Determinants of HPV vaccine hesitancy in Europe

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Emilie Karafillakis Vaccine Confidence Project London School of Hygiene & Tropical Medicine [email protected] Determinants of HPV vaccine hesitancy in Europe Building Trust, Managing Risk: Vaccine Confidence and Human Papillomavirus Vaccination London, 7-8 June 2017 1

Transcript of Determinants of HPV vaccine hesitancy in Europe

Page 1: Determinants of HPV vaccine hesitancy in Europe

Emilie KarafillakisVaccine Confidence ProjectLondon School of Hygiene & Tropical [email protected]

Determinants of HPV vaccine hesitancy in Europe

Building Trust, Managing Risk: Vaccine Confidence and Human Papillomavirus Vaccination

London, 7-8 June 2017

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Page 2: Determinants of HPV vaccine hesitancy in Europe

A focus on Europe

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Larson H, et al. The state of vaccine confidence 2016: global insights through a 67-country survey. Ebiomedicine (2016).

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A focus on Europe

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• Europe - lowest confidence in vaccine safety in the world (~17%)

• Series of critical events due to low HPV confidence

• Important differences between countries (transnational influences)

Systematic review to understand reasons for low confidence in HPV vaccination in Europe

Larson H, et al. The state of vaccine confidence 2016: global insights through a 67-country survey. Ebiomedicine (2016).

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Mistrust Side effects Informationissues

Decisionmaking

(parents)

Logisticalbarriers (cost)

Loweffectiveness

Influencers Against all ortoo manyvaccines

No necessityor risk

Age issues Moralityissues

Fear ofinjections

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stu

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Qualitative Quantitative

Determinants of HPV vaccine hesitancy in Europe

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PRELIMINARY RESULTS (ECDC TECHNICAL REPORT, 2017)

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Uncertaintyat the heart of HPV vaccine hesitancy

Uncertainty

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Mistrust

Low confidence/trust in HPV vaccination

Information

PRELIMINARY RESULTS (ECDC TECHNICAL REPORT, 2017)

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Other important points

• Vaccine safety remains a key issue

• Differences between countries (Italy/France vs UK), lack of research in Eastern Europe

• Different issues than other vaccines: role of decision-making, morality, uncertainties, rumours spread in schools

• Scientific literature does not capture concerns in real time need for fast data tools (e.g. media monitoring)

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PRELIMINARY RESULTS (ECDC TECHNICAL REPORT, 2017)

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Need strategies to address HPV vaccine confidence in a “post-fact” world

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Emilie KarafillakisVaccine Confidence ProjectLondon School of Hygiene & Tropical [email protected]