期刊
JOURNAL OF PUBLIC HEALTH
卷 36, 期 1, 页码 36-45出版社
OXFORD UNIV PRESS
DOI: 10.1093/pubmed/fdt042
关键词
adolescent health; HPV vaccine; inequalities; school-based; United Kingdom
资金
- UKCRC public health centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
- British Heart Foundation
- Cancer Research UK
- Economic and Social Research Council [RES-590-28-0005]
- Medical Research Council
- Welsh Assembly Government
- Wellcome Trust under UK Clinical Research Collaboration [WT087640MA]
- Economic and Social Research Council [ES/G007543/1, 1118387] Funding Source: researchfish
- Medical Research Council [MR/K006525/1] Funding Source: researchfish
- ESRC [ES/G007543/1] Funding Source: UKRI
- MRC [MR/K006525/1] Funding Source: UKRI
Although uptake of Human Papillomavirus (HPV) vaccine is high in the United Kingdom, it is unknown whether the programme has been delivered equitably by ethnicity or deprivation. This study aimed to investigate factors associated with HPV vaccine initiation and completion within the routine HPV vaccination programme in the South West of England. Data were retrieved for young women eligible for routine vaccination from 2008/09 to 2010/11 from three Primary Care Trusts (PCTs)/local authorities. Multivariable logistic regression models were developed to examine factors associated with uptake of HPV vaccination. Of 14 282 eligible young women, 12 658 (88.6) initiated, of whom 11 725 (92.6) completed the course. Initiation varied by programme year (86.589.6) and PCTs/local authorities (84.891.6). There was strong evidence for an overall difference of initiation by ethnicity (P 0.001), but not deprivation quintile (P 0.48). Young women educated in non-mainstream educational settings were less likely to initiate and, if initiated, less likely to complete (both P 0.001). HPV vaccination uptake did not vary markedly by social deprivation. However, associations with ethnicity and substantially lower uptake in non-mainstream educational settings were observed. Research to identify reasons for low vaccine uptake in these population groups is required.
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