Abstract
BackgroundThe purpose of this study was to identify the stronger responders behind the fluctuating coverage with the HPV-vaccine in Denmark in order to facilitate information campaigns targeted at specific subgroups.MethodsNewspaper articles published from 2006 to 2009 with information about coverage with the HPV-vaccine in Denmark were identified from the database Infomedia.dk. Vaccination coverage of recent years was retrieved from the publically accessible statistics from the State’s Serum Institute. Data on average disposable income nationally and for each municipality was retrieved from Statistics Denmark.ResultsAccording to numbers published in newspapers, girls residing in municipalities with a high disposable income were the first ones to secure the HPV-vaccine in Denmark. Years later, at the start of the debate about possible side effects of the HPV-vaccine, the decline in vaccination coverage was slightly steeper for girls from high income municipalities than for girls from low income municipalities.ConclusionsGirls from municipalities with a high disposable income seem to be the stronger responders of the fluctuating coverage with the HPV-vaccine in Denmark. This was the case both during the initial surge in coverage after the vaccine’s introduction on the market, and during the later decline following the debate on possible side effects. Identification of this dispersion pattern enables health authorities to initiate targeted information campaigns.
Highlights
The purpose of this study was to identify the stronger responders behind the fluctuating coverage with the human papillomavirus (HPV)-vaccine in Denmark in order to facilitate information campaigns targeted at specific subgroups
A newspaper article published on 8 December 2006 with data from the Danish Drug Information showed that while 33% of the HPVvaccine doses were sold in the rich municipalities of North Zealand, not a single dose had been sold in Ishøj, with an average disposable income of 161 thousand DKK, falling beneath the national average of 173 thousand DKK
This study revealed that girls living in municipalities with a high average disposable income appeared to be stronger responders of the varying coverage of the HPV-vaccine in Denmark
Summary
The purpose of this study was to identify the stronger responders behind the fluctuating coverage with the HPV-vaccine in Denmark in order to facilitate information campaigns targeted at specific subgroups. Conclusions: Girls from municipalities with a high disposable income seem to be the stronger responders of the fluctuating coverage with the HPV-vaccine in Denmark. This was the case both during the initial surge in coverage after the vaccine’s introduction on the market, and during the later decline following the debate on possible side effects. This study evaluates a multicomponent intervention targeting determinants of decision-making among childcare staff on illness absenteeism due to fever and common infections. Secondary outcome measures included intended behaviour, attitude, risk perception, knowledge and self-efficacy of childcare staff. The intervention improved determinants of decision-making such as intended behaviour, attitude, and knowledge on fever.
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