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Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review

BACKGROUND: In high-income countries, substantial differences exist in vaccine uptake relating to socioeconomic status, gender, ethnic group, geographic location and religious belief. This paper updates a 2009 systematic review on effective interventions to decrease vaccine uptake inequalities in li...

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Autores principales: Crocker-Buque, Tim, Edelstein, Michael, Mounier-Jack, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256276/
https://www.ncbi.nlm.nih.gov/pubmed/27535769
http://dx.doi.org/10.1136/jech-2016-207572
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author Crocker-Buque, Tim
Edelstein, Michael
Mounier-Jack, Sandra
author_facet Crocker-Buque, Tim
Edelstein, Michael
Mounier-Jack, Sandra
author_sort Crocker-Buque, Tim
collection PubMed
description BACKGROUND: In high-income countries, substantial differences exist in vaccine uptake relating to socioeconomic status, gender, ethnic group, geographic location and religious belief. This paper updates a 2009 systematic review on effective interventions to decrease vaccine uptake inequalities in light of new technologies applied to vaccination and new vaccine programmes (eg, human papillomavirus in adolescents). METHODS: We searched MEDLINE, Embase, ASSIA, The Campbell Collaboration, CINAHL, The Cochrane Database of Systematic Reviews, Eppi Centre, Eric and PsychINFO for intervention, cohort or ecological studies conducted at primary/community care level in children and young people from birth to 19 years in OECD countries, with vaccine uptake or coverage as outcomes, published between 2008 and 2015. RESULTS: The 41 included studies evaluated complex multicomponent interventions (n=16), reminder/recall systems (n=18), outreach programmes (n=3) or computer-based interventions (n=2). Complex, locally designed interventions demonstrated the best evidence for effectiveness in reducing inequalities in deprived, urban, ethnically diverse communities. There is some evidence that postal and telephone reminders are effective, however, evidence remains mixed for text-message reminders, although these may be more effective in adolescents. Interventions that escalated in intensity appeared particularly effective. Computer-based interventions were not effective. Few studies targeted an inequality specifically, although several reported differential effects by the ethnic group. CONCLUSIONS: Locally designed, multicomponent interventions should be used in urban, ethnically diverse, deprived populations. Some evidence is emerging for text-message reminders, particularly in adolescents. Further research should be conducted in the UK and Europe with a focus on reducing specific inequalities.
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spelling pubmed-52562762017-01-25 Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review Crocker-Buque, Tim Edelstein, Michael Mounier-Jack, Sandra J Epidemiol Community Health Review BACKGROUND: In high-income countries, substantial differences exist in vaccine uptake relating to socioeconomic status, gender, ethnic group, geographic location and religious belief. This paper updates a 2009 systematic review on effective interventions to decrease vaccine uptake inequalities in light of new technologies applied to vaccination and new vaccine programmes (eg, human papillomavirus in adolescents). METHODS: We searched MEDLINE, Embase, ASSIA, The Campbell Collaboration, CINAHL, The Cochrane Database of Systematic Reviews, Eppi Centre, Eric and PsychINFO for intervention, cohort or ecological studies conducted at primary/community care level in children and young people from birth to 19 years in OECD countries, with vaccine uptake or coverage as outcomes, published between 2008 and 2015. RESULTS: The 41 included studies evaluated complex multicomponent interventions (n=16), reminder/recall systems (n=18), outreach programmes (n=3) or computer-based interventions (n=2). Complex, locally designed interventions demonstrated the best evidence for effectiveness in reducing inequalities in deprived, urban, ethnically diverse communities. There is some evidence that postal and telephone reminders are effective, however, evidence remains mixed for text-message reminders, although these may be more effective in adolescents. Interventions that escalated in intensity appeared particularly effective. Computer-based interventions were not effective. Few studies targeted an inequality specifically, although several reported differential effects by the ethnic group. CONCLUSIONS: Locally designed, multicomponent interventions should be used in urban, ethnically diverse, deprived populations. Some evidence is emerging for text-message reminders, particularly in adolescents. Further research should be conducted in the UK and Europe with a focus on reducing specific inequalities. BMJ Publishing Group 2017-01 2016-08-17 /pmc/articles/PMC5256276/ /pubmed/27535769 http://dx.doi.org/10.1136/jech-2016-207572 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Review
Crocker-Buque, Tim
Edelstein, Michael
Mounier-Jack, Sandra
Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title_full Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title_fullStr Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title_full_unstemmed Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title_short Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
title_sort interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5256276/
https://www.ncbi.nlm.nih.gov/pubmed/27535769
http://dx.doi.org/10.1136/jech-2016-207572
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