Determinants of HPV vaccine hesitancy in Europe
Transcript of 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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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).
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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17% 16%15%
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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
Num
ber
of
stu
die
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Qualitative Quantitative
Determinants of HPV vaccine hesitancy in Europe
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PRELIMINARY RESULTS (ECDC TECHNICAL REPORT, 2017)
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)
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)
Need strategies to address HPV vaccine confidence in a “post-fact” world
Emilie KarafillakisVaccine Confidence ProjectLondon School of Hygiene & Tropical [email protected]