Social determinants of community-level human papillomavirus vaccination coverage in aschool-based vaccination programme

Jean, Stephen; El‐Shafei, Malak M.; Buttenheim, Alison M.

doi:10.1136/sextrans-2017-053357

Cited by 17 publications

(15 citation statements)

References 10 publications

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“…In England, Jan et al showed that LHUs with more educational deprivation had higher rates of vaccination for all doses. In this study, educational deprivation includes individuals with no qualification or the lowest levels of qualification [ 12 ]. On the other hand, in Greece, Michail et al observed that female students who studied at university were more likely to be vaccinated than female students who attended a Technological Institute [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…While acceptance of personal susceptibility to a condition also believed to be serious was held to produce a force leading to behaviour, the particular course of action to be taken depends upon beliefs regarding the effectiveness of the various actions available in reducing the disease threat [ 11 ]. Evaluation of the perceptions about benefits, barriers, severity and susceptibility of HPV vaccines could play a key role in the development of targeted educational campaigns that would increase the intention to get the HPV vaccine [ 12 , 21 ]. Public Health professionals should provide tailored information to reinforce strength of recommendations regarding HPV vaccination, especially with parents of young women [ 21 , 22 ].…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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 England Jan S, et al showed that LHU with more educational deprivation had higher rates of vaccination for all doses. In this study educational deprivation includes individuals with no qualification or the lowest levels of qualification [12]. On the other hand, in Greece Michail G et al observed that female students who studied at University were more likely to be vaccinated than female students who attended a Technological Institute [13].…”

Section: Discussionmentioning

confidence: 95%

“…While acceptance of personal susceptibility to a condition also believed to be serious was held to produce a force leading to behaviour, the particular course of action to be taken depends upon beliefs regarding the effectiveness of the various actions available in reducing the disease threat [11]. Evaluation of the perceptions about benefits, barriers, severity and susceptibility of HPV vaccine could play a key role in the development of targeted educational campaigns that would increase the intention to uptake the HPV vaccine [12,21]. Public Health professionals should provide tailored information to reinforce strength of recommendation regarding HPV vaccination, especially with parents of young women [21,22].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated to Anti-HPV Vaccine Refusal among Young Adult Women after Ten Year of Vaccine Implementation

Restivo¹,

Costantino²,

Fazio³

et al. 2018

Preprint

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In Italy HPV vaccination was implemented for girls since 2007 but its coverage was lower than recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, ranging in the birth cohorts 1996–1999 from 59% to 62%. Aim of the study was to investigate factors associated with refusal of anti-HPV vaccination among young adult women of Palermo, Italy. 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 Health Belief Model framework. The eligible population were young women with at least a previous vaccination among all included in Sicilian Vaccination schedule, without starting or completing anti-HPV vaccination schedule. Overall, 141 young women were enrolled, of them 84.4% were unvaccinated and 15.6% had at least one dose of HPV vaccine. In multivariate analysis, factors associated with the failure to perform the HPV vaccination were degree as school level (OR = 10.2, p = 0.041), lower participation at school seminar on HPV (OR = 0.2, p = 0.047) and lower perception of anti-HPV vaccine benefits (OR = 0.4, p = 0.048). Public health educational program focusing and tailored on benefits perception of anti-HPV vaccine and HPV disease severity, especially if carried out at school, can improve HPV vaccination uptake.

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“…The distribution of serotypes,4 school-based access to vaccination,5 vaccination uptake in clinic populations of men who have sex with men6 and population prevalence rates7 continue to present challenges for implementation science in a complex global picture.…”

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confidence: 99%

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Social determinants of community-level human papillomavirus vaccination coverage in aschool-based vaccination programme

Cited by 17 publications

References 10 publications

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

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

Factors Associated to Anti-HPV Vaccine Refusal among Young Adult Women after Ten Year of Vaccine Implementation

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