Secondary analyses to test the impact on inequalities and uptake of the schools-based human papillomavirus (HPV) vaccination programme by stage of implementation of a new consent policy in the south-west of England
- Resource Type
- Authors
- John Macleod; Rosy Reynolds; Matthew Hickman; Karen Evans; Julie Yates; Marion Roderick; Jo Ferrie; Suzanne Audrey; Harriet Fisher
- Source
- University of Bristol-PURE
BMJ Open
BMJ Open, Vol 11, Iss 7 (2021)
Fisher, H, Roderick, M R, Hickman, M, Reynolds, R A, Macleod, J A A, Yates, J, Ferrie, J & Evans, K 2021, ' Secondary analyses to test the impact on inequalities and uptake of the schools-based human papillomavirus (HPV) vaccination programme by stage of implementation of a new consent policy in the south-west of England ', BMJ Open, vol. 11, no. 7, e044980 . https://doi.org/10.1136/bmjopen-2020-044980
- Subject
- medicine.medical_specialty
Adolescent
common
Psychological intervention
Ethnic group
Uterine Cervical Neoplasms
Alphapapillomavirus
infectious diseases
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
medicine
Humans
Parental Consent
030212 general & internal medicine
Papillomavirus Vaccines
Cervical cancer
Schools
business.industry
Public health
common.demographic_type
Papillomavirus Infections
Vaccination
Absolute risk reduction
General Medicine
Patient Acceptance of Health Care
Alternative education
medicine.disease
Cross-Sectional Studies
Policy
England
Medicine
Female
Public Health
business
community child health
Demography
White British
- Language
ObjectivesTo test the impact on inequalities and uptake of the schools-based human papillomavirus (HPV) vaccination programme by stage of implementation of a new policy providing additional opportunities to consent.SettingTwo local authorities in the south-west of England.ParticipantsYoung women (n=7129) routinely eligible for HPV vaccination aged 12–13 years during the intervention period (2017/2018 to 2018/2019 programme years).InterventionsLocal policy change that included additional opportunities to provide consent (parental verbal consent and adolescent self-consent).OutcomesSecondary analyses of cross-sectional intervention data were undertaken to examine uptake by: (1) receipt of parental written consent forms and; (2) percentage of unvaccinated young women by stage of implementation.ResultsDuring the intervention period, 6341 (89.0%) eligible young women initiated the HPV vaccination series. Parental written consent forms were less likely to be returned where young women attended alternative education provider settings (pConclusionsLocal policy change to consent procedures that allowed parents to consent verbally and adolescents to self-consent overcame some of the barriers to vaccination of young women belonging to families less likely to respond to paper-based methods of gaining consent and at greater risk of developing cervical cancer.Trial registration number49 086 105.