A longitudinal study on determinants of HPV vaccination uptake in parents/guardians from different ethnic backgrounds in Amsterdam, the Netherlands

BMC Public Health

Research Article

Fatima El Fakiri¹  Marcel F. van der Wal¹  Hester E. de Melker²  Maria Prins³  Maarten F. Schim van der Loeff³  Catharina J. Alberts³  Astrid Nielen⁴  Yvonne Hazeveld⁴  Theo G. W. M. Paulussen⁵ 

[1] Department of Epidemiology and Health Promotion, Public Health Service of Amsterdam (GGD), Amsterdam, The Netherlands;Department of Epidemiology and Surveillance, National Institute of Public Health and the Environment (RIVM), Bilthoven, The Netherlands;Department of Infectious Diseases, Research and Prevention, Public Health Service (GGD) of Amsterdam, Nieuwe Achtergracht 100, 1018, Amsterdam, WT, The Netherlands;Department of Internal Medicine, Division of Infectious Diseases, Center for Infection and Immunity Amsterdam (CINIMA), Academic Medical Center (AMC), Amsterdam, The Netherlands;Department of Youth Health Service, Public Health Service of Amsterdam (GGD), Amsterdam, The Netherlands;TNO (Netherlands Organization for Applied Scientific Research), Expertise Centre Child Health, Leiden, The Netherlands;

关键词: HPV;    Vaccination acceptability;    Vaccination uptake;    Population-based;    Ethnicity;    the Netherlands;   

DOI  :  10.1186/s12889-017-4091-4

 received in 2016-06-29, accepted in 2017-01-30,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundHuman papillomavirus (HPV) vaccination coverage in the Netherlands is low (~60%) compared to other childhood vaccinations (>90%), and even lower among ethnic minorities. The aim of this study was to explore the possible impact of ethnicity on the determinants of both HPV vaccination intention and HPV vaccination uptake among parents/guardians having a daughter that is invited for the HPV vaccination.MethodsIn February 2014, parents/guardians living in Amsterdam were invited to complete a questionnaire about social-psychological determinants of their decision making process regarding the HPV vaccination of their daughter and socio-demographic characteristics. This questionnaire was sent approximately one month before the daughter was scheduled to receive her first HPV vaccine dose. Their daughters’ HPV vaccination status was retrieved from the national vaccination database. We distinguished four ethnic groups: Dutch (NL), Surinamese, Netherlands Antillean, and Aruban (SNA), Middle-Eastern and North-African (MENA), and Other. To assess the impact of determinants on both intention and uptake, linear and logistic regression analyses were used respectively. Missing data were imputed using multiple imputation by chained equation.ResultsIn total 1,309 parents/guardians participated (33% participation rate). In all groups we found the mothers’ intention to be the strongest predictor of their daughters’ HPV vaccination uptake. Explained variance of uptake was highest in the NL-group (pseudo-R2:0.56) and lower in the other ethnic groups (pseudo-R2 varied between 0.23 and 0.29). The lower explained variance can be attributed to the relative large proportion of participants with a positive intention that finally did not go for vaccination in the SNA-group (11%) and MENA-group (30%). Explained variance (R2) of intention varied between 0.66 and 0.77 across ethnic groups, and was best explained by the proximal social-psychological determinants. The strength of association of these determinants with both intention and uptake were largely similar across ethnic groups.ConclusionWe conclude that the same determinants should be targeted in the different ethnic groups, although the mode of delivery of the intervention needs to be tailored to the different cultural backgrounds. Further research is needed to explain the observed discrepancy between intention and uptake, especially among parents/guardians in the non-Dutch groups.

【 授权许可】

CC BY   
© The Author(s). 2017