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Vaccination against Human Papillomavirus in relation to Financial Crisis: The Evaluation and Education of Greek Female Adolescents on Human Papillomaviruses´ Prevention Strategies ELEFTHERIA Study.

Titulo Vaccination against Human Papillomavirus in relation to Financial Crisis: The Evaluation and Education of Greek Female Adolescents on Human Papillomaviruses´ Prevention Strategies ELEFTHERIA Study.
Autoría Mammas IN, Theodoridou M, Koutsaftiki C, Bertsias G, Sourvinos G, Spandidos DA.
Fuente J Pediatr Adolesc Gynecol. 2016 Aug;29(4):362-6. doi: 10.1016/j.jpag.2015.12.007. Epub 2015 Dec 24.
Resumen STUDY OBJECTIVE: In this study we aimed to explore financial and other sociodemographic factors that affect nonvaccination against the human papillomavirus (HPV) in Greece, one of the first European Union countries to introduce the vaccination against HPV into its National Immunization Programme in 2008. DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS, AND MAIN OUTCOME MEASURES: Six hundred thirty-two female adolescents (aged 11-16 years) from Greece completed a pilot cross-sectional questionnaire-based survey (ELEFTHERIA study) from 2008 to 2014. RESULTS: Overall, only 8.9% (56 of 632) of the female adolescents reported that they had received all 3 doses of the HPV vaccination. The HPV vaccination uptake rates increased gradually from 3.2% (3 of 95) in 2008 to 17.1% (14 of 82) in 2011. However, it abruptly decreased to 2.1% (2 of 95) in 2012 and it reached 9.2% (8 of 87) in 2013 and 11.5% (11 of 96) in 2014. The most common factors for nonvaccination included fear of side effects, which decreased (Spearman ρ = -0.860; P = .024) and financial issues, which increased statistically significantly (Spearman ρ = 0.890; P = .012) during the years 2008 to 2014. CONCLUSION: In our study we addressed the novel topic of the association of financial issues with HPV vaccination compliance and highlighted the urgent need to provide and maintain health insurance coverage to children in Greece, a country in financial crisis. Copyright © 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. KEYWORDS: Adolescents; Financial crisis; Greece; HPV; Human papillomavirus; Vaccination
URL www.ncbi.nlm.nih.gov/pubmed/26724746
Tipo de documento Artículo cientifico
Impacto en el sistema sanitario Cobertura y cartera de servicios
Impacto en la salud Enfermedades transmisibles