Human papillomavirus vaccination and social inequality: results from a prospective cohort study

Roberts, Stephen A; Brabin, Loretta; Stretch, Rebecca; Baxter, David; Elton, Peter; Kitchener, Henry C; McCann, Rosemary

doi:10.1017/s095026881000066x

Cited by 64 publications

(50 citation statements)

References 19 publications

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“…However, in one study (Dempsey et al, 2010) Black and Caucasian girls were more likely to initiate the vaccination program than other girls, and in a second study Hispanic girls were significantly more likely to refuse the HPV vaccination than Caucasian girls. In contrast, several studies showed no significant differences in rates of vaccine initiation based on ethnicity or race (Allen et al, 2010;Pruitt and Schootman, 2010;Reiter et al, 2010;Roberts et al, 2011).…”

Section: Discussionmentioning

confidence: 93%

Practice of HPV Vaccine and Associated Factors among School Girls in Melaka, Malaysia

Al-Naggar¹,

Bobryshev²,

Al-Jashamy³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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Objective: The objective of this study is to determine the practice and associated factors of HPV vaccine among school girls in Melaka, Malaysia. Methodology: A total number of 612 secondary school girls participated in this study. The questionnaire consists of 38 questions which included 3 sections. The first section is about sociodemography. The Second section is about knowledge and awareness of HPV vaccines. The third section is about practices with associated barriers of HPV vaccination. Verbal consent was obtained from all participants, and data were analyzed using SPSS 13. Results: A total number of 612 secondary school girl students participated in this study. The mean age was 13.93±SD (1.09); minimum age was 13 years old and maximum was 17 years old. The majority of them was Malay, from rural areas and had a family monthly income of RM 3000 or less (91.8%, 53.1%, 69.6%; respectively). The majority of the parents of the school girls were with secondary education level (56.4%). The majority of the participants did not have a family history of cervical cancer (99.0%). The prevalence of HPV vaccination was 77.9% among school girls in Melaka. The majority of the participants were vaccinated in their schools (77.0%). About 69% knew about cervical cancer and 77.6% had ever heard about HPV vaccine. Regarding the factors that influence the practice of uptake HPV vaccine, they were age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine (p<0.001). Conclusion: The prevalence of HPV vaccine among school girls is high. Age, race, income, parents' education, knowledge about cervical cancer, heard about HPV vaccine and place of getting the vaccine were the significant factors that influence the practice of uptake HPV vaccine among school girls.

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Section: Discussionmentioning

confidence: 93%

Practice of HPV Vaccine and Associated Factors among School Girls in Melaka, Malaysia

Al-Naggar¹,

Bobryshev²,

Al-Jashamy³

et al. 2012

Asian Pacific Journal of Cancer Prevention

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“…In a study investigating the effect of social inequalities on the uptake of HPV vaccine in the UK, the authors found that HPV vaccine uptake was significantly lower in more deprived areas and in ethnic minority girls. 21 It will be important in future studies in Germany to record ethnicity on vaccine uptake monitoring activities to complete the panel of possible predictors for HPV vaccination.…”

Section: Discussionmentioning

confidence: 99%

Human papillomavirus vaccine uptake, knowledge and attitude among 10th grade students in Berlin, Germany, 2010

