The Uptake of Human Papillomavirus Vaccination and Its Associated Factors Among Adolescents: A Systematic Review

Background: The purpose of this review was to explore the uptake of the human papillomavirus (HPV) vaccination, its associated factors, and the facilitators of and barriers to HPV vaccination among adolescents. Methods: A comprehensive literature search was conducted through 5 electronic databases,...

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Bibliographic Details
Published in:Journal of Primary Care & Community Health 2017-10, Vol.8 (4), p.349-362
Main Authors: Loke, Alice Yuen, Kwan, Miu Ling, Wong, Yuen-Ting, Wong, Alice Kar Yan
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Anus Neoplasms - prevention & control
Female
Health education
Health Knowledge, Attitudes, Practice
Health promotion
Hong Kong
Human papillomavirus
Humans
Immunization
Infections
Intention
Male
Oropharyngeal Neoplasms - prevention & control
Papillomavirus Infections - prevention & control
Papillomavirus Vaccines - therapeutic use
Patient Acceptance of Health Care
Review
Risk Factors
Scotland
Sex education
Sexual health
Systematic review
Teenagers
Uptake
Uterine Cervical Neoplasms - prevention & control
Vaccination Coverage - statistics & numerical data
Vaccines
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Summary:Background: The purpose of this review was to explore the uptake of the human papillomavirus (HPV) vaccination, its associated factors, and the facilitators of and barriers to HPV vaccination among adolescents. Methods: A comprehensive literature search was conducted through 5 electronic databases, including PubMed, CINAHL, Cochrane Library, Medline, and PsycInfo from January 2006 to March 2015 for studies examining the uptake, awareness, knowledge, acceptability, and intention of adolescents with regard to HPV vaccination. Results: Twenty-eight studies were identified and included. The HPV vaccination uptake rate (at least 1 dose) varied significantly among countries, ranging from 2.4% to 94.4%. Scotland achieved the highest uptake of all the studies included in this review, while Hong Kong had the lowest, at 2.4% to 9.1%. This review also showed that adolescents had limited awareness and knowledge of HPV infections and vaccines, even 10 years after the vaccine had become available. Conclusions: It is recommended that barriers to the uptake of the vaccine should be addressed, and that school-based sexual health education of HPV infection and vaccine promotion should be reinforced.
ISSN:2150-1327
2150-1319
2150-1327
DOI:10.1177/2150131917742299