In April 2016 Manchester eScholar was replaced by the University of Manchester’s new Research Information Management System, Pure. In the autumn the University’s research outputs will be available to search and browse via a new Research Portal. Until then the University’s full publication record can be accessed via a temporary portal and the old eScholar content is available to search and browse via this archive.

Is there Equity in HPV vaccination and Cervical Screening in the North West of England? : A Study of Mothers and Daughters

Pilkington A, Brabin L, Roberts S, Verma A

In: EURO-URHIS-2 Final Conference; 12 Sep 2012-14 Sep 2012; Amsterdam, UK. 2012.

Access to files

Full-text and supplementary files are not available from Manchester eScholar. Use our list of Related resources to find this item elsewhere. Alternatively, request a copy from the Library's Document supply service.

Abstract

Introduction Cervical screening uptake is steadily declining with evidence of inequalities by deprivation and ethnicity. The introduction of the HPV vaccination programme has the potential to reverse the downward trend in cervical cancer prevention by protecting girls who in future may not attend for cervical screening.ObjectiveTo investigate equity in cervical cancer prevention by examining uptake of adolescent HPV vaccination of daughters and cervical cancer screening attendance in their mothers. Methods HPV vaccination records of girls aged 12-13 years were linked by address to their mothers cervical screening records from 15 North West Primary Care Trusts (PCTs) (n = 24,409 mother-daughter pairs). Vaccination and Screening records were matched to deprivation quintiles (as measured by the 2007 Index of Multiple Deprivation [IMD] scores) and ethnicity (classified by South Asian ethnicity using the Nam Pehchan computer programme). Results Results from preliminary analysis show daughters vaccination completion was associated with mothers screening attendance. Screening uptake was significantly lower in mothers whose daughters had received no vaccination doses compared to those that had received three doses (Odds Ratio [OR] = 1.35; 95% Confidence Interval [CI] 1.24 to 1.47) or partial immunisation status (OR=1.19; 95% CI 1.05 to 1.35). Uptake of both vaccination and screening programmes were associated with deprivation quintile (Chi Square, p<0.0001) and ethnicity, with uptake significantly lower in South Asian groups (Cervical screening = Chi Square p<0.05, HPV vaccination p<0.0001). Conclusion Mother’s behaviour towards cervical screening appears to be indicative of HPV uptake in daughters. The HPV vaccination programme may therefore be subject to the same inequalities in coverage as the cervical screening programme.

Bibliographic metadata

Type of resource:
Content type:
Type of conference contribution:
Publication date:
Conference title:
EURO-URHIS-2 Final Conference
Conference venue:
Amsterdam, UK
Conference start date:
2012-09-12
Conference end date:
2012-09-14
Abstract:
Introduction Cervical screening uptake is steadily declining with evidence of inequalities by deprivation and ethnicity. The introduction of the HPV vaccination programme has the potential to reverse the downward trend in cervical cancer prevention by protecting girls who in future may not attend for cervical screening.ObjectiveTo investigate equity in cervical cancer prevention by examining uptake of adolescent HPV vaccination of daughters and cervical cancer screening attendance in their mothers. Methods HPV vaccination records of girls aged 12-13 years were linked by address to their mothers cervical screening records from 15 North West Primary Care Trusts (PCTs) (n = 24,409 mother-daughter pairs). Vaccination and Screening records were matched to deprivation quintiles (as measured by the 2007 Index of Multiple Deprivation [IMD] scores) and ethnicity (classified by South Asian ethnicity using the Nam Pehchan computer programme). Results Results from preliminary analysis show daughters vaccination completion was associated with mothers screening attendance. Screening uptake was significantly lower in mothers whose daughters had received no vaccination doses compared to those that had received three doses (Odds Ratio [OR] = 1.35; 95% Confidence Interval [CI] 1.24 to 1.47) or partial immunisation status (OR=1.19; 95% CI 1.05 to 1.35). Uptake of both vaccination and screening programmes were associated with deprivation quintile (Chi Square, p<0.0001) and ethnicity, with uptake significantly lower in South Asian groups (Cervical screening = Chi Square p<0.05, HPV vaccination p<0.0001). Conclusion Mother’s behaviour towards cervical screening appears to be indicative of HPV uptake in daughters. The HPV vaccination programme may therefore be subject to the same inequalities in coverage as the cervical screening programme.

Institutional metadata

University researcher(s):

Record metadata

Manchester eScholar ID:
uk-ac-man-scw:186792
Created by:
Verma, Arpana
Created:
4th February, 2013, 12:02:01
Last modified by:
Verma, Arpana
Last modified:
4th February, 2013, 12:34:10

Can we help?

The library chat service will be available from 11am-3pm Monday to Friday (excluding Bank Holidays). You can also email your enquiry to us.