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Estimated acceptance of HPV vaccination among Italian women aged 18-26 years |
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| Authors: | Giambi Cristina,Donati Serena,Declich Silvia,Salmaso Stefania,Degli Atti Marta Luisa Ciofi,Alibrandi Maria Pia,Brezzi Silvia,Carozzi Francesca,Collina Natalina,Franchi Daniela,Lattanzi Amedeo,Meda Margherita,Minna Maria Carmela,Nannini Roberto,Scherillo Isabella,Bella Antonino PreGio Working Group |
| Affiliation: | a Communicable Disease Epidemiology Unit, National Centre for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy b Unit of Woman, Child and Adolescent Health, National Centre for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy c Direction, National Centre for Epidemiology, Surveillance and Health Promotion, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161 Rome, Italy d Medical Direction, Bambino Gesù Children's Hospital, Piazza S. Onofrio 4, 00165 Rome, Italy e Hygiene and Public Health Unit, LHU Torino4, Via Aldisio, 2 Ivrea 10015 Torino, Italy f Department of Prevention, LHU Viterbo, via Enrico Fermi 15, 01100 Viterbo, Italy g Analytical Cytology and Biomolecular Unit, ISPO Cancer Research and Prevention Institute, Via Cosimo il Vecchio 2, 50139, Florence, Italy h Epidemiology, Health Promotion and Risk Communication Unit, Public Health Department, LHU Bologna, Via del Seminario,1- San Lazzaro di Savena, 40068 Bologna, Italy i Hygiene, Epidemiology and Pubilc Health Unit, Department of Prevention, LHU Avezzano-Sulmona-L’Aquila, Via Monte Velino18 - 67051 Avezzano, L’Aquila, Italy l San Liberatore Hospital, LHU Teramo, Viale Risorgimento, 64032 Atri, Teramo, Italy m Hygiene and Public Health Unit, Department of Prevention, LHU Torino1, Via della Consolata 10, 10122 Torino, Italy n Community Medicine Unit, LHU Pescara, Via Paolini 45, 65124 Pescara, Italy o Oncologic Screening Center, LHU Imola, viale Amendola 8, 40026 Imola, Bologna, Italy p Mother and Child Department, LHU Napoli 2 Nord, Corso Italia 129, 80010 Quarto, Napoli, Italy |
| Abstract: | In Italy vaccination against human papillomavirus (HPV) was introduced in the national immunization programme in 2007; the primary target for this vaccination is 11-year-old females, whereas vaccination for older age groups is still a matter of debate. This project was carried out in the period 2007-2009 to estimate the acceptance rate among 18-26-year-old, to whom free-of-charge vaccination was actively offered. Socio-demographic factors associated with acceptance were also investigated. A sample of 1159 women was randomly selected from resident population lists of 10 Local Health Units in 6 of Italy's 21 Regions; 1032 women were deemed eligible for the study. Of the eligible women, 580 received at least one vaccine dose for an acceptance rate of 56.2% and 542 received all three vaccine doses (52.6%). The acceptance rate was significantly higher for: residents of northern and central Italy (ORadj = 2.22, 95%CI 1.64-3.01 and ORadj = 1.77, 95%CI, 1.20-2.61 respectively), compared to southern Italy; women with a high educational level (ORadj = 1.41; 95%CI: 1.02-1.93); and students (ORadj = 1.64; 95%CI: 1.13-2.37). The low immunization rate highlights the difficulties of reaching young adult women, although the current coverage rates observed in the primary target population of HPV vaccination campaign (64%) emphasize that achieving high coverage rates is challenging also in younger age groups. Our results suggest that it would be premature to extend the active free-of-charge offer of HPV vaccination to older women and that efforts should be focused on the priority target, considering that the objective of 95% coverage established for this age group is still far from being attained. |
| Keywords: | HPV vaccination Acceptance Young adult women Italy |
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