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Human papillomavirus vaccine uptake in adolescence and adherence to cervical cancer screening in Switzerland: a national cross-sectional survey

Author

Listed:
  • Monica N. Wymann

    (Swiss Federal Office of Public Health)

  • Anne Spaar Zographos

    (Swiss Federal Office of Public Health)

  • Ekkehardt Altpeter

    (Swiss Federal Office of Public Health)

  • Virginie Masserey Spicher

    (Swiss Federal Office of Public Health)

  • Nicola Low

    (University of Bern)

  • Mirjam Mäusezahl-Feuz

    (Swiss Federal Office of Public Health)

Abstract

Objectives The objectives were to measure uptake of and factors associated with human papillomavirus (HPV) vaccination initiation and to determine whether HPV vaccination reduced the uptake of cervical cancer screening. Methods We conducted a cross-sectional survey in a random sample of Swiss women aged 18–49 years in 2014 (N = 3588). Results Vaccination initiation was 69.3% and full coverage (three doses) 54.1% for 18–20-year olds, respectively, 42.4% and 33.9% for 21–24-year olds. Women with ≥ 10 lifetime sexual partners were less likely to have received any HPV vaccination than women with ≤ 2 partners (18–20 years OR 0.2, 21–24 years OR 0.5). Amongst 1000 unvaccinated women (18–24 years), reasons for not having initiated vaccination were lack of information (22.5%) and fear of vaccine side effects (18.1%). Vaccination status was not associated with adherence to cervical cancer screening recommendations (OR 1.3). 95.4% of all vaccinated participants knew about the continued need for screening. Conclusions Our data suggest that HPV vaccination is not associated with reduced uptake of cervical cancer screening. This study provides information that can be used to improve HPV vaccination uptake in Switzerland.

Suggested Citation

  • Monica N. Wymann & Anne Spaar Zographos & Ekkehardt Altpeter & Virginie Masserey Spicher & Nicola Low & Mirjam Mäusezahl-Feuz, 2018. "Human papillomavirus vaccine uptake in adolescence and adherence to cervical cancer screening in Switzerland: a national cross-sectional survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 105-114, January.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:1:d:10.1007_s00038-017-1050-x
    DOI: 10.1007/s00038-017-1050-x
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    References listed on IDEAS

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    1. Li, C. & Sun, M. & Wang, Y. & Luo, L. & Yu, M. & Zhang, Y. & Wang, H. & Shi, P. & Chen, Z. & Wang, J. & Lu, Y. & Li, Q. & Wang, X. & Bi, Z. & Fan, M. & Fu, L. & Yu, J. & Hao, M., 2016. "The centers for disease control and prevention system in China: Trends from 2002-2012," American Journal of Public Health, American Public Health Association, vol. 106(12), pages 2093-2102.
    2. Emilien Jeannot & Philippe Sudre & Philippe Chastonay, 2012. "HPV vaccination coverage within 3 years of program launching (2008–2011) at Geneva State, Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(3), pages 629-632, June.
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    Cited by:

    1. Emilien Jeannot & Manuella Viviano & Charlotte De Pree & Mona Amadane & Emmanuel Kabengele & Pierre Vassilakos & Patrick Petignat, 2018. "Prevalence of Vaccine Type Infections in Vaccinated and Non-Vaccinated Young Women: HPV-IMPACT, a Self-Sampling Study," IJERPH, MDPI, vol. 15(7), pages 1-11, July.

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