Department of Zoonotic, Food and Waterborne Infections, Norwegian Institute of Public Health, Oslo, Norway.
ECDC Fellowship Program, Field Epidemiology Path (EPIET), Stockholm, Sweden.
Hum Vaccin Immunother. 2022 Dec 31;18(1):1976035. doi: 10.1080/21645515.2021.1976035. Epub 2021 Oct 29.
Between 2016 and 2019, a catch-up human papillomavirus (HPV) vaccination took place in Norway for women born between 1991 and 1996. The aim of this study was to identify sociodemographic determinants of complete vaccination (3 doses) and partial vaccination (1-2 doses). A random sample of 10,000 women who were offered catch-up HPV vaccination were invited. We assessed the association between sociodemographic characteristics and vaccination completion using univariable and multivariable multinomial logistic regression.Of 4,967 respondents, 3,464 (63%) received complete vaccination and 298 (7%) received partial vaccination. 30% did not receive any vaccination and functioned as reference group. Compared with having Norwegian caregivers, having a caregiver from non-western countries decreased the odds of partial and complete vaccination (aOR = 0.57; 95%CI = 0.35-0.95 and aOR = 0.57; 95%CI = 0.44-0.74). Having a caregiver from other western countries decreased the odds of complete vaccination (aOR = 0.72; 95%CI = 0.52-0.98). Residing in Norway for 10 years or longer significantly increased the odds of complete vaccination (aOR = 2.65; 95%CI = 1.58-4.43). Being in a relationship significantly increased the odds of partial vaccination compared with being single (aOR = 1.50; 95%CI = 1.02-2.21). Being married (aOR = 0.66; 95%CI = 0.50-0.86) and having children (aOR = 0.53; 95%CI = 0.42-0.68) decreased the odds of complete vaccination. Having university education increased the odds of both partial and complete vaccination (aOR = 2.19; 95%CI = 1.47-3.25 and aOR = 4.11; 95%CI = 3.33-5.06).Having a caregiver born outside of Norway, having children and being married decreased the odds of receiving complete HPV vaccination. This highlights the need to target communication around HPV vaccination toward different ethnic communities and include more specific messaging that having children and being married does not necessarily prevent HPV infections.
2016 年至 2019 年期间，挪威为 1991 年至 1996 年出生的女性开展了一次人乳头瘤病毒（HPV）补种疫苗活动。本研究旨在确定完全接种（3 剂）和部分接种（1-2 剂）的社会人口学决定因素。我们邀请了随机抽取的 10000 名接受 HPV 补种疫苗的女性参加。我们使用单变量和多变量多项逻辑回归来评估社会人口统计学特征与疫苗接种完成情况之间的关系。在 4967 名应答者中，3464 名（63%）接受了完全接种，298 名（7%）接受了部分接种。30%的人未接种任何疫苗，作为参考组。与有挪威看护人相比，看护人来自非西方国家会降低部分和完全接种的几率（aOR=0.57；95%CI=0.35-0.95 和 aOR=0.57；95%CI=0.44-0.74）。来自其他西方国家的看护人会降低完全接种的几率（aOR=0.72；95%CI=0.52-0.98）。在挪威居住 10 年或以上可显著增加完全接种的几率（aOR=2.65；95%CI=1.58-4.43）。与单身相比，处于恋爱关系中会增加部分接种的几率（aOR=1.50；95%CI=1.02-2.21）。已婚（aOR=0.66；95%CI=0.50-0.86）和有子女（aOR=0.53；95%CI=0.42-0.68）会降低完全接种的几率。接受过大学教育会增加部分和完全接种的几率（aOR=2.19；95%CI=1.47-3.25 和 aOR=4.11；95%CI=3.33-5.06）。看护人出生在挪威以外、有子女和已婚会降低 HPV 疫苗完全接种的几率。这突出表明，需要针对不同族裔社区开展 HPV 疫苗接种宣传，并纳入更具体的信息，即有子女和已婚并不一定能预防 HPV 感染。
