The influence of school and area level factors on HPV and MenACWY
PHE ePoster Library. Tessier E. Apr 9, 2019; 257468; 15261
Elise Tessier
Elise Tessier
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Abstract In 2016/17, the HPV vaccine (females only), meningococcal A, C, W and Y (MenACWY) vaccine, and the diphtheria, tetanus and polio (Td/IPV) vaccine were the three vaccine programmes delivered to adolescents through school-based programmes in England. We aimed to identify school-level factors associated with vaccine coverage.School-level vaccine coverage data was voluntarily submitted to Public Health England by Screening and Immunisation Teams in England for the 2016/17 academic year. For HPV (females only, two-dose coverage) and MenACWY (all adolescents, one-dose coverage) in year 9 (age 13-14), we determined whether school religious denomination, school type, rurality, sex and region were associated with school-level coverage using multivariable linear regression. A subanalysis of co-educational state-funded secondary schools also included area-level factors such as deprivation. The analyses were weighted by school size.Data were received from 1,407 (HPV) and 1,432 (MenACWY) schools. In the adjusted analysis, Muslim and Jewish schools had lower coverage than schools of no religious character (-24.0% and -20.5% respectively, p<0.001) for HPV but not MenACWY. Independent, special schools and pupil referral units (smallest school type) had statistically significantly lower vaccine coverage than state-funded secondary schools (largest school type) for both HPV and MenACWY (p<0.001). In the sub-analysis schools located in least deprived areas had the highest coverage for both vaccines (p<0.001).Public health authorities should collaborate closely with Jewish and Muslim schools to understand and address barriers to HPV vaccination. In addition we need to develop tailored approaches to vaccination in order to reach pupils in smaller specialist schools. Funding N/A
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