Immunisation against HPV in girls with intellectual disabilities

MacLeod, Rebecca; Tuffrey, Catherine

doi:10.1136/archdischild-2013-305919

Cited by 10 publications

(4 citation statements)

References 22 publications

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“…HPV infection is more prevalent among minorities and the medically underserved, including the IDD [2,3]. Gynecologic care for women with these disabilities poses unique challenges.…”

Section: Discussionmentioning

confidence: 99%

“…Although HPV vaccine has become a routine intervention given to adolescents to prevent various cancers, this standard of care can be undermined in the medically underserved and minority populations, including the intellectually and developmentally disabled (IDD) [2,3]. We hypothesized that IDD patients may not be receiving the vaccine as consistently as their non-disabled peers.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Human papillomavirus vaccine coverage among the intellectually and developmentally disabled: a single-institution study.

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et al. 2018

child-health

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“…HPV infection is more prevalent among minorities and the medically underserved, including the IDD [2,3]. Gynecologic care for women with these disabilities poses unique challenges.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Human papillomavirus vaccine coverage among the intellectually and developmentally disabled: a single-institution study.

Hg¹,

Fm²,

Rp³

et al. 2018

child-health

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“…A present it is not known whether, in the UK, children with intellectual disabilities constitute one such group. Only two small scale studies have addressed this issue in the UK [11, 12], although some evidence of lower coverage among children with intellectual disability from population based studies is available from Taiwan [13, 14] and Australia [15]. Tuffrey and Finlay [12] report lower vaccination rates for pertussis, measles and rubella for children with intellectual or physical disabilities attending special schools in one health district in England.…”

Section: Introductionmentioning

confidence: 99%

“…Tuffrey and Finlay [12] report lower vaccination rates for pertussis, measles and rubella for children with intellectual or physical disabilities attending special schools in one health district in England. More recently, MacLeod and Tuffrey [11] have reported lower rates of human papillomavirus vaccination among girls attending schools for children with intellectual disability in one health district in England.…”

Section: Introductionmentioning

confidence: 99%

Vaccine Coverage among Children with and without Intellectual Disabilities in the UK: Cross Sectional Study

et al. 2019

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Background Universal childhood vaccination programmes form a core component of child health policies in most countries, including the UK. Achieving high coverage rates of vaccines is critical for establishing ‘herd immunity’ and preventing disease outbreaks. Evidence from the UK has identified several groups of children who are at risk of not being fully immunised. Our aim was to determine whether children with intellectual disabilities constitute one such group. Methods Secondary analysis of parental report data on child vaccination collected in the UK’s Millennium Cohort Study when the children were 9 months, 3 years, 5 years and 14 years old. Results With one exception (MMR coverage at age 5) vaccination coverage rates were lower for children with intellectual disabilities (when compared to children without intellectual disability) for all vaccinations at all ages. Complete coverage rates were significantly lower for children with intellectual disabilities at ages 9 months (unadjusted PRR non-vaccination = 2.03 (1.14–3.60), p < 0.05) and 3 years (unadjusted PRR = 2.16 (1.06–4.43), p < 0.05), but not at age 5 years (unadjusted PRR = 1.91 (0.67–5.49)). HPV vaccination was lower (but not significantly so) at age 14 (PRR = 1.83 (0.99–3.37), p = 0.054). Adjusting PRRs for between group differences in family socio-economic position and other factors associated with coverage reduced the strength of association between intellectual disability and coverage at all ages. However, incomplete vaccination remained significantly elevated for children with intellectual disabilities at ages 9 months and 3 years. There were no statistically significant differences between parents of children with/without intellectual disability regarding the reasons given for non-vaccination. Conclusions Children with intellectual disabilities in the UK are at increased risk of vaccine preventable diseases. This may jeopardise their own health, the health of younger siblings and may also compromise herd immunity.

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Physicians’ Experiences of Recommending the HPV Vaccine to Females with an Intellectual Disability

2021

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Immunisation against HPV in girls with intellectual disabilities

Cited by 10 publications

References 22 publications

Human papillomavirus vaccine coverage among the intellectually and developmentally disabled: a single-institution study.

Human papillomavirus vaccine coverage among the intellectually and developmentally disabled: a single-institution study.

Vaccine Coverage among Children with and without Intellectual Disabilities in the UK: Cross Sectional Study

Physicians’ Experiences of Recommending the HPV Vaccine to Females with an Intellectual Disability

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