Barriers to and Facilitators for Accessing HPV Vaccination in Migrant and Refugee Populations: A Systematic Review

Vaccines, Год журнала: 2024, Номер 12(3), С. 256 - 256

Опубликована: Фев. 29, 2024

Human papillomavirus (HPV) is the most prevalent sexually transmitted virus globally and a primary cause of cervical cancer, which ranks fourth among tumors in both incidence mortality. Despite availability effective vaccines worldwide, HPV vaccination rates vary, especially migrant refugee populations. Indeed, status may act as determinant against accessing vaccinations, many other factors. The objective this paper to evaluate barriers facilitators for A systematic review existing peer-reviewed academic literature was conducted according PRISMA 2020 guidelines we examined thirty-four studies these populations identify factors acting or facilitators. Key determinants include socio-economic health literacy. Communication barriers, including language cultural factors, also impact access information trust workforce. Understanding considering crucial developing proper inclusive strategies ensure that no population overlooked.

Язык: Английский

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The immune status of migrant populations in Europe and implications for vaccine-preventable disease control: a systematic review and meta-analysis

Journal of Travel Medicine, Год журнала: 2024, Номер unknown

Опубликована: Фев. 29, 2024

Abstract Background Ensuring vaccination coverage reaches established herd immunity thresholds (HITs) is the cornerstone of any programme. Diverse migrant populations in European countries have been associated with cases vaccine-preventable diseases (VPDs) and outbreaks, yet it not clear to what extent they are an under-immunized group. Methods We did a systematic review meta-analysis synthesize peer-reviewed published primary research reporting data on immune status migrants EU/EEA countries, UK Switzerland, calculating their pooled for measles, mumps, rubella diphtheria using random-effects models. searched Web Science, Embase, Global Health MEDLINE (1 January 2000 10 June 2022), no language restrictions. The protocol registered PROSPERO (CRD42018103666). Findings Of 1103 abstracts screened, 62 met eligibility criteria, which 39 were included meta-analysis. 75 089 migrants, predominantly from outside Europe. Pooled among was well below recommended HIT (n = 7, 57.4% [95% confidence interval (CI): 43.1–71.7%] I2 99% vs 83–86%), measles 21, 83.7% CI: 79.2–88.2] 93–95%) mumps 8, 67.1% 50.6–83.6] 88–93%) midway 29, 85.6% 83.1–88.1%] 83–94%), high heterogeneity across studies. Interpretation Migrants Europe group range important VPDs, this study reinforcing importance engaging children, adolescents adults ‘catch-up’ initiatives arrival vaccines, doses boosters may missed home countries. Co-designing strategies strengthen catch-up life course groups next step if we meet global targets VPD elimination control ensure vaccine equity.

Язык: Английский

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Strengthening life-course immunisation in migrant populations: access, equity, and inclusion

The Lancet Regional Health - Europe, Год журнала: 2024, Номер 41, С. 100806 - 100806

Опубликована: Май 28, 2024

Adult and adolescent migrants worldwide, those arriving in Europe, are an under-immunised group for routine vaccinations due to missed childhood vaccines doses their countries of origin, subsequent marginalisation from health vaccination systems. Declining population-level coverage across which has accelerated post-pandemic, places these other populations at even greater risk vaccine-preventable diseases. However, despite clear guidelines around the importance delivering 'catch-up' throughout life-course, rarely effectively incorporated into programmes on arrival Europe. These have subsequently been involved outbreaks, including measles diphtheria, missing opportunities receive more recently introduced such as HPV align them with European vaccine schedules. WHO's new Immunization Agenda 2030 a renewed emphasis equitable access systems integrating catch-up life-course. In addition, lessons learned innovations COVID-19 pandemic merit further consideration design delivery inclusive programmes. We describe current gaps policy practice life-course migrant populations, key factors that drive low uptake coverage, explore benefits participatory approaches designing interventions impacted communities, define strategies advance equity Region.

