Will vaccinated women attend cervical screening? A population based survey of human papillomavirus vaccination and cervical screening among young women in Victoria, Australia

2012 ◽  
Vol 36 (3) ◽  
pp. 298-302 ◽  
Author(s):  
Julia M.L. Brotherton ◽  
Robyn M. Mullins
Sexual Health ◽  
2010 ◽  
Vol 7 (3) ◽  
pp. 291 ◽  
Author(s):  
Julia M. L. Brotherton ◽  
Julie Leask ◽  
Cath Jackson ◽  
Kirsten McCaffery ◽  
Lyndal J. Trevena

Background: Between 2007 and 2009, Australian general practitioners (GPs) were involved in implementing a population-based human papillomavirus (HPV) vaccination program. We investigated GPs’ experiences of delivering the HPV vaccine to women aged 18–26. Methods: We posted a survey to 1000 GPs. The survey was informed by 12 domains incorporating constructs from psychological theories that focus on individual and environmental barriers and facilitators to effective implementation of evidence-based practice by health professionals. Results: The response rate was 32%. The 298 vaccinating GPs were positive about HPV vaccine implementation as part of their professional role as a worthwhile initiative within existing general practice infrastructure. They had more negative views about some aspects of program organisation, such as the timelines and potential adverse impacts on cervical screening rates. Vaccine safety was not a key concern. Actual levels of knowledge about HPV were moderate (mean score 3.41 out of 6 (s.d. 0.99)) and contrasted with self-rated knowledge, which was high (93% perceived their knowledge to be adequate). Notably, there were unrealistic expectations about the likely reduction in Pap abnormalities due to vaccination, which is important to clarify to avoid loss of confidence in the vaccine when this reduction does not eventuate. Conclusions: Australian GPs viewed HPV vaccination of women aged 18–26 years as an integrated part of their routine practice, with positive attitudes regarding its benefits and achievability. GPs are well placed to implement mass immunisation programs as long as they are supported by effective and timely communication strategies and resources.


Sexual Health ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 190 ◽  
Author(s):  
Julia M. L. Brotherton ◽  
Leonard S. Piers ◽  
Loretta Vaughan

Background Adult Australian women aged 18 to 26 years were offered human papillomavirus (HPV) vaccine in a mass catch up campaign between 2007 and 2009. Not all doses administered were notified to Australia’s HPV vaccine register and not all young women commenced or completed the vaccine course. Methods: We surveyed vaccine age-eligible women as part of the Victorian Population Health Survey 2011–2012, a population based telephone survey, to ascertain self-reported vaccine uptake and reasons for non-vaccination or non-completion of vaccination among young women resident in the state of Victoria, Australia. Results: Among 956 women surveyed, 62.3 per cent (57.8–66.6%) had been vaccinated against HPV and coverage with three doses was estimated at 53.7 per cent (49.1–58.2%). These estimates are higher than register-based estimates for the same cohort, which were 57.8 per cent and 37.2 per cent respectively. A lack of awareness about needing three doses and simply forgetting, rather than fear or experience of side effects, were the most common reasons for failure to complete all three doses. Among women who were not vaccinated, the most frequent reasons were not knowing the vaccine was available, perceiving they were too old to benefit, or not being resident in Australia at the time. Conclusions: It is likely that at least half of Victoria’s young women were vaccinated during the catch-up program. This high level of coverage is likely to explain the marked reductions in HPV infection, genital warts and cervical disease already observed in young women in Victoria.


2021 ◽  
pp. 1-8
Author(s):  
Alexandra Wide ◽  
Lena Wettergren ◽  
Johan Ahlgren ◽  
Karin E. Smedby ◽  
Kristina Hellman ◽  
...  

2018 ◽  
Vol 29 (10) ◽  
pp. 927-936 ◽  
Author(s):  
Madina Agénor ◽  
Sarah Abboud ◽  
Jazmine Garcia Delgadillo ◽  
Ashley E. Pérez ◽  
Sarah M. Peitzmeier ◽  
...  

2005 ◽  
Vol 92 (9) ◽  
pp. 1800-1802 ◽  
Author(s):  
N W J Bulkmans ◽  
L Rozendaal ◽  
F J Voorhorst ◽  
P J F Snijders ◽  
C J L M Meijer

2015 ◽  
Vol 25 (6) ◽  
pp. 1097-1100 ◽  
Author(s):  
Angela M. Spencer ◽  
Stephen A. Roberts ◽  
Arpana Verma ◽  
Julietta Patnick ◽  
Peter Elton ◽  
...  

2021 ◽  
Vol 2 (2) ◽  
pp. 85-93
Author(s):  
Suzanne Audrey ◽  
Karen Evans ◽  
Michelle Farr ◽  
Joanne Ferrie ◽  
Julie Yates ◽  
...  

Background The requirement for written parental consent for school-based human papillomavirus vaccination programme in England can act as a barrier to uptake for some young women, with the potential to exacerbate health inequities. Aims To consider the practicalities and implications of implementing new consent procedures, including parental telephone consent and adolescent self-consent, in two local authority areas in the southwest of England. Methods Digitally recorded, semi-structured interviews were conducted with 53 participants, including immunisation nurses, school staff, young people, and parents. All interviews were fully transcribed and thematic analysis was undertaken. Results Parental telephone consent was welcomed by the immunisation nurses, parents, and young women in the study. Adolescent self-consent was rare. Greater understanding of the barriers to uptake outside of mainstream school-based sessions is needed to further address inequalities in uptake. Conclusions The new procedures generally worked well but some important barriers to vaccination uptake remain.


Sign in / Sign up

Export Citation Format

Share Document