 94.4% for at least 1 dose, as seen in Taiwan, Australia, Canada, Scotland, and Norway. 37,[53][54][55][56]58,60 These studies supported that implementing HPV vaccination through a school-based approach is an effective way of reaching targets directly. Parents are also easily contacted for consent, and schools can be the ideal channel for health promotion and education.…”

Section: Facilitators Of and Barriers To The Uptake Of Hpv Vaccinationmentioning

confidence: 99%

The Uptake of Human Papillomavirus Vaccination and Its Associated Factors Among Adolescents: A Systematic Review

Loke

Kwan

Wong

et al. 2017

J Prim Care Community Health

159

166

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Background: The purpose of this review was to explore the uptake of the human papillomavirus (HPV) vaccination, its associated factors, and the facilitators of and barriers to HPV vaccination among adolescents. Methods: A comprehensive literature search was conducted through 5 electronic databases, including PubMed, CINAHL, Cochrane Library, Medline, and PsycInfo from January 2006 to March 2015 for studies examining the uptake, awareness, knowledge, acceptability, and intention of adolescents with regard to HPV vaccination. Results: Twenty-eight studies were identified and included. The HPV vaccination uptake rate (at least 1 dose) varied significantly among countries, ranging from 2.4% to 94.4%. Scotland achieved the highest uptake of all the studies included in this review, while Hong Kong had the lowest, at 2.4% to 9.1%. This review also showed that adolescents had limited awareness and knowledge of HPV infections and vaccines, even 10 years after the vaccine had become available. Conclusions: It is recommended that barriers to the uptake of the vaccine should be addressed, and that school-based sexual health education of HPV infection and vaccine promotion should be reinforced.

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High uptake of HPV immunisation in Scotland – perspectives on maximising uptake

Cited by 22 publications

References 12 publications

Highest Vaccine Uptake after School-Based Delivery - A County-Level Evaluation of the Implementation Strategies for HPV Catch-Up Vaccination in Sweden

Highest Vaccine Uptake after School-Based Delivery - A County-Level Evaluation of the Implementation Strategies for HPV Catch-Up Vaccination in Sweden

Human papillomavirus vaccine coverage among female Australian adolescents: success of the school‐based approach

The Uptake of Human Papillomavirus Vaccination and Its Associated Factors Among Adolescents: A Systematic Review

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