Abstract
The trend for cervical cancer in younger women has been increasing recently in Japan. However, as a result of the suspension of governmental recommendation, Japan’s HPV (human papillomavirus) vaccination rate for girls born since 2000 has dropped sharply. We conducted an internet survey in December of 2019, 76 months after the suspension of recommendation, to verify the intention of mothers to inoculate their daughter under current circumstances and compared with our previous surveys and leaflet intervention effect. The rates of mothers who replied that they would “inoculate” were significantly higher at 9 and 23 months, but by 32 months after the suspension the rate was significantly lower (p < 0.05, p < 0.05, p < 0.05, respectively). The rates of the mothers who replied they would not inoculate were significantly lower at 9 months and 23 months, but at 76 months was significantly higher (p < 0.05, p < 0.05, p < 0.05, respectively). We found that intervention with a leaflet that could be used under the current suspension of the governmental recommendation did not increase the mothers’ intention to inoculate their daughters. A leaflet that actively encourages vaccination may increase the intent of vaccination. It is strongly recommended that the MHLW promptly resume its recommendations for HPV vaccination.
Highlights
The incidence of cervical cancer is one of the few cancers that could potentially be almost entirely eliminated by current medical practices, that the WHO (World Health Organization) has made its DraftVaccines 2020, 8, 502; doi:10.3390/vaccines8030502 www.mdpi.com/journal/vaccinesGlobal Strategy for achieving that lofty goal one of its global public health policies
We checked for the existence of a daughter, living together with her mother, who was of the target age for the routine HPV vaccination program
It is estimated that in 2019, 10,500 people would suffer from cervical cancer in Japan, and 2900 would die of it [18]
Summary
The incidence of cervical cancer is one of the few cancers that could potentially be almost entirely eliminated by current medical practices, that the WHO (World Health Organization) has made its DraftVaccines 2020, 8, 502; doi:10.3390/vaccines8030502 www.mdpi.com/journal/vaccinesGlobal Strategy for achieving that lofty goal one of its global public health policies. Global Strategy has three main pillars, “Prevent, Screen and Treat”. WHO’s comprehensive approach to cervical cancer that includes sustained cancer prevention efforts, early and effective screening for the cancer, affordable and achievable optimal treatment options for all pre-cancerous lesions, and, as a final effort, early diagnosis and aggressive, efficacious programs for the management of invasive cervical cancers [1]. To reach this ambitious goal of “elimination”
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