Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?

Abstract Objective: To determine whether HPV vaccine coverage in 12–13‐year‐olds varies by geographical area, remoteness and ecological level indicators of socioeconomic status (SES). Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Statistical Local Area (SLA...

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Main Authors: Bianca Barbaro, Julia M.L. Brotherton
Format: Article
Language:English
Published: Elsevier 2014-10-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12218
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author Bianca Barbaro
Julia M.L. Brotherton
author_facet Bianca Barbaro
Julia M.L. Brotherton
author_sort Bianca Barbaro
collection DOAJ
description Abstract Objective: To determine whether HPV vaccine coverage in 12–13‐year‐olds varies by geographical area, remoteness and ecological level indicators of socioeconomic status (SES). Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Statistical Local Area (SLA) level, by the Index of Relative Disadvantage (IRSD) and the Australian Standard Geographical Classification Remoteness Structure. Results: Nationally, 73% of females aged 12–13 years in 2007 were fully vaccinated against HPV. Coverage in low SES areas (71.5%) was 4.1 percentage points lower than coverage in high SES areas (75.6%). Uptake of the first two doses was higher in the very remote parts of Australia (dose 1 – 88.5%, dose 2 – 81.8%) than in major cities (dose 1 – 83.4%, dose 2 – 80.2%), but not for dose 3 where coverage in major cities was 3% higher (73.6% versus 71.4%). Conclusion: Notifications of HPV vaccine doses delivered to females aged 12–13 through schools suggest a high and relatively equal uptake across socioeconomic groups. Females in remote regions have the highest uptake of dose 1 but are least likely to complete the course. This may be due to particular challenges in vaccine delivery to residents of remote areas.
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spelling doaj.art-554c9d1f457f461fb5b82f9bd38be88f2023-09-02T07:20:33ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052014-10-0138541942310.1111/1753-6405.12218Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?Bianca Barbaro0Julia M.L. Brotherton1Public Health Information Development Unit University of Adelaide South AustraliaNational HPV Vaccination Program Register, VCS Inc, VictoriaAbstract Objective: To determine whether HPV vaccine coverage in 12–13‐year‐olds varies by geographical area, remoteness and ecological level indicators of socioeconomic status (SES). Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Statistical Local Area (SLA) level, by the Index of Relative Disadvantage (IRSD) and the Australian Standard Geographical Classification Remoteness Structure. Results: Nationally, 73% of females aged 12–13 years in 2007 were fully vaccinated against HPV. Coverage in low SES areas (71.5%) was 4.1 percentage points lower than coverage in high SES areas (75.6%). Uptake of the first two doses was higher in the very remote parts of Australia (dose 1 – 88.5%, dose 2 – 81.8%) than in major cities (dose 1 – 83.4%, dose 2 – 80.2%), but not for dose 3 where coverage in major cities was 3% higher (73.6% versus 71.4%). Conclusion: Notifications of HPV vaccine doses delivered to females aged 12–13 through schools suggest a high and relatively equal uptake across socioeconomic groups. Females in remote regions have the highest uptake of dose 1 but are least likely to complete the course. This may be due to particular challenges in vaccine delivery to residents of remote areas.https://doi.org/10.1111/1753-6405.12218Human papillomavirus (HPV)vaccinehealth inequalitysocioeconomic statusremoteness
spellingShingle Bianca Barbaro
Julia M.L. Brotherton
Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
Australian and New Zealand Journal of Public Health
Human papillomavirus (HPV)
vaccine
health inequality
socioeconomic status
remoteness
title Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
title_full Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
title_fullStr Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
title_full_unstemmed Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
title_short Assessing HPV vaccine coverage in Australia by geography and socioeconomic status: are we protecting those most at risk?
title_sort assessing hpv vaccine coverage in australia by geography and socioeconomic status are we protecting those most at risk
topic Human papillomavirus (HPV)
vaccine
health inequality
socioeconomic status
remoteness
url https://doi.org/10.1111/1753-6405.12218
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