Differences in school factors associated with adolescent HPV vaccination initiation and completion coverage in three Australian states

Sisnowski, Jana; Vujovich-Dunn, Cassandra; Gidding, Heather; Brotherton, Julia; Wand, Handan; Lorch, Rebecca; Veitch, Mark; Sheppeard, Vicky; Effler, Paul V.; Skinner, S. Rachel; Venn, A; Davies, Cristyn; Hocking, Jane; Whop, Lisa J.; Leask, Julie; Canfell, Karen; Sanci, Lena; Smith, Megan A.; Kang, Melissa; Temple-Smith, Meredith; Kidd, Michael; Burns, Sharyn; Meijer, Dennis; Ennis, Sonya; Thomson, Chloe; Lane, N.; Kaldor, John; Guy, Rebecca

doi:10.1016/j.vaccine.2021.08.076

Cited by 7 publications

(6 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The school-based program delivers the vaccine to Year 7 adolescents (aged 12–13 years). Those who missed out can receive the vaccine for free up to 26 years old [ 14 ]. Initially, the vaccine program was a 3-dose quadrivalent Gardasil HPV vaccine, which was replaced with a 2-dose nonvalent HPV vaccine from 2018.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Awareness of HPV, the HPV Vaccine and Cancer-Related HPV Types among Indigenous Australians

Lockwood,

Ju,

Sethi

et al. 2024

IJERPH

View full text Add to dashboard Cite

Human Papilloma Virus (HPV) infection is a common, preventable, sexually transmitted disease with oncogenic potential and increasing incidence. This study aimed to gain an understanding of the knowledge and awareness of HPV, the HPV vaccine, and HPV-related cancers, and to evaluate the relationship between participant factors and HPV knowledge, vaccination uptake, and high-risk HPV (16/18) infection, among Indigenous Australians. Data from the 12-month follow-up of a longitudinal cohort study were utilized, involving 763 Indigenous Australian adults in South Australia. The data analysis found that the mean 7-item HPV knowledge tool (HPV-KT) score was 2.3 (95% CI: 2.1–2.4), HPV vaccination prevalence was 27.0% (95% CI: 23.6–30.5) and oral HPV 16/18 infection was 4.7% (95% CI: 3.2–6.2). Multivariable log-Poisson regression models showed ratios of approximately 1.5 times higher HPV-KT scores in females, previous recreational drug users, those who had self-rated as having excellent, very good or good general health and who had heard of HPV; and participants who were not HPV vaccinated had 0.8 times (MR = 0.8, 95% CI: 0.7–0.9) lower HPV-KT scores than their counterparts. The findings suggest that culturally safe education strategies are a necessary investment to improve vaccination coverage among Indigenous Australians and to reduce the impact of HPV and related cancers.

show abstract

Section: Introductionmentioning

confidence: 99%

Knowledge and Awareness of HPV, the HPV Vaccine and Cancer-Related HPV Types among Indigenous Australians

Lockwood,

Ju,

Sethi

et al. 2024

IJERPH

View full text Add to dashboard Cite

show abstract

“…20 In spite of these national gains, local‐level data reveals variable vaccine coverage based on gender, socioeconomic status and geographical location. 20 , 21 , 22 , 23 However, as CALD data are not collected in vaccination registers, assessing if any CALD communities experience vaccination coverage inequities is difficult. To date, only two Australian studies have reported vaccination coverage for students with ‘a language background other than English’ with neither study finding an association.…”

Section: Introductionmentioning

confidence: 99%

“…To date, only two Australian studies have reported vaccination coverage for students with ‘a language background other than English’ with neither study finding an association. 21 , 23 However, these studies did not specify the language backgrounds included. With some immunization providers reporting much lower vaccination coverage of around 53.2% in schools or communities with higher CALD representation, 20 it is possible that as seen in Canada 24 and England, 25 associations between lower vaccination coverage and CALD status are being masked.…”

