National Institute for Public Health and the Environment (RIVM), Centre for Infectious Disease Control, Epidemiology and Surveillance Unit, Bilthoven, The Netherlands.
Vaccine. 2010 Feb 25;28(9):2070-5. doi: 10.1016/j.vaccine.2009.12.042. Epub 2009 Dec 30.
In March 2009, a HPV catch-up vaccination campaign was implemented in the Netherlands for girls born between 1993 and 1996. We performed a multilevel study to investigate determinants for HPV vaccination uptake. National coverage for the first dose was 49.9%, with regional uptakes ranging from 31% to 61%. Data was gathered from individual to regional level. Our results suggest that organizing information meetings at schools and communicating with gynaecologists might be beneficial. Lower uptake among various ethnic groups and in areas with higher proportion of voters for Religious Political Parties indicate that communication on HPV vaccine should be adapted to religious and ethnic communities. Furthermore, lower uptake in areas with lower socioeconomic status needs attention since participation to cervical screening is also lower in these areas.
2009 年 3 月，荷兰为 1993 年至 1996 年出生的女孩实施了 HPV 补种疫苗运动。我们进行了一项多层次研究，以调查 HPV 疫苗接种率的决定因素。第一针的全国覆盖率为 49.9%，地区覆盖率从 31%到 61%不等。数据从个人层面到地区层面进行收集。我们的研究结果表明，在学校组织信息会议并与妇科医生沟通可能会有所帮助。在不同种族群体和宗教政党选民比例较高的地区，疫苗接种率较低，这表明应该针对宗教和族裔社区调整 HPV 疫苗的宣传。此外，社会经济地位较低地区的疫苗接种率较低也需要引起关注，因为这些地区的宫颈癌筛查参与率也较低。
