Vaccination Coverage in 14-Year-Old Adolescents: Documentation, Timeliness, and Sociodemographic Determinants

Vandermeulen, Corinne; Roelants, Mathieu; Theeten, Heidi; Depoorter, Anne-Marie; Damme, Pierre Van; Hoppenbrouwers, Karel

doi:10.1542/peds.2007-1415

Cited by 53 publications

(47 citation statements)

References 17 publications

(16 reference statements)

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“…Children whose mother had graduated from university had significantly more caries and reportedly brushed less frequently than their peers whose mother had obtained a college degree. Similar findings were reported earlier in Flanders regarding the vaccination coverage of adolescents: children of parents with a higher educational degree showed a better vaccination coverage, except for those whose parents have a university degree [34]. Further analyses indicate that this can not be attributed to differences in mean attendance level of consultations at the well-baby clinics between parents with a college and parents with a university degree.…”

Section: Discussionsupporting

confidence: 88%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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Abstract.This study aims to investigate the social gradient in the reported oral health-related behaviour and oral health status of preschool children. Participants were 1,057 children born between October 2003 and July 2004 in Flanders, Belgium. Oral health examinations were performed by trained dentists when the children were three and five years old (respectively in 2007 and 2009); data on dietary habits, oral hygiene habits and dental attendance of the children were obtained through structured questionnaires completed by the parents. Maternal educational level, measured in four categories, was used as a proxy of socio-economic status. Logistic and ordinal regressions showed a social gradient for the oral health-related behaviours: a lower educational level of the mother was related to a higher consumption of sugared drinks between meals and to a lower brushing frequency and dental attendance of the child. Children from low-educated mothers also had seven times more chance to present with caries experience than children from mothers with a bachelor degree. Contrary to the expectations, there was a deviation from the gradient in three-year-olds from the highest educational group showing an increased risk for caries experience (OR=3.84, 95% CI=1.08-13.65). Conclusion. Already in very young children, a graded relationship is observed between socio-economic position, oral health and related behaviours. The results suggest that different approaches are required to promote oral health during early childhood depending on the mother's educational background. As children from the highest social group also have an increased caries risk, specific techniques may be needed.2

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Section: Discussionsupporting

confidence: 88%

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

et al. 2012

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“…Parents who do not return questionnaires may also be less responsive to a vaccine invitation. A recent study of 14-year-old Belgian adolescents reported lower general vaccine coverage rates for children of single, divorced parents and larger families (X4 children) (Vandermeulen et al, 2008). The sample did include active refusers (7% of the sample compared with 8% of the population) who tend to be better educated and may hold strong beliefs, but we do not have any information about those who did not respond to the vaccine invitation, and more work is required to understand this group.…”

Section: Discussionmentioning

confidence: 97%

Parental attitudes and information needs in an adolescent HPV vaccination programme

et al. 2008

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We sent a questionnaire to 38% (1084) of 2817 parents whose daughters had been offered human papillomavirus vaccination and who had agreed to participate. Of these, 60% (651) returned a questionnaire. Responses suggested that fact sheets and parent information evenings confirmed, rather than changed, consent decisions. The views of active refusers on safety and efficacy may be difficult to change, lowering vaccine coverage. British Journal of Cancer (2008Cancer ( ) 99, 1908Cancer ( -1911 In the United Kingdom, routine human papillomavirus (HPV) vaccination for 12 -13-year-old girls to prevent cervical cancer has begun. The highest possible vaccine uptake is required to achieve maximum impact on future cancer incidence and to ensure cost effectiveness (Goldhaber-Fiebert et al, 2008). Two parental acceptability studies in the UK anticipated an uptake of about 80% (Brabin et al, 2006;Marlow et al, 2007a), which would be similar to the coverage achieved by the cervical screening programme. As those girls who are not vaccinated may include some who would not take advantage of future cervical screening, reducing non-acceptance is important (Jit et al, 2008).A school-based programme increases the possibility of high coverage, but the acceptability of vaccinating adolescents against a sexually transmitted infection remains uncertain, and the general public is relatively uninformed, or even misinformed, about cervical cancer and its prevention (Friedman and Shepheard, 2007;Marlow et al, 2007b). We assessed vaccine acceptability in a feasibility study ahead of the national vaccine programme. Two primary care trusts (PCTs) in Greater Manchester that offered Cervarix (GlaxoSmithKline, Rixensart, Belgium) to girls attending 36 secondary schools achieved a 71% uptake of the first HPV vaccine dose . Here we present the results of a parental questionnaire survey shortly after the second dose, which focussed on factors that had influenced the parents' vaccine decision and included a small group of respondents who had declined vaccination. MATERIALS AND METHODSThe North Manchester NHS Research Ethics Committee approved the study. Cervarix was offered at 0, 1 and 6 months to 2817 girls aged 12 -13 years between October 2007 and July 2008 . In the covering letter, parents were informed that the funding source was GlaxoSmithKline and that Cervarix was one of two licensed vaccines; it explained that the vaccine for the future national immunisation programme and the policy for vaccinating older girls had not yet been determined. Parents received information about cervical cancer and the vaccine, a flier summarising the content of an educational film for girls (Vallely et al, 2008), details of parent evenings and a separate consent form for the follow-up research questionnaire. Information evenings provided an overview of HPV vaccines and the study aims; the educational film was shown, followed by a question and answer session facilitated either by school nurses or by a consultant in communicable diseases.Primary care trusts forwarded...