Section: Introductionmentioning

confidence: 99%

“…Since then, a significant reduction in HPV disease has been observed 17–20 and national coverage is now about 82.6% for females and 79.9% for males 20 . In spite of these national gains, local‐level data reveals variable vaccine coverage based on gender, socioeconomic status and geographical location 20–23 . However, as CALD data are not collected in vaccination registers, assessing if any CALD communities experience vaccination coverage inequities is difficult.…”

Section: Introductionmentioning

confidence: 99%

“…However, as CALD data are not collected in vaccination registers, assessing if any CALD communities experience vaccination coverage inequities is difficult. To date, only two Australian studies have reported vaccination coverage for students with ‘a language background other than English’ with neither study finding an association 21,23 . However, these studies did not specify the language backgrounds included.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Using World Cafés to engage an Australian culturally and linguistically diverse community around human papillomavirus vaccination

Prokopovich

Phillipson

Pitts

et al. 2023

Health Expectations

View full text Add to dashboard Cite

Introduction Internationally, cultural factors are associated with vaccine uptake and completion in ethnic minority communities. Whilst Australia has achieved high human papillomavirus (HPV) vaccination, little is known about how culture or ethnicity influences HPV vaccination engagement. To address these gaps, we partnered with our Local Health District to explore how one culturally and linguistically diverse (CALD) community engages with school and HPV vaccination. Methods We adapted a participatory research method (the World Café) to engage one local CALD community—the Macedonian community (Our bi‐cultural researcher and participants preferred the term ‘Macedonia’ rather than The Republic of North Macedonia as outlined in the 2018 Prespa agreement) in New South Wales (Australia)—to discuss HPV and school vaccination. Our qualitative analysis combined deductive codes taken from the Tailoring Immunization Programme framework, inductive codes guided by narrative inquiry (temporality, sociality and place) and previously known vaccination ‘trust’ frameworks. Results In late 2019, 31 local Macedonian community members were purposely recruited for two World Cafés ( n = 15 mothers/grandmothers and n = 16 young adults). Our themes reveal a community narrative grounded in historical vaccine experiences, family views on vaccination and a general trust in schools. Participants collectively discussed how ‘increasing knowledge’ and ‘tailoring health communications’ could strengthen community vaccine decision‐making. Conclusion This study demonstrates how research partnerships and participatory methods can be applied in CALD community settings to research engagement with school and HPV vaccination. Our World Café dialogues highlight a positive narrative about vaccines, where community vaccination behaviours were built on multilayer trust relationships despite low vaccine knowledge. Our findings further knowledge around ‘public trust’ in school vaccination, highlighting the importance of existing (or missing) trust relationships when tailoring vaccine communication to local CALD communities. Patient or Public Contribution Participants who took part in the World Cafes were all local Macedonian community parents or young adults who have been or will be exposed to the health services offered by school‐based HPV vaccination. Thus, all the data collected came from their personal experiences with the school vaccination programme, or how they expect to participate in the programme. To ensure our study design was culturally appropriate and tailored to the Macedonian community, we engaged with the relevant local health stakeholders (the bi‐cultural Multicultural Health Officer and Multicultural Health Service Manager Programme Director) to adapt and refine the World Café method for this context and setting. Our local health stakeho...

show abstract

Perceived facilitators and barriers to the uptake of the human papillomavirus (HPV) vaccine among adolescents of Arabic-speaking mothers in NSW, Australia: A qualitative study

et al. 2023

View full text Add to dashboard Cite

Differences in school factors associated with adolescent HPV vaccination initiation and completion coverage in three Australian states

Cited by 7 publications

References 31 publications

Knowledge and Awareness of HPV, the HPV Vaccine and Cancer-Related HPV Types among Indigenous Australians

Knowledge and Awareness of HPV, the HPV Vaccine and Cancer-Related HPV Types among Indigenous Australians

Using World Cafés to engage an Australian culturally and linguistically diverse community around human papillomavirus vaccination

Perceived facilitators and barriers to the uptake of the human papillomavirus (HPV) vaccine among adolescents of Arabic-speaking mothers in NSW, Australia: A qualitative study

Contact Info

Product

Resources

About