Cargando…
Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program
BACKGROUND: Since March 2014, the quadrivalent HPV vaccine has been incorporated into the Brazilian Unified Health Care System and began to be offered, without direct costs, for girls from 9 to 13 years of age. Older female adolescents would have the option to be vaccinated at private health care sy...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137475/ https://www.ncbi.nlm.nih.gov/pubmed/32252705 http://dx.doi.org/10.1186/s12889-020-08561-4 |
_version_ | 1783518434640789504 |
---|---|
author | Faisal-Cury, Alexandre Levy, Renata Bertazzi Tourinho, Maria Fernanda Grangeiro, Alexandre Eluf-Neto, José |
author_facet | Faisal-Cury, Alexandre Levy, Renata Bertazzi Tourinho, Maria Fernanda Grangeiro, Alexandre Eluf-Neto, José |
author_sort | Faisal-Cury, Alexandre |
collection | PubMed |
description | BACKGROUND: Since March 2014, the quadrivalent HPV vaccine has been incorporated into the Brazilian Unified Health Care System and began to be offered, without direct costs, for girls from 9 to 13 years of age. Older female adolescents would have the option to be vaccinated at private health care system being responsible for the payment of HPV vaccine. The present study aimed to evaluate the coverage rates and predictors of HPV vaccination in Brazil among two groups of female adolescents: eligible and non-eligible for the HPV vaccination public program. METHODS: We used data from the 2015 Brazilian National Adolescent School-Based Health Survey, which involved a probabilistic sample of 5404 female adolescents students at public and private schools. Using a questionnaire, we gathered information on sociodemographic characteristics, sexual behavior, and respondent perception of parental supervision and have been vaccinated for HPV. Age-specific vaccination rates were analyzed in girls aged 9 to 13 at the time of public vaccination (eligible for public policy), as well among those 14 to 17 years old not eligible by the Ministry of Health for vaccination. We used Poisson regression models to investigate associated factors. RESULTS: HPV vaccine coverage was 83.5 and 21.8% among eligible and non-eligible populations, respectively. In both populations, the chance of being vaccinated decreased with older age. In the eligible population there is a greater chance of being vaccinated among ethnic group “pardas” but not with other indicators of socioeconomic status. In the non-eligible population, there was a clear association between higher vaccine coverage and greater maternal education and living with the mother. CONCLUSION: Our findings highlight the importance of public policies to minimize inequities in access to cancer prevention measures in vulnerable adolescents. A public policy of HPV vaccination for older female adolescents would increase coverage with possible reduction of HPV-related diseases in this group of women. |
format | Online Article Text |
id | pubmed-7137475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-71374752020-04-11 Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program Faisal-Cury, Alexandre Levy, Renata Bertazzi Tourinho, Maria Fernanda Grangeiro, Alexandre Eluf-Neto, José BMC Public Health Research Article BACKGROUND: Since March 2014, the quadrivalent HPV vaccine has been incorporated into the Brazilian Unified Health Care System and began to be offered, without direct costs, for girls from 9 to 13 years of age. Older female adolescents would have the option to be vaccinated at private health care system being responsible for the payment of HPV vaccine. The present study aimed to evaluate the coverage rates and predictors of HPV vaccination in Brazil among two groups of female adolescents: eligible and non-eligible for the HPV vaccination public program. METHODS: We used data from the 2015 Brazilian National Adolescent School-Based Health Survey, which involved a probabilistic sample of 5404 female adolescents students at public and private schools. Using a questionnaire, we gathered information on sociodemographic characteristics, sexual behavior, and respondent perception of parental supervision and have been vaccinated for HPV. Age-specific vaccination rates were analyzed in girls aged 9 to 13 at the time of public vaccination (eligible for public policy), as well among those 14 to 17 years old not eligible by the Ministry of Health for vaccination. We used Poisson regression models to investigate associated factors. RESULTS: HPV vaccine coverage was 83.5 and 21.8% among eligible and non-eligible populations, respectively. In both populations, the chance of being vaccinated decreased with older age. In the eligible population there is a greater chance of being vaccinated among ethnic group “pardas” but not with other indicators of socioeconomic status. In the non-eligible population, there was a clear association between higher vaccine coverage and greater maternal education and living with the mother. CONCLUSION: Our findings highlight the importance of public policies to minimize inequities in access to cancer prevention measures in vulnerable adolescents. A public policy of HPV vaccination for older female adolescents would increase coverage with possible reduction of HPV-related diseases in this group of women. BioMed Central 2020-04-06 /pmc/articles/PMC7137475/ /pubmed/32252705 http://dx.doi.org/10.1186/s12889-020-08561-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Faisal-Cury, Alexandre Levy, Renata Bertazzi Tourinho, Maria Fernanda Grangeiro, Alexandre Eluf-Neto, José Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title | Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title_full | Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title_fullStr | Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title_full_unstemmed | Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title_short | Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program |
title_sort | vaccination coverage rates and predictors of hpv vaccination among eligible and non-eligible female adolescents at the brazilian hpv vaccination public program |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137475/ https://www.ncbi.nlm.nih.gov/pubmed/32252705 http://dx.doi.org/10.1186/s12889-020-08561-4 |
work_keys_str_mv | AT faisalcuryalexandre vaccinationcoverageratesandpredictorsofhpvvaccinationamongeligibleandnoneligiblefemaleadolescentsatthebrazilianhpvvaccinationpublicprogram AT levyrenatabertazzi vaccinationcoverageratesandpredictorsofhpvvaccinationamongeligibleandnoneligiblefemaleadolescentsatthebrazilianhpvvaccinationpublicprogram AT tourinhomariafernanda vaccinationcoverageratesandpredictorsofhpvvaccinationamongeligibleandnoneligiblefemaleadolescentsatthebrazilianhpvvaccinationpublicprogram AT grangeiroalexandre vaccinationcoverageratesandpredictorsofhpvvaccinationamongeligibleandnoneligiblefemaleadolescentsatthebrazilianhpvvaccinationpublicprogram AT elufnetojose vaccinationcoverageratesandpredictorsofhpvvaccinationamongeligibleandnoneligiblefemaleadolescentsatthebrazilianhpvvaccinationpublicprogram |