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“…A 2005 survey, conducted in the Flemish Region, revealed a minimal coverage estimate for all 3 doses of hepatitis B vaccine of 76% among 12-year-old adolescents [36] . Data from a similar retrospective survey performed in 2008 indicates even 90% hepatitis B vaccine coverage in 11-to 12-yearold adolescents [P.V.D., pers.…”

Section: How To Maximize Effectiveness Of Cervical Cancer Prevention mentioning

confidence: 99%

Introduction of Human Papillomavirus Vaccination in Belgium, Luxembourg and the Netherlands

Arbyn

Simoens

Damme

et al. 2010

Gynecol Obstet Invest

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Aims: To document progress with human papillomavirus (HPV) vaccine introduction in three closely related European countries, one with organized (the Netherlands) and two with opportunistic cervical cancer screening (Belgium and Luxembourg). Methods: Experts involved in cervical cancer screening and national immunization programs from the three countries were contacted to provide information on the decision-making process concerning the introduction of HPV vaccine. Sales statistics were obtained from Intercontinental Marketing Services. Results: Advisory boards in all three countries advised organized HPV vaccination of girls of 12 years with variable catch-up policies. In Belgium, the national health authority partially reimburses the HPV vaccine for girls of 12–15 years (recently extended until 18 years). In Luxembourg, 12-year-old girls are invited for free vaccination, but the HPV vaccine is also free of charge for female adolescents of 13–17 years. The number of vaccines reimbursed in Belgium in December 2007 to May 2008 corresponds with the amount required to fully vaccinate 29% of the female population aged 12–15 years. In Luxembourg, between March and November 2008, the immunization program delivered a quantity of HPV vaccines which theoretically covered 29% of females aged 12–17 years. In the Netherlands, nationwide HPV vaccination of girls of 12 years will start in September 2009. The sales of HPV vaccines (all ages combined) were by far the lowest in the Netherlands. Conclusion: Up to the end of 2008, HPV vaccination efforts reached less than a third of the target population in Belgium and Luxembourg. If the latest trend continues, the current policy is expected to reach to most half of the target population. Well-planned introduction of vaccination combined with an organized screening program and active surveillance are crucial for the program to achieve and monitor its desired aims. Such surveillance should include linkage between vaccination, screening and cancer registries.

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Vaccination Coverage in 14-Year-Old Adolescents: Documentation, Timeliness, and Sociodemographic Determinants

Abstract: Insufficient documentation is a major barrier in this vaccination coverage study. More attention should go to those with the lowest coverage rates, such as adolescents from large families, with separated parents, and with a lower socioeconomic background.

Cited by 53 publications

References 17 publications

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Oral health and oral health-related behaviour in preschool children: evidence for a social gradient

Parental attitudes and information needs in an adolescent HPV vaccination programme

Introduction of Human Papillomavirus Vaccination in Belgium, Luxembourg and the Netherlands

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