Are there any sociodemographic factors associated with non-uptake of HPV vaccination of girls in high-income countries with school-based vaccination programmes? A systematic review.

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Community Health Pub Date : 2024-12-22 DOI:10.1136/jech-2024-222488
Emily Dema, Roeann Osman, Kate Soldan, Nigel Field, Pam Sonnenberg
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Abstract

Background: Uptake of human papillomavirus (HPV) vaccination is generally high in high-income countries with school-based vaccination programmes; however, lower uptake in certain population subgroups could continue pre-immunisation inequalities in cervical cancer.

Methods: Six electronic databases were searched for quantitative articles published between 1 September 2006 and 20 February 2023, which were representative of the general population, with individual-level data on routine school-based vaccination (with >50% coverage) and sociodemographic measures. Titles, abstracts and full-text articles were screened for eligibility criteria and assessed for bias. A second independent reviewer randomly screened 20% of articles at each stage. A narrative synthesis summarised findings.

Results: 24 studies based in eight countries (Australia, Belgium, Canada, New Zealand, Norway, Sweden, Switzerland, UK) were included. Studies reported vaccination uptake by individual-level and area-level socioeconomic status (SES), parental education, religion, ethnicity and/or country of birth. 19 studies reported that more than 70% were vaccinated (range: 50.7%-93.0%). Minority ethnic groups and migrants were more likely to have lower vaccination uptake than White groups and non-migrants (11/11 studies). Lower SES was also associated with lower uptake of vaccination (11/17 studies). Associations with other sociodemographic characteristics, such as parental education and religion, were less clear.

Conclusions: Even in high-income countries with high coverage school-based vaccination programmes, inequalities are seen. The totality of available evidence suggests girls from lower SES and minority ethnic groups tend to be less likely to be vaccinated. Findings could inform targeted approaches to mop-up vaccination and cervical cancer screening amidst changing HPV epidemiology in a vaccine era.

Trial registration number: CRD42023399648.

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在以学校为基础的疫苗接种规划的高收入国家中,是否存在与女孩未接种HPV疫苗相关的任何社会人口因素?系统回顾。
背景:在拥有以学校为基础的疫苗接种规划的高收入国家,人乳头瘤病毒(HPV)疫苗接种率普遍较高;然而,某些人群亚组的低摄取可能会继续宫颈癌免疫前的不平等。方法:检索2006年9月1日至2023年2月20日期间发表的六个电子数据库的定量文章,这些文章具有一般人群的代表性,具有常规学校疫苗接种(覆盖率为50%)和社会人口学措施的个人层面数据。筛选标题、摘要和全文文章的资格标准并评估偏倚。第二个独立审稿人在每个阶段随机筛选20%的文章。叙述性综合总结了调查结果。结果:包括来自8个国家(澳大利亚、比利时、加拿大、新西兰、挪威、瑞典、瑞士和英国)的24项研究。研究报告了接种疫苗的个人水平和地区水平的社会经济地位(SES),父母教育,宗教,种族和/或出生国家。19项研究报告,超过70%的人接种了疫苗(范围:50.7%-93.0%)。与白人群体和非移民群体相比,少数民族群体和移民群体的疫苗接种率更低(11/11研究)。较低的社会经济地位也与较低的疫苗接种率相关(11/17项研究)。与其他社会人口特征的联系,如父母的教育和宗教信仰,则不太清楚。结论:即使在拥有高覆盖率学校疫苗接种规划的高收入国家,也存在不平等现象。现有的全部证据表明,来自社会经济地位较低和少数民族群体的女孩往往不太可能接种疫苗。研究结果可以在疫苗时代改变HPV流行病学的背景下,为有针对性的疫苗接种和宫颈癌筛查提供信息。试验注册号:CRD42023399648。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Epidemiology and Community Health
Journal of Epidemiology and Community Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.10
自引率
0.00%
发文量
100
审稿时长
3-6 weeks
期刊介绍: The Journal of Epidemiology and Community Health is a leading international journal devoted to publication of original research and reviews covering applied, methodological and theoretical issues with emphasis on studies using multidisciplinary or integrative approaches. The journal aims to improve epidemiological knowledge and ultimately health worldwide.
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