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Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation

In Italy, the Human Papillomavirus (HPV) vaccination was implemented for twelve years old girls in 2007, but its coverage was lower than the recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, with a value of 59% for those born in 1996 increasing t...

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Autores principales: Restivo, Vincenzo, Costantino, Claudio, Fazio, Tiziana Francesca, Casuccio, Nicolò, D’Angelo, Claudio, Vitale, Francesco, Casuccio, Alessandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923812/
https://www.ncbi.nlm.nih.gov/pubmed/29673135
http://dx.doi.org/10.3390/ijerph15040770
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author Restivo, Vincenzo
Costantino, Claudio
Fazio, Tiziana Francesca
Casuccio, Nicolò
D’Angelo, Claudio
Vitale, Francesco
Casuccio, Alessandra
author_facet Restivo, Vincenzo
Costantino, Claudio
Fazio, Tiziana Francesca
Casuccio, Nicolò
D’Angelo, Claudio
Vitale, Francesco
Casuccio, Alessandra
author_sort Restivo, Vincenzo
collection PubMed
description In Italy, the Human Papillomavirus (HPV) vaccination was implemented for twelve years old girls in 2007, but its coverage was lower than the recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, with a value of 59% for those born in 1996 increasing to 62% coverage for those born in 1999. The aim of the study was to investigate factors associated with the refusal of HPV vaccination among young adult women of Palermo, Italy. The study was approved by the Ethics Committee of the Policlinico “Paolo Giaccone” Hospital (Palermo 1) and the questionnaire was validated in a convenience sample representing 10% of the young women. A cross-sectional study was conducted through the administration of a telephone questionnaire, consisting of 23 items on HPV infection and vaccination knowledge based on the Health Belief Model framework. The eligible population were young women (18–21 years old) who had at least a vaccination among all included in the Sicilian vaccination schedule, without starting or completing HPV vaccination. Overall, 141 young women were enrolled (response rate 22%). Among them, 84.4% were unvaccinated and 15.6% had at least one dose of the HPV vaccine. In multivariate analysis, the factors associated with the refusal of the HPV vaccination were a bachelor’s as the education level (OR = 10.2, p = 0.041), lower participation at school seminar on HPV (OR = 0.2, p = 0.047) and lower perception of HPV vaccine benefits (OR = 0.4, p = 0.048). Public health educational program focusing and tailored on benefits perception of HPV vaccine and HPV disease severity, carried out at school or during medical visits, can be useful to improve HPV vaccination uptake.
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spelling pubmed-59238122018-05-03 Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation Restivo, Vincenzo Costantino, Claudio Fazio, Tiziana Francesca Casuccio, Nicolò D’Angelo, Claudio Vitale, Francesco Casuccio, Alessandra Int J Environ Res Public Health Article In Italy, the Human Papillomavirus (HPV) vaccination was implemented for twelve years old girls in 2007, but its coverage was lower than the recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, with a value of 59% for those born in 1996 increasing to 62% coverage for those born in 1999. The aim of the study was to investigate factors associated with the refusal of HPV vaccination among young adult women of Palermo, Italy. The study was approved by the Ethics Committee of the Policlinico “Paolo Giaccone” Hospital (Palermo 1) and the questionnaire was validated in a convenience sample representing 10% of the young women. A cross-sectional study was conducted through the administration of a telephone questionnaire, consisting of 23 items on HPV infection and vaccination knowledge based on the Health Belief Model framework. The eligible population were young women (18–21 years old) who had at least a vaccination among all included in the Sicilian vaccination schedule, without starting or completing HPV vaccination. Overall, 141 young women were enrolled (response rate 22%). Among them, 84.4% were unvaccinated and 15.6% had at least one dose of the HPV vaccine. In multivariate analysis, the factors associated with the refusal of the HPV vaccination were a bachelor’s as the education level (OR = 10.2, p = 0.041), lower participation at school seminar on HPV (OR = 0.2, p = 0.047) and lower perception of HPV vaccine benefits (OR = 0.4, p = 0.048). Public health educational program focusing and tailored on benefits perception of HPV vaccine and HPV disease severity, carried out at school or during medical visits, can be useful to improve HPV vaccination uptake. MDPI 2018-04-17 2018-04 /pmc/articles/PMC5923812/ /pubmed/29673135 http://dx.doi.org/10.3390/ijerph15040770 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Restivo, Vincenzo
Costantino, Claudio
Fazio, Tiziana Francesca
Casuccio, Nicolò
D’Angelo, Claudio
Vitale, Francesco
Casuccio, Alessandra
Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title_full Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title_fullStr Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title_full_unstemmed Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title_short Factors Associated with HPV Vaccine Refusal among Young Adult Women after Ten Years of Vaccine Implementation
title_sort factors associated with hpv vaccine refusal among young adult women after ten years of vaccine implementation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5923812/
https://www.ncbi.nlm.nih.gov/pubmed/29673135
http://dx.doi.org/10.3390/ijerph15040770
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