TY - JOUR T1 - Drivers for human papillomavirus vaccination in Valencia (Spain) JO - Gaceta Sanitaria T2 - AU - Navarro-Illana,Pedro AU - Navarro-Illana,Esther AU - Vila-Candel,Rafael AU - Díez-Domingo,Javier SN - 02139111 M3 - 10.1016/j.gaceta.2017.05.008 DO - 10.1016/j.gaceta.2017.05.008 UR - https://www.gacetasanitaria.org/en-drivers-for-human-papillomavirus-vaccination-articulo-S0213911117301450 AB - ObjectiveTo describe the drivers associated with HPV vaccination in adolescent girls and their parent's opinion on the vaccine. MethodsWe conducted an observational and cross-sectional study on adolescent girls and their parents in Valencia (Spain), between September 2011 and June 2012. A consultation was made at a random sample of schools of the 14-year-old girls that should have received the vaccine in the free vaccination programme. We ran a personal survey on knowledge and attitudes regarding HPV infection and the vaccine. A binary logistic regression model was performed to determine which factors were most associated with vaccination. ResultsThe survey was run on a binomial of 1,278 girls/mothers in 31 schools, to which 833 girls and their mothers responded (64.0%). The factors associated with vaccination were: country of origin of the families (adjusted OR [aOR]: 0.49; 95% confidence interval [95%CI]: 0.24-0.98), civil status of the parents (aOR: 0.33; 95%CI: 0.13-0.81), knowledge/beliefs about the vaccine when the source of information was the nurse (aOR: 1.83; 95%CI: 1.01-3.35), information source about the vaccine (aOR: 2.32; 95%CI: 1.37-3.92), preventive health centre visits (aOR: 2.1; 95%CI: 1.10-4.07), and nurse advice (aOR: 6.6; 95%CI: 3.19-13.56). ConclusionsThe main factor associated with HPV vaccination was the advice of health professionals. Therefore, the most effective interventions to improve vaccination coverage should focus on health professionals. ER -