Impact of school-based educational interventions in middle adolescent populations (15-17yrs) on human papillomavirus (HPV) vaccination uptake and perceptions/knowledge of HPV and its associated cancers: A systematic review

Flood, Terri; Wilson, Iseult M.; Prue, Gillian; McLaughlin, Marian; Hughes, Ciara

doi:10.1016/j.ypmed.2020.106168

Cited by 29 publications

(46 citation statements)

References 62 publications

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“…Women with a higher number of children had 1.32 times higher likelihood to be willing to vaccinate a child against HPV, while with each point increase in the vaccine knowledge score, the likelihood for willingness to vaccinate increased by 64%. These results also strengthen the importance of adequate educational programs and as multiple previous studies have shown [ 7 , 26 ] higher knowledge on the vaccine can significantly improve the likelihood for vaccination.…”

Section: Discussionsupporting

confidence: 78%

“…Around three-quarters of all cases of cervical cancer, along with a significant proportion of all cases of anal, vulva, vaginal, penile, and cancer of oropharynx, are associated with an HPV infection with types 16 and 18, which are part of all HPV vaccines. The vaccination provides significant public health possibilities for primary prevention of the disease and the reduction of HPV prevalence is considered as one of the public health priorities globally [ 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

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Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Viruses

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We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50–11.29) and male (OR = 3.71, 95% CI 1.52–9.01) child. The number of children (OR = 1.32, 95% CI 1.04–1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13–2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Viruses

View full text Add to dashboard Cite

show abstract

“…Women with a higher number of children had 1.32 times higher likelihood to be willing to vaccinate a child against HPV, while with each point increase in the vaccine knowledge score, the likelihood for willingness to vaccinate increased by 64%. These results also strengthen the importance of adequate educational programs and as multiple previous studies have shown [7,25] higher knowledge on the vaccine can significantly improve the likelihood for vaccination.…”

Section: Discussionsupporting

confidence: 73%

“…Around three-quarters of all cases of cervical cancer, along with a significant proportion of all cases of anal, vulva, vaginal, penile, and cancer of oropharynx, are associated with an HPV infection with types 16 and 18, that are part of all HPV vaccines. The vaccination provides significant public health possibilities for primary prevention of the disease and the reduction of HPV prevalence is considered as one of the public health priorities globally [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate Among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Marković-Denić

Milicević

Todorović

et al. 2021

Preprint

View full text Add to dashboard Cite

We aimed to assess awareness, knowledge, and attitudes of healthy pregnant women towards human papillomavirus (HPV), to estimate factors associated with a positive attitude towards HPV immunization and to assess the uptake of the vaccine among their children. A cross-sectional study was conducted at the University Clinic of Gynecology and Obstetrics, Belgrade, Serbia among pregnant women attending their regular gynecological check-ups at the 12th gestational week. Knowledge about HPV and HPV vaccine was assessed using a specifically designed 12-item and 5-item questionnaires. Out of total 265 included women, 79.3% had heard of HPV, and 37.5% knew that HPV vaccine exists. HPV vaccine knowledge score was associated with higher odds for a positive attitude towards vaccination of both female (OR = 4.10, 95% CI 1.50-11.29) and male (OR = 3.71, 95% CI 1.52-9.01) child. The number of children (OR = 1.32, 95% CI 1.04-1.67) and high vaccine knowledge score (OR = 1.64 95% CI 1.13-2.39) were independent predictors associated with willingness to vaccinate child against HPV. The gynecologist was the preferable point of reference for information seeking about the HPV vaccine. Despite relatively high HPV awareness and knowledge among pregnant women in Serbia, about one-third of them are HPV vaccine aware, and are willing to vaccinate their children against HPV.

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“…School-based delivery of these vaccination programmes have made a substantial contribution [8] , especially as adolescent populations in general have low rates of visits to primary care [6] . For example, with the HPV roll-out, the UK statistics of pre-pandemic uptake for both doses was between 82 and 87% [9] , likely to be significantly higher than if delivered in other locations [10] . Most school-based programmes rely on the consent of a competent child and/or the consent of one parent, and providers will usually be reluctant to immunise if either party refuses [11] .…”

Section: Introductionmentioning

confidence: 99%

Willingness of children and adolescents to have a COVID-19 vaccination: Results of a large whole schools survey in England

et al. 2021

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Background Vaccine hesitancy has affected COVID-19 adult vaccination programs in many countries. Data on hesitancy amongst child and adolescent populations is largely confined to parent opinion. We investigated the characteristics of vaccine hesitant children and adolescents using results from a large, school-based self-report survey of the willingness to have a COVID-19 vaccination in students aged 9 –18 years in England. Methods Data from the OxWell Student Survey on mental health, life experiences and behaviours were used, collected from four counties across England. Local authority partners recruited schools. The vaccine hesitancy question gave six response options and were clustered to inform delivery: eager and willing were categorised as vaccination ‘opt-in’, don't know and not bothered categorised as ‘undecided’, and unwilling and anti-vaccination categorised as ‘opt-out’. We conducted a multinomial regression to determine associations between vaccine hesitancy and sociodemographic, health behaviour and social connection variables. Findings 27,910 students from 180 schools answered the vaccine hesitancy question between 14th May and 21st July 2021, of whom 13984 (50.1%) would opt-in to take a vaccination, 10322 (37.0%) were undecided, and 3604 (12.9%) would opt-out. A lower percentage of younger students reported that they would opt-in to vaccination, for example, 35.7% of 9-year-olds and 51.3% of 13-year-olds compared to 77.8% of 17-year-olds would opt-in to take a vaccination. Students who were ‘opt-out’ or ‘undecided’ (a combined ‘vaccine hesitant’ group) were more likely to come from deprived socioeconomic contexts with higher rates of home rental versus home ownership and their school locations were more likely to be in areas of greater deprivation. They were more likely to smoke or vape, spend longer on social media, feel that they did not belong in their school community but had lower levels of anxiety and depression. The vaccine hesitant students- the undecided and opt-out groups- were similar in profile, although the opt-out students had higher reported confirmed or probable previous COVID-19 infection than the opt-in group, whereas those undecided, did not. Interpretation If government vaccination strategies move towards vaccinating younger school-aged students, efforts to increase vaccination uptake may be necessary. Compared with students who would opt-in, those who were vaccine hesitant had greater indicators of social deprivation and felt a lack of community cohesion by not feeling a sense of belonging at their school. There were indications that those students who would opt-out had higher levels of marginalisation and mistrust. If programmes are rolled out, focus on hesitant younger students will be important, targeting more marginalised and deprived young people with information from trusted sources utilising social media; improving access to vaccination centres with provision both in a...

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Impact of school-based educational interventions in middle adolescent populations (15-17yrs) on human papillomavirus (HPV) vaccination uptake and perceptions/knowledge of HPV and its associated cancers: A systematic review

Cited by 29 publications

References 62 publications

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Uptake of Human Papillomavirus Vaccine and Intention to Vaccinate Among Healthy Pregnant Women in Serbia: A Cross-Sectional Study on Awareness, Knowledge, and Attitudes

Willingness of children and adolescents to have a COVID-19 vaccination: Results of a large whole schools survey in England

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