Bo Terning Hansen1, Suzanne Campbell2, Emily Burger3, Mari Nygård4. 1. Department of Research, Cancer Registry of Norway, Oslo, Norway. Electronic address: bo.terning.hansen@kreftregisteret.no. 2. Department of Research, Cancer Registry of Norway, Oslo, Norway. Electronic address: suzanne.campbell@kreftregisteret.noa. 3. Department of Health Management and Health Economics, University of Oslo, Oslo, Norway. Electronic address: emily.burger@medisin.uio.no. 4. Department of Research, Cancer Registry of Norway, Oslo, Norway. Electronic address: mari.nygard@kreftregisteret.no.
Abstract
OBJECTIVE: To assess demographic, socioeconomic and behavioural correlates of HPV vaccination of preadolescent girls in a publicly funded, school-based vaccination programme. METHODS: Data for all Norwegian girls born 1997-1999, eligible for routine school-based HPV vaccination in 2009-2011 (n=90,842), and their registered mother and father, were merged from national registries. Correlates of girl vaccination status were analysed by unadjusted and multivariable logistic regression. RESULTS: In total, 78.2% of the girls received the first dose of the HPV vaccine, 74.6% received three doses, and 94.8% received the MMR vaccine. Correlates associated with initiation of HPV vaccination included parental age, income and education, maternal occupational status and cervical screening attendance, and girl receipt of the MMR vaccine. Rates of completion of HPV vaccination among initiators were high, and disparities in completion were negligible. Maternal and paternal correlates of daughter HPV vaccination status were similar. CONCLUSIONS: Routine school-based vaccination generally provides equitable delivery, yet some disparities exist. Information campaigns designed to reach the sub-groups with relatively low vaccine uptake could reduce disparities. In none of the sub-groups investigated did uptake of the HPV vaccine approach that of the MMR vaccine, further demonstrating a general potential for improvement in HPV vaccine uptake.
OBJECTIVE: To assess demographic, socioeconomic and behavioural correlates of HPV vaccination of preadolescent girls in a publicly funded, school-based vaccination programme. METHODS: Data for all Norwegian girls born 1997-1999, eligible for routine school-based HPV vaccination in 2009-2011 (n=90,842), and their registered mother and father, were merged from national registries. Correlates of girl vaccination status were analysed by unadjusted and multivariable logistic regression. RESULTS: In total, 78.2% of the girls received the first dose of the HPV vaccine, 74.6% received three doses, and 94.8% received the MMR vaccine. Correlates associated with initiation of HPV vaccination included parental age, income and education, maternal occupational status and cervical screening attendance, and girl receipt of the MMR vaccine. Rates of completion of HPV vaccination among initiators were high, and disparities in completion were negligible. Maternal and paternal correlates of daughter HPV vaccination status were similar. CONCLUSIONS: Routine school-based vaccination generally provides equitable delivery, yet some disparities exist. Information campaigns designed to reach the sub-groups with relatively low vaccine uptake could reduce disparities. In none of the sub-groups investigated did uptake of the HPV vaccine approach that of the MMR vaccine, further demonstrating a general potential for improvement in HPV vaccine uptake.
Authors: Francesco Venturelli; Flavia Baldacchini; Cinzia Campari; Cinzia Perilli; Maria Grazia Pascucci; Alba Carola Finarelli; Luigi Moscara; Paolo Giorgi Rossi Journal: BMJ Open Date: 2017-09-25 Impact factor: 2.692
Authors: Maureen Sanderson; Juan R Canedo; Dineo Khabele; Mary K Fadden; Cynthia Harris; Katina Beard; Marilyn Burress; Helen Pinkerton; Cynthia Jackson; Tilicia Mayo-Gamble; Margaret K Hargreaves; Pamela C Hull Journal: BMC Public Health Date: 2017-02-02 Impact factor: 3.295
Authors: Carmen H Logie; Ashley Lacombe-Duncan; Philip Baiden; Peter A Newman; Suchon Tepjan; Clara Rubincam; Nick Doukas; Farid Asey Journal: BMJ Open Date: 2018-04-20 Impact factor: 2.692