Язык: Английский

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Interventions to increase vaccination against COVID-19, influenza and pertussis during pregnancy: a systematic review and meta-analysis

Journal of Travel Medicine, Год журнала: 2023, Номер 30(8)

Опубликована: Ноя. 2, 2023

Abstract Background Pregnant women and their babies face significant risks from three vaccine-preventable diseases: COVID-19, influenza pertussis. However, despite these vaccines’ proven safety effectiveness, uptake during pregnancy remains low. Methods We conducted a systematic review (PROSPERO CRD42023399488; January 2012–December 2022 following PRISMA guidelines) of interventions to increase COVID-19/influenza/pertussis vaccination in pregnancy. searched nine databases, including grey literature. Two independent investigators extracted data; discrepancies were resolved by consensus. Meta-analyses using random-effects models estimate pooled effect sizes. Heterogeneity was assessed the I2 statistics. Results From 2681 articles, we identified 39 relevant studies (n = 168 262 participants) across countries. Fifteen (39%) randomized controlled trials (RCTs); remainder observational cohort, quality-improvement or cross-sectional studies. The quality 18% (7/39) strong. Pooled results vaccine (18 estimates 12 RCTs) showed effective but had small (risk ratio 1.07, 95% CI 1.03, 1.13). pertussis (10 six no clear benefit 0.98, 0.94, 1.03). There RCTs for COVID-19. Interventions addressed ‘three Ps’: patient-, provider- policy-level strategies. At patient level, recommendations healthcare professionals backed text reminders/written information strongly associated with increased uptake, especially tailored face-to-face interventions, which women’s concerns, dispelled myths highlighted benefits. Provider-level included educating about effectiveness reminders offer vaccinations routinely. Policy-level financial incentives, mandatory data fields electronic health records ensuring easy availability vaccinations. Conclusions on increasing vaccination. Training providers promote is crucial could be enhanced utilizing mobile technologies.

Язык: Английский

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Vaccine Hesitancy among Immigrants: A Narrative Review of Challenges, Opportunities, and Lessons Learned

Vaccines, Год журнала: 2024, Номер 12(5), С. 445 - 445

Опубликована: Апрель 23, 2024

(1) Background: Vaccination reluctance is a major worldwide public health concern as it poses threats of disease outbreaks and strains on healthcare systems. While some studies have examined vaccine uptake within specific countries, few provide an overview the barriers trends among migrant groups. To fill this knowledge gap, narrative review analyzes immunization patterns hesitancy immigrant populations. (2) Methods: Four researchers independently evaluated quality bias risk 18 identified articles using validated critical appraisal tools. (3) Results: Most focused migrants in United States Canada, with higher COVID-19 than native-born residents. Contributing factors to include demographics, cultural views, obstacles access, financial hardship, distrust policies. Additionally, immigrants North America Europe face unfair challenges due misinformation, safety concerns, personal perspectives, language barriers, immigration status, restricted access. (4) Conclusions: Tailored education programs outreach campaigns sensitive immigrants’ diversity should be developed address issue. It also important investigate community-specific assess long-term sustainability current efforts promote vaccination marginalized Further research into global disparities populations crucial.

Язык: Английский

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Using Measles Outbreaks to Identify Under-Resourced Health Systems in Low- and Middle-Income Countries: A Predictive Model

Vaccines, Год журнала: 2025, Номер 13(4), С. 367 - 367

Опубликована: Март 30, 2025

Background/Objectives: Measles is a vaccine-preventable disease with high level of transmissibility. Outbreaks measles continue globally, gaps in healthcare and immunisation resulting pockets susceptible individuals. outbreaks have been proposed as “canary the coal mine” under-resourced health systems, uncovering broader system weaknesses. We aim to understand whether systems are associated increased odds large low- middle-income countries (LMICs). Methods: used an ecological study design identify that occurred LMICs between 2010 2020. Health were represented using set indicators for corresponding outbreak country, guided by World Organization’s building blocks framework. These were: proportion births delivered facility, number nurses midwives per 10,000 population, domestic general government expenditure capita USD. analysed associations predictive model assessed accuracy this model. Results: The analysis included 78 outbreaks. found absence any association When testing accuracy, obtained Brier score 0.21, which indicates not informative predicting missing data did affect results Conclusions: Large able be LMICs. However, further research required may exist when taking other factors, including smaller outbreaks, into account.

