A Systematic Review of Interventions to Improve HPV Vaccination Coverage

Mavundza, Edison; Iwu-Jaja, Chinwe Juliana; Wiyeh, Alison B.; Gausi, Blessings; Abdullahi, Leila; Halle-Ekane, Gregory; Wiysonge, Charles Shey

doi:10.3390/vaccines9070687

Cited by 53 publications

(37 citation statements)

References 95 publications

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“…Other studies have utilized enhanced reminders, educational and communication activities, and multicomponent strategies [ 60 ]. Other interventions that have been shown to improve HPV vaccination coverage included financial incentives and reminders, motivational behavioural interventions, training including assessment and feedback, and consultations [ 61 ]. Strategies need to be adaptable to specific contexts to maximize vaccination uptake and understanding school factors can help guide the application of these strategies.…”

Section: Discussionmentioning

confidence: 99%

Measuring school level attributable risk to support school-based HPV vaccination programs

et al. 2022

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Background In Australia in 2017, 89% of 15-year-old females and 86% of 15-year-old males had received at least one dose of the HPV vaccine. However, considerable variation in HPV vaccination initiation (dose one) across schools remains. It is important to understand the school-level characteristics most strongly associated with low initiation and their contribution to the overall between-school variation. Methods A population-based ecological analysis was conducted using school-level data for 2016 on all adolescent students eligible for HPV vaccination in three Australian jurisdictions. We conducted logistic regression to determine school-level factors associated with lower HPV vaccination initiation (< 75% dose 1 uptake) and estimated the population attributable risk (PAR) and the proportion of schools with the factor (school-level prevalence). Results The factors most strongly associated with lower initiation, and their prevalence were; small schools (OR = 9.3, 95%CI = 6.1–14.1; 33% of schools), special education schools (OR = 5.6,95%CI = 3.7–8.5; 8% of schools), higher Indigenous enrolments (OR = 2.7,95% CI:1.9–3.7; 31% of schools), lower attendance rates (OR = 2.6,95%CI = 1.7–3.7; 35% of schools), remote location (OR = 2.6,95%CI = 1.6–4.3; 6% of schools,) and lower socioeconomic area (OR = 1.8,95% CI = 1.3–2.5; 33% of schools). The highest PARs were small schools (PAR = 79%, 95%CI:76–82), higher Indigenous enrolments (PAR = 38%, 95%CI: 31–44) and lower attendance rate (PAR = 37%, 95%CI: 29–46). Conclusion This analysis suggests that initiatives to support schools that are smaller, with a higher proportion of Indigenous adolescents and lower attendance rates may contribute most to reducing the variation of HPV vaccination uptake observed at a school-level in these jurisdictions. Estimating population-level coverage at the school-level is useful to guide policy and prioritise resourcing to support school-based vaccination programs.

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Section: Discussionmentioning

confidence: 99%

Measuring school level attributable risk to support school-based HPV vaccination programs

et al. 2022

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“…Various types of HPV strains are high-risk types linked to cancers and some low-risk types cause benign diseases. HPV-6 and HPV-11 are responsible for about 90% of genital warts, and HPV types 16 and 18 cause approximately 70% of cervical cancer [12].…”

Section: Review Human Papillomavirusmentioning

confidence: 99%

Human Papillomavirus Prevention by Vaccination: A Review Article

Charde¹,

Warbhe²

2022

Cureus

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Cervical cancer is the most common cancer among women worldwide. It is caused by infection due to human papillomavirus. There are some screening tests available for its detection. Early detection can increase the chances of survival. The HPV vaccine offers a long-lasting, reliable defence against the HPV infection that is most frequently linked to cancer. HPV 16 and HPV18 are high-risk cancer-causing strains. It is transmitted most commonly through the sexual route. There are horizontal and vertical modes of transmission of the infection present. Vaccines have been introduced to prevent cervical cancer in the market. Awareness and knowledge of vaccines are lacking in people. Vaccine awareness can be made in schools, colleges or among their parents. Social media is vital in spreading knowledge faster in today's generation. The number of precancers of the cervix in young women has been reduced due to HPV vaccination. A practical and safe method to prevent HPV is early vaccination. Vaccines provide cell-mediated immunity. It is more helpful if the vaccine is taken at a younger age. It can only prevent, not treat, cervical cancer. General practitioners are essential in informing people of the vaccine and its potential benefits. There are many ongoing types of research going on in this field so that people can get relevant information. The objective of this review is to provide information about the research till now, knowledge among people, the need for vaccines, effects and safety of vaccination. Research is going around the world to prevent cancer, which can decrease the worldwide burden of deaths due to cancer. Among all types of cancer, vaccines are available only for preventing cervical cancer, which has a high prevention rate.

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“… 29 , 31 , 33 Thus, peer teaching may improve HPV vaccination more effectively if part of a multicomponent strategy. 34 , 35 …”

Section: Recommendationsmentioning

confidence: 99%

Overcoming barriers to HPV vaccination in rural Vermont through a multicomponent peer-based approach

Pilcher

Carney

Stein

2022

Human Vaccines & Immunotherapeutics

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Human Papillomavirus (HPV) causes almost all cervical cancers and many cancers of the anus, vagina, vulva, penis, and oropharynx. The HPV vaccine provides protection to all adolescents from a broad spectrum of cancers, yet HPV vaccination rates remain lower than those of other routine vaccines. Developing effective HPV vaccine interventions is particularly important in rural areas, whose residents have lower rates of HPV vaccination and higher cervical cancer incidence and mortality; however, interventional research in these populations is relatively limited. Furthermore, though rural areas are heterogeneous in many regards, few interventions engage stakeholders to develop community-specific solutions to overcome obstacles associated with HPV vaccination. Based on a review of existing literature, we recommend a multicomponent peer-based approach that includes school-based vaccination and awareness, parental involvement, and stakeholder engagement to increase HPV vaccination in rural areas, and we provide an example of such an intervention in rural Vermont.

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A Systematic Review of Interventions to Improve HPV Vaccination Coverage

Cited by 53 publications

References 95 publications

Measuring school level attributable risk to support school-based HPV vaccination programs

Measuring school level attributable risk to support school-based HPV vaccination programs

Human Papillomavirus Prevention by Vaccination: A Review Article

Overcoming barriers to HPV vaccination in rural Vermont through a multicomponent peer-based approach

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