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      Tasas de cobertura vacunal contra el virus del papiloma humano en adolescentes andaluzas y su relación con el riesgo social y la estrategia vacunal Translated title: Vaccine coverage rates against human papillomavirus in Andalusian adolescents and their relationship with social risk and vaccination strategy

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          Abstract

          RESUMEN Objetivo: conocer las tasas de vacunación contra el virus del papiloma humano (VPH) y su relación con la estrategia vacunal y la pertenencia a zonas necesitadas de transformación social (ZNTS). Diseño: estudio descriptivo, auditoría de historias clínicas. Emplazamiento: cuatro centros de salud urbanos (2015-2018). Participantes: adolescentes susceptibles de vacunación contra el VPH. Mediciones principales: tasas vacunales de acceso, cobertura y deserción. Resultados: 366 adolescentes (12-16 años). Tasas: acceso 85,5%; cobertura 77,6%; deserción 9,3%. A mayor edad, mejores tasas de acceso (odds ratio [OR]: 6,1) y cobertura (OR: 1,4). La vacunación en el centro de salud se relaciona con una mejor tasa de cobertura (OR: 12,7), pero aumenta significativamente la tasa de deserción (OR: 75,6). Vivir en ZNTS disminuye la tasa de deserción (OR: 0,6). Conclusiones: la vacunación en centros de salud mejora la tasa de cobertura, pero con mayor riesgo de no completar la vacunación. La tasa de deserción es menor en ZNTS.

          Translated abstract

          ABSTRACT Objective: To ascertain the vaccination coverage rates against human papillomavirus (HPV) and its relationship with the vaccination strategy and belonging to poverty areas. Design: Descriptive study, audit of medical records. Setting: Four urban Primary Care centres (2015-2018). Participants: Adolescents susceptible to HPV vaccination. Main measurements: Vaccination Access, Coverage and Dropout Rates. Results: 366 adolescents (12-16 years). Vaccination Rates: Access 85.5%; Coverage 77,6% and Dropout 9,3%. The oldest adolescents had higher Access (OR 6,1) and Coverage Rates (OR 1,4). Vaccination at the Primary Care centre was associated with a better Coverage Rate (OR 12,7) but the Vaccine Dropout Rate (OR 75,6) significantly increased. Living in a poverty area led to a decrease in Dropout Rate (OR 0,6). Conclusions: Vaccination in Primary Care centres improved the coverage rate but with a higher risk of not completing the vaccination. Adolescents in poverty areas completed vaccination more frequently.

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          Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors

          Persistent infection with high-risk human papillomaviruses (hrHPV) types is causally linked with the development of cervical precancer and cancer. HPV types 16 and 18 cause approximately 70% of cervical cancers worldwide.
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            Barriers to human papillomavirus vaccination among US adolescents: a systematic review of the literature.

            Since licensure of the human papillomavirus (HPV) vaccine in 2006, HPV vaccine coverage among US adolescents has increased but remains low compared with other recommended vaccines. To systematically review the literature on barriers to HPV vaccination among US adolescents to inform future efforts to increase HPV vaccine coverage. We searched PubMed and previous review articles to identify original research articles describing barriers to HPV vaccine initiation and completion among US adolescents. Only articles reporting data collected in 2009 or later were included. Findings from 55 relevant articles were summarized by target populations: health care professionals, parents, underserved and disadvantaged populations, and males. Health care professionals cited financial concerns and parental attitudes and concerns as barriers to providing the HPV vaccine to patients. Parents often reported needing more information before vaccinating their children. Concerns about the vaccine's effect on sexual behavior, low perceived risk of HPV infection, social influences, irregular preventive care, and vaccine cost were also identified as potential barriers among parents. Some parents of sons reported not vaccinating their sons because of the perceived lack of direct benefit. Parents consistently cited health care professional recommendations as one of the most important factors in their decision to vaccinate their children. Continued efforts are needed to ensure that health care professionals and parents understand the importance of vaccinating adolescents before they become sexually active. Health care professionals may benefit from guidance on communicating HPV recommendations to patients and parents. Further efforts are also needed to reduce missed opportunities for HPV vaccination when adolescents interface with the health care system. Efforts to increase uptake should take into account the specific needs of subgroups within the population. Efforts that address system-level barriers to vaccination may help to increase overall HPV vaccine uptake.
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              Human papillomavirus vaccines: WHO position paper, May 2017.

              (2017)
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                Author and article information

                Journal
                albacete
                Revista Clínica de Medicina de Familia
                Rev Clin Med Fam
                Sociedad Española de Medicina de Familia y Comunitaria (Barcelona, Cataluña, Spain )
                1699-695X
                2386-8201
                2021
                : 14
                : 2
                : 81-84
                Affiliations
                [1] orgnameServicio Andaluz de Salud orgdiv1Centro de Salud El Valle (Jaén) España
                [2] orgnameServicio Andaluz de Salud orgdiv1Centro de Salud Virgen De la Capilla (Jaén) España
                Article
                S1699-695X2021000200007 S1699-695X(21)01400200007
                8078753c-c213-46a5-92c7-96e159345f16

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                : 11 May 2021
                : 16 March 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 15, Pages: 4
                Product

                SciELO Spain

                Categories
                Original Breve

                Papillomavirus Vaccines,Poverty Areas,Vaccination Coverage,vacunas contra papilomavirus,cobertura de vacunación,áreas de pobreza

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