Язык: Английский

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“If I know about it of course I would give my son and daughter”, barriers to and enablers of accessing human papillomavirus vaccination among women from refugee and asylum-seeking backgrounds resettling in Melbourne, Australia – A qualitative study

Vaccine, Год журнала: 2025, Номер 53, С. 127064 - 127064

Опубликована: Апрель 1, 2025

Язык: Английский

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Facilitators of COVID-19 Vaccination Among Pregnant and Lactating Refugee Women: A Qualitative Study Using a Community-Based Approach

Patient Education and Counseling, Год журнала: 2025, Номер unknown, С. 108778 - 108778

Опубликована: Апрель 1, 2025

Язык: Английский

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Risk of vaccine preventable diseases in UK migrants: A serosurvey and concordance analysis

Journal of Migration and Health, Год журнала: 2024, Номер 9, С. 100217 - 100217

Опубликована: Янв. 1, 2024

Background: Vaccine preventable diseases (VPDs) such as measles and rubella cause significant morbidity mortality globally every year.The World Health Organization (WHO), reported vaccine coverage for both to be 71 % in 2019, indicating an immunity gap.Migrants the EU/EEA may at high risk of VPDs due under-immunisation poor living conditions.However, there are limited data on VPD seroprotection rates amongst migrants United Kingdom (UK).Methods: We conducted exploratory cross-sectional serosurvey a sample adult Leicester, UK to: (a) determine measles, varicella zoster, this group; (b) identify factors associated with seronegativity and, (c) understand if self-reported or history is effective measure seroprotection.Participants gave blood completed questionnaire asking basic demographic details disease three VPDs.We summarised using median interquartile range (IQR) non-parametric continuous variables count percentage categorical variables.We used logistic regression establish predictors against these diseases.We examined reliability vaccination/disease prediction through concordance analysis.Results: 149 were included analysis.Seroprotection were: zoster 98 %, 92.6 89.3 %.Increasing age was (OR 1.07 95 CI 1.01-1.13for each year increase age).Migrants from Africa Middle East (aOR 15.16 1.31 -175.06) South/ Asia Pacific regions 15.43 %CI 2.38 -100.00) significantly more likely seroprotected compared Europe Central Asia.The proportions unsure about their vaccination combined 53.0 measles; 57.7 rubella; 43.0 varicella.There no agreement between serostatus.Conclusion: Our findings suggest lower levels UK, younger those lack seroprotection.A proportion surveyed unaware vaccine/ predictor which important clinical decision-making regarding catch-up population.Our results, although derived small sample, that gaps seroimmunity certain particular migrant populations.These should inform future qualitative studies investigating barriers uptake population-level seroprevalence aimed determining individualised profiles based migration factors.

Язык: Английский

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Perspectives of primary care physicians in Spain on malaria: a cross-sectional survey and retrospective review of cases

Malaria Journal, Год журнала: 2024, Номер 23(1)

Опубликована: Янв. 4, 2024

Abstract Background In Spain, the risk of imported malaria has increased in recent years due to rise international travel and migration. Little is known about knowledge, information sources, clinical practice, specific needs primary care physicians (PCPs) concerning despite pivotal role played by these professionals managing health tourists. The objective this study was assess attitudes, practices PCPs Spain regarding malaria. Methods This research analyses data from (1) a cross-sectional nationwide survey assessing knowledge attitudes malaria, (2) retrospective review 373 cases appearing medical records (PCMRs) Madrid area over past 15 determine how were documented, managed, or characterized setting. Results findings reveal modest level self-perceived familiarity with (221/360, 57.6%), even though 32.8% practitioners reported having delivered for confirmed suspected disease, had greater (80.4%) compared who not (19.6%, p < 0.001). Ten percent participants did know name mosquito that transmits only 40.7% would promptly request testing traveller symptoms after trip an endemic area. Responses provided younger varied extent than those their more experienced colleagues prevention patient management. A PCMRs showed 65% all patients recorded as such. Among registered, 40.3% documented episode, those, 16.6% received proper follow-up. Only 23.7% PCMR record specifically indicated country classified visiting friends relatives (VFR). Conclusions underscore critical field medicine, particularly given increase cases. These results highlight need targeted training medicine ensure optimal education settings.

Язык: Английский

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