Achieving high and equitable coverage of adolescent HPV vaccine in Scotland

Sinka, Katy; Kavanagh, Kimberley; Gordon, Ruth; Love, J. Christopher; Potts, Alison; Donaghy, Martin; Robertson, Charles

doi:10.1136/jech-2013-202620

Cited by 78 publications

(81 citation statements)

References 18 publications

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“…Location of HPV vaccination varied by age group; younger adolescents were more likely to receive vaccines at school, whereas older adolescents were more likely to go to their health care provider. 47,68,72 Similarly, adolescents with poor school attendance had lower vaccination rates than those in school, underscoring the importance of convenience in modifying behavior. 72 Finally, the success of environmental interventions in developing countries through schooland clinic-based vaccination programs illustrated that high vaccination coverage is not limited to high-income populations.…”

Section: Discussionmentioning

confidence: 99%

“…47,68,72 Similarly, adolescents with poor school attendance had lower vaccination rates than those in school, underscoring the importance of convenience in modifying behavior. 72 Finally, the success of environmental interventions in developing countries through schooland clinic-based vaccination programs illustrated that high vaccination coverage is not limited to high-income populations. 43-45, 55, 56, 70, 76, 77 School-based VPs in the United States offered additional insight.…”

Section: Discussionmentioning

confidence: 99%

“…51 School-based VPs in Spain, Scotland, and Switzerland had high vaccination completion rates after 1 and 3 years of the ongoing programs (77.3%, 81.0%, and 61.4%, respectively). 47,54,72 Notably, developing countries also had high vaccination rates. A partnership between the Program for Appropriate Technology in Health, a nonprofit global health organization, and the governments of 4 countries using an education campaign and free HPVV at schools and clinics resulted in high completion rates in India (87.8%), Peru (82.6%), Uganda (88.9%), and Vietnam (98.6%).…”

Section: Environmental Interventions (N = 31)mentioning

confidence: 99%

“…Barriers to implementation at all policy levels included the following: obtaining vaccination consent, 58,60,63,66 reaching adolescents not in school, 58,72,76 and reaching underserved areas. 75,77 Environmental Interventions: Small Policy (n = 12)…”

Section: Environmental Interventions (N = 31)mentioning

confidence: 99%

See 3 more Smart Citations

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Walling¹,

Benzoni²,

Dornfeld³

et al. 2016

Pediatrics

190

154

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CONTEXT: The human papillomavirus (HPV) vaccine is a safe, effective cancer prevention method that is underutilized in the United States. Despite increased understanding of barriers to vaccination, rates remain low. Globally, developed and developing nations have achieved high rates of vaccination.OBJECTIVE: Identification of effective strategies is necessary to optimize uptake of the HPV vaccine. We systematically reviewed the literature for national and international interventions that have successfully increased HPV vaccine uptake. DATA SOURCES:We used a standardized protocol to search for articles published between January 1, 2006, and April 30, 2015, in 3 electronic databases: PubMed, Scopus, and Embase. STUDY SELECTION:We identified interventions designed to increase HPV vaccine uptake among adolescents and young adults aged 11 to 26 years. All study designs were acceptable. Only articles that included postintervention vaccination rates were included. DATA EXTRACTION:Two authors independently reviewed each article for data extraction and quality assessment. Interventions were classified according to the Community Preventive Service Task Force guide. RESULTS:Results were reported according to the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework. Fifty-one articles met eligibility criteria: 2 informational interventions, 18 behavioral interventions, and 31 environmental interventions. Factors associated with HPV vaccine uptake were increased vaccine availability, decreased financial barriers, and interventions targeting both providers and patients.LIMITATIONS: Lack of consistent RE-AIM metric reporting, limiting our ability to assess intervention validity and quality.CONCLUSIONS: Population-based vaccination strategies that increased vaccine availability reached the greatest number of adolescents and were most successful in achieving high rates of vaccination.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Environmental Interventions (N = 31)mentioning

confidence: 99%

Section: Environmental Interventions (N = 31)mentioning

confidence: 99%

See 2 more Smart Citations

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Walling¹,

Benzoni²,

Dornfeld³

et al. 2016

Pediatrics

190

154

View full text Add to dashboard Cite

show abstract

“…35 Coverage of the routine three-dose HPV vaccination programme was consistently over 86% in England from 2012 to 2014 36 and over 80% in Scotland. 37 In addition to routine flu vaccination for children aged 2 to 17 years, which was introduced in 2013 and is gradually being rolled out and offered to the youngest children first, 30 the flu vaccine is recommended for all adults over 65 years and for adults/children with chronic health conditions which put them at higher risk of serious complications of the illness, for example pregnant women, children/adults with underlying disease particularly chronic respiratory or cardiac conditions. 38 In the winter of 2014/15 uptake in England in those aged over 65 years was 73% 34 and 76% in Scotland, 39 close to the 75% target.…”

