Human papillomavirus vaccine uptake in adolescence and adherence to cervical cancer screening in Switzerland: a national cross-sectional survey
| Autor: | Monica N. Wymann, Ekkehardt Altpeter, Mirjam Mäusezahl-Feuz, Virginie Masserey Spicher, Nicola Low, Anne Spaar Zographos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Sexual behavior
Adult medicine.medical_specialty Health (social science) Adolescent Cross-sectional study Uterine Cervical Neoplasms 610 Medicine & health Human papillomavirus vaccine Cervical cancer screening Full coverage Young Adult 03 medical and health sciences 0302 clinical medicine Vaccination status 360 Social problems & social services 030225 pediatrics Internal medicine Humans Medicine Papillomavirus Vaccines 030212 general & internal medicine Vaccine hesitancy Determinants Early Detection of Cancer Gynecology HPV vaccination business.industry Public health Vaccination Public Health Environmental and Occupational Health Hpv vaccination Middle Aged Cross-Sectional Studies Health Care Surveys Patient Compliance Original Article Female business Switzerland |
| Zdroj: | Wymann, Monica N; Zographos, Anne Spaar; Altpeter, Ekkehardt; Spicher, Virginie Masserey; Low, Nicola; Mäusezahl-Feuz, Mirjam (2018). Human papillomavirus vaccine uptake in adolescence and adherence to cervical cancer screening in Switzerland: a national cross-sectional survey. International journal of public health, 63(1), pp. 105-114. Springer 10.1007/s00038-017-1050-x International Journal of Public Health |
| Popis: | Objectives The objectives were to measure uptake of and factors associated with human papillomavirus (HPV) vaccination initiation and to determine whether HPV vaccination reduced the uptake of cervical cancer screening. Methods We conducted a cross-sectional survey in a random sample of Swiss women aged 18–49 years in 2014 (N = 3588). Results Vaccination initiation was 69.3% and full coverage (three doses) 54.1% for 18–20-year olds, respectively, 42.4% and 33.9% for 21–24-year olds. Women with ≥ 10 lifetime sexual partners were less likely to have received any HPV vaccination than women with ≤ 2 partners (18–20 years OR 0.2, 21–24 years OR 0.5). Amongst 1000 unvaccinated women (18–24 years), reasons for not having initiated vaccination were lack of information (22.5%) and fear of vaccine side effects (18.1%). Vaccination status was not associated with adherence to cervical cancer screening recommendations (OR 1.3). 95.4% of all vaccinated participants knew about the continued need for screening. Conclusions Our data suggest that HPV vaccination is not associated with reduced uptake of cervical cancer screening. This study provides information that can be used to improve HPV vaccination uptake in Switzerland. Electronic supplementary material The online version of this article (doi:10.1007/s00038-017-1050-x) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|