Inequities in human papillomavirus vaccination among children aged 9–14 years old under constrained vaccine supply in China
Rattachement africain : cn, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Inequities in access to human papillomavirus (HPV) vaccine are becoming a growing critical issue globally. Few studies investigate the factors determining HPV vaccine uptake disparities when vaccine supply is constrained, especially in low- and middle-income countries. The aim of this study was to investigate inequities of HPV vaccination and related factors under the constrained vaccine supply in China. METHODS: A cross-sectional survey was conducted in a developed eastern coastal province and a developing western one in China between November and December 2022. Employing multistage stratified cluster random sampling, the study collected data from parents of children aged 9-14. Mixed-effects logistic regression models with school units as random effects were used for analysis. RESULTS: From 4,127 eligible parents (as vaccine decision makers for girls), 1,346 (32.6%) intended to vaccinate their daughters against HPV, of which 836 (62.1%) attempted to schedule a vaccination appointment. Only 16.4% succeeded in booking an appointment. More than half of the intended parents expected the imported 9-valent HPV vaccine. There were significant disparities in HPV vaccine awareness, intention, and vaccination behavior across educational, income, geographic, ethnic, gender, and health literacy levels. Vaccine awareness and intentions were higher among parents with higher socioeconomic status; however, girls from lower socioeconomic families were more likely to receive the HPV vaccine and had a higher domestically produced vaccination rate. Significant disparities exist in vaccination intentions and actual vaccination behaviors, primarily due to large supply constraints of the HPV vaccine. CONCLUSIONS: Sustained health education campaigns are needed to raise awareness of the HPV vaccine, improve health literacy, and decrease over-preference for the 9-valent HPV vaccine. A mother's HPV vaccination behavior was positively associated with increased intention and actual vaccination behavior for her daughter. This study advocates for complementary cervical cancer prevention programs targeting both mothers and daughters.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Inequities in human papillomavirus vaccination among children aged 9–14 years old under constrained vaccine supply in China
- Date Crossref
- 31/05/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Hangzhou Normal University pays non établi dans la noticeUniversité ou école supérieure
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Zhejiang University pays non établi dans la noticeUniversité ou école supérieure
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University of South Carolina pays non établi dans la noticeUniversité ou école supérieure
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Ningbo Center for Disease Control and Prevention pays non établi dans la noticeOrganisme public
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Second Affiliated Hospital of Zhejiang University pays non établi dans la noticeÉtablissement de santé
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School of Public Health Department of Health Promotion pays non établi dans la noticeUniversité ou école supérieure
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School of Medicine Institute of Social Medicine pays non établi dans la noticeUniversité ou école supérieure
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Institute of Immunization and Prevention pays non établi dans la noticeStructure de recherche
Hangzhou Normal University, Zhejiang University et University of South Carolina, avec 5 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.