Stöcker

Dehnert

Schuster

et al. 2013

Human Vaccines & Immunotherapeutics

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IntroductionPersisting human papillomavirus (HPV) infections, especially with HPV high-risk types 16 or 18, are prerequisites for cervical precancer and cancer. At the end of 2006 a quadrivalent HPV-vaccine became available in Germany providing protection against the HPV-types 6, 11, 16, and 18. The primary vaccination series consists of 3 separate doses administered at 0, 2, and 6 mo. If an alternate vaccination schedule is necessary, the second dose should be administered at least one month after the first and the third at least 3 mo after the second dose. The primary vaccination series should be completed within a 1-y period, according to the German summary of product characteristics (SPC). In 2007, a bivalent vaccine was approved for immunisation against HPV-types 16 and 18. For this vaccine, the German SPC recommends a vaccination schedule of 0, 1, 6 mo. HPV vaccination is free of charge in Germany. In clinical trials, the HPV-vaccines demonstrated > 90% efficacy against HPV 16-and 18-related Purpose: since March 2007, the standing committee on Vaccination (sTIKO) recommends HpV vaccination for all 12-17 y-old females in Germany. In the absence of an immunization register, we aimed at assessing HpV-vaccination coverage and knowledge among students in Berlin, the largest city in Germany, to identify factors influencing HpV-vaccine uptake.Results: Between september and December 2010, 442 students completed the questionnaire (mean age 15.1; range 14-19). In total 281/442 (63.6%) students specified HpV correctly as a sexually transmitted infection. Of 238 participating girls, 161 (67.6%) provided their vaccination records. among these, 66 (41.0%) had received the recommended three HpVvaccine doses. Reasons for being HpV-unvaccinated were reported by 65 girls: Dissuasion from parents (40.2%), dissuasion from their physician (18.5%), and concerns about side-effects (30.8%) (multiple choices possible). The odds of being vaccinated increased with age [Odds Ratio (OR) 2.19, 95% confidence Interval (cI) 1.16, 4.15] and decreased with negative attitude toward vaccinations (OR = 0.33, 95% cI 0.13, 0.84).Methods: self-administered questionnaires were distributed to 10th grade school students in 14 participating schools in Berlin to assess socio-demographic characteristics, knowledge, and statements on vaccinations. Vaccination records were reviewed. Multivariable statistical methods were applied to identify independent predictors for HpV-vaccine uptake among female participants.Conclusions: HpV-vaccine uptake was low among school girls in Berlin. Both, physicians and parents were influential regarding their HpV-vaccination decision even though personal perceptions played an important role as well. school programs could be beneficial to improve knowledge related to HpV and vaccines, and to offer low-barrier access to HpV vaccination.Human papillomavirus vaccine uptake, knowledge and attitude among 10th grade students in Berlin, Germany, 2010 In Germany, a structured program for the evaluation and assessment of the impact...

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“…A meta-analysis of mainly North American studies has reported that young Black women are less likely to initiate HPV vaccination compared to young White women 37. In a pilot study carried out before the introduction of the HPV vaccine in the UK, uptake was lower in schools with greater ethnic diversity,38 39 and analyses of data from the first year of the vaccination programme (routine and ‘catch-up’ cohorts) also suggest that ethnicity is an important factor in understanding uptake in the UK 35. Research from the UK has also suggested that there is lower awareness and acceptability of the HPV vaccine among ethnic minority groups 40.…”

Section: Discussionmentioning

confidence: 99%

Predicting human papillomavirus vaccination behaviour among adolescent girls in England: results from a prospective survey

Bowyer

Forster

Marlow

2013

J Fam Plann Reprod Health Care

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Background To maximise the benefits of human papillomavirus (HPV) vaccination, uptake needs to be high. We examined psychosocial predictors of HPV vaccine uptake and the association between vaccine intention and uptake 1 year later in adolescent girls (aged 16-17 years) in England. Method Adolescent girls in the catch-up cohort were recruited from colleges in the South East of England in 2009 and 2010. Participants completed a questionnaire 6 months before (n=606) and 6 months after (n=214) being offered the vaccine, which assessed vaccine intention, vaccine uptake, demographics and attitudes based on the Health Belief Model and Theory of Planned Behaviour. Results A number of demographic and psychological factors, including intention, showed associations with vaccine uptake in univariable analyses. In multi-variable analyses, only ethnicity was independently associated with vaccine uptake. Participants from Black or 'Other' ethnic backgrounds were less likely to have received the HPV vaccine than White participants. Conclusions More research is needed to help understand variation in vaccine coverage between ethnic groups.

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Human papillomavirus vaccination and social inequality: results from a prospective cohort study

Cited by 64 publications

References 19 publications

Practice of HPV Vaccine and Associated Factors among School Girls in Melaka, Malaysia

Practice of HPV Vaccine and Associated Factors among School Girls in Melaka, Malaysia

Human papillomavirus vaccine uptake, knowledge and attitude among 10th grade students in Berlin, Germany, 2010

Predicting human papillomavirus vaccination behaviour among adolescent girls in England: results from a prospective survey

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