Section: The Health Of Travellersmentioning

confidence: 99%

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

Jackson

Dyson

Bedford

et al. 2016

Health Technol Assess

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Background: Gypsies, Travellers and Roma (referred to as Travellers) are less likely to access health services, including immunisation. To improve immunisation rates, we need to understand what helps and hinders individuals in these communities in taking up immunisations. Aims: (1) Investigate the barriers to and facilitators of acceptability and uptake of immunisations among six Traveller communities across four UK cities; and (2) identify possible interventions to increase uptake of immunisations in these Traveller communities that could be tested in a subsequent feasibility study. Methods: Three-phase qualitative study underpinned by the social ecological model. Phase 1: interviews with 174 Travellers from six communities: Romanian Roma (Bristol); English Gypsy/Irish Traveller (Bristol); English Gypsy (York); Romanian/Slovakian Roma (Glasgow); Scottish Showpeople (Glasgow); and Irish Traveller (London). Focus on childhood and adult vaccines. Phase 2: interviews with 39 service providers. Data were analysed using the framework approach. Interventions were identified using a modified intervention mapping approach. Phase 3: 51 Travellers and 25 service providers attended workshops and produced a prioritised list of potentially acceptable and feasible interventions. Results: There were many common accounts of barriers and facilitators across communities, particularly across the English-speaking communities. Scottish Showpeople were the most similar to the general population. Roma communities experienced additional barriers of language and being in a new country. Men, women and service providers described similar barriers and facilitators. There was widespread acceptance of childhood and adult immunisation, with current parents perceived as more positive than their elders. A minority of English-speaking Travellers worried about multiple/combined childhood vaccines, adult flu and whooping cough. Cultural concerns about vaccines offered during pregnancy and about human papillomavirus were most evident in the Bristol English Gypsy/Irish Traveller community. Language, literacy, discrimination, poor school attendance, poverty and housing were identified by Travellers and service providers as barriers for some. Trustful relationships with health professionals were important and continuity of care was valued. A few English-speaking Travellers described problems of booking and attending for immunisation. Service providers tailored their approach to Travellers, particularly the Roma. Funding cuts, NHS reforms and poor monitoring challenged their work. Five ‘top-priority’ interventions were agreed across communities and service providers to improve the immunisation among Travellers who are housed or settled on an authorised site: (1) cultural competence training for health professionals and frontline staff; (2) identification of Travellers in health records to tailor support and monitor uptake; (3) provision of a named frontline person in general practitioner practices to provide respectful and supportive service; (4) flexib...

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HPV status and favourable outcome in vulvar squamous cancer

Wakeham

Kavanagh

Cuschieri

et al. 2017

Intl Journal of Cancer

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Impact statementThe epidemiology of vulvar cancer (VSCC) is changing. Our data reveal that the age at which women are diagnosed with VSCC is falling. High-risk (HR) human papillomavirus (HPV) infection is very common in vulvar intraepithelial neoplasia (VIN) and present in just over 50% of VSCC. HR-HPV positivity was associated with lower progression rates from VIN to VSCC and improved progression-free survival of VSCC. We have conducted a detailed population-based study to examine rates of progression of VIN to VSCC, type-specific HPV prevalence in vulvar disease and the influence of HPV status on clinical outcome in VSCC. We observed that the age at which women are diagnosed with VSCC is falling and there is a significant time gap between first diagnosis of VIN and progression to invasive disease. HR-HPV infection was detected in 87% (97/112) cases of VIN and 52% cases (32/62) of VSCC. The presence of HR-HPV in squamous intraepithelial lesion was associated with lower rates of progression to invasive cancer (hazard ratio, 0.22, p=0.001). In the adjusted analysis, HR-HPV was associated with improved progression-free survival of VSCC compared to those with HPV negative tumours (hazard ratio, 0.32, p=0.02).4

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Achieving high and equitable coverage of adolescent HPV vaccine in Scotland

Cited by 78 publications

References 18 publications

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

Interventions to Improve HPV Vaccine Uptake: A Systematic Review

UNderstanding uptake of Immunisations in TravellIng aNd Gypsy communities (UNITING): a qualitative interview study

HPV status and favourable outcome in vulvar squamous cancer

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