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Sociodemographic factors predicting mother’s cervical screening and daughter’s HPV vaccination uptake

Spencer AM, Roberts SA, Brabin L, Patnick J, Verma A.

Journal of Epidemiology & Community Health. 2014;ePUB.

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Abstract

Background Achieving high human papillomavirus (HPV) vaccine coverage may reduce inequalities in cervical cancer prevention by mitigating the inequalities seen in the cervical screening programme. This paper assesses whether the same sociodemographic factors are associated with both cervical screening and HPV vaccination. Methods Girls’ HPV vaccination records were linked by address to cervical screening records for their mothers in the North West of England. Index of Multiple Deprivation scores (2010) and census ethnicity data (2001) were used to investigate the association between deprivation and ethnic composition of area of residence with HPV vaccination and cervical screening uptake, along with potential differences between Primary Care Trusts (PCTs), which were responsible for vaccine delivery. Results Deprivation was not associated with routine (12–13-year-olds) vaccination initiation, but girls living in the most deprived quintile were significantly less likely to complete the three vaccine doses (OR 0.75; 95% CI 0.63 to 0.88). Mother–daughter pairs failing to engage in either screening or vaccination were also more likely to live in deprived areas (routine vaccination OR for most deprived quintile: 2.35; 95% CI 2.00 to 2.77). There were differences between PCTs after controlling for demographic effects (OR 1.35; 95% CI 1.23 to 1.52). Conclusions Ensuring completion of the vaccine schedule is critical for organisations responsible for vaccine delivery in order to reduce cancer risk among girls living in deprived areas. There remains a small minority of mothers and daughters from disadvantaged backgrounds who do not participate in either cervical screening or HPV vaccination.

Keyword(s)

Cervical Screening; HPV

Bibliographic metadata

Type of resource:
Content type:
Publication status:
Published
Publication type:
Published date:
Accepted date:
2014-01-28
Submitted date:
2013-03-13
Language:
eng
Abbreviated journal title:
ISSN:
Publisher:
Volume:
ePUB
Article number:
jech-2013-202629
Digital Object Identifier:
10.1136/jech-2013-202629
Related website(s):
  • JECH http://jech.highwire.org/content/early/2014/02/23/jech-2013-202629.full.pdf+html
Funding awarded to University:
  • Bury PCT - ENHS5JX
Funding awarded externally:
Funder(s) acknowledged in this article?:
Yes
Attached files embargo period:
Immediate release
Attached files release date:
23rd April, 2014
Access state:
Active

Institutional metadata

University researcher(s):

Record metadata

Manchester eScholar ID:
uk-ac-man-scw:223858
Created by:
Verma, Arpana
Created:
23rd April, 2014, 13:25:33
Last modified by:
Verma, Arpana
Last modified:
15th December, 2015, 09:49:13

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