Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators

Abstract Objective: To compare the use of two alternative population‐based denominators in calculating HPV vaccine coverage in Australia by age groups, jurisdiction and remoteness areas. Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Local Government Area (L...

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Main Authors: Bianca Barbaro, Julia M.L. Brotherton
Format: Article
Language:English
Published: Elsevier 2015-08-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12372
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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 compare the use of two alternative population‐based denominators in calculating HPV vaccine coverage in Australia by age groups, jurisdiction and remoteness areas. Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Local Government Area (LGA) level, by state/territory and by the Australian Standard Geographical Classification Remoteness Structure. The proportion of females vaccinated was calculated using both the ABS ERP and Medicare enrolments as the denominator. Results: HPV vaccine coverage estimates were slightly higher using Medicare enrolments than using the ABS estimated resident population nationally (70.8% compared with 70.4% for 12 to 17‐year‐old females, and 33.3% compared with 31.9% for 18 to 26‐year‐old females, respectively.) The greatest differences in coverage were found in the remote areas of Australia. Conclusion: There is minimal difference between coverage estimates made using the two denominators except in Remote and Very Remote areas where small residential populations make interpretation more difficult. Adoption of Medicare enrolments for the denominator in the ongoing program would make minimal, if any, difference to routine coverage estimates.
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spelling doaj.art-efd0ad6421c5492fbf691592a413bfb92023-09-03T03:38:50ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052015-08-0139432633010.1111/1753-6405.12372Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominatorsBianca Barbaro0Julia M.L. Brotherton1Australian Workplace Innovation and Social Research Centre University of Adelaide South AustraliaNational HPV Vaccination Program Register VCS Inc Melbourne VictoriaAbstract Objective: To compare the use of two alternative population‐based denominators in calculating HPV vaccine coverage in Australia by age groups, jurisdiction and remoteness areas. Method: Data from the National HPV Vaccination Program Register (NHVPR) were analysed at Local Government Area (LGA) level, by state/territory and by the Australian Standard Geographical Classification Remoteness Structure. The proportion of females vaccinated was calculated using both the ABS ERP and Medicare enrolments as the denominator. Results: HPV vaccine coverage estimates were slightly higher using Medicare enrolments than using the ABS estimated resident population nationally (70.8% compared with 70.4% for 12 to 17‐year‐old females, and 33.3% compared with 31.9% for 18 to 26‐year‐old females, respectively.) The greatest differences in coverage were found in the remote areas of Australia. Conclusion: There is minimal difference between coverage estimates made using the two denominators except in Remote and Very Remote areas where small residential populations make interpretation more difficult. Adoption of Medicare enrolments for the denominator in the ongoing program would make minimal, if any, difference to routine coverage estimates.https://doi.org/10.1111/1753-6405.12372Human papillomavirus (HPV)vaccineHPV coveragepopulation estimatesremoteness
spellingShingle Bianca Barbaro
Julia M.L. Brotherton
Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
Australian and New Zealand Journal of Public Health
Human papillomavirus (HPV)
vaccine
HPV coverage
population estimates
remoteness
title Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
title_full Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
title_fullStr Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
title_full_unstemmed Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
title_short Measuring HPV vaccination coverage in Australia: comparing two alternative population‐based denominators
title_sort measuring hpv vaccination coverage in australia comparing two alternative population based denominators
topic Human papillomavirus (HPV)
vaccine
HPV coverage
population estimates
remoteness
url https://doi.org/10.1111/1753-6405.12372
work_keys_str_mv AT biancabarbaro measuringhpvvaccinationcoverageinaustraliacomparingtwoalternativepopulationbaseddenominators
AT juliamlbrotherton measuringhpvvaccinationcoverageinaustraliacomparingtwoalternativepopulationbaseddenominators