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Sociodemographic factors predicting mother's cervical screening and daughter's HPV vaccination uptake
  1. Angela M Spencer1,2,
  2. Stephen A Roberts3,
  3. Loretta Brabin4,
  4. Julietta Patnick5,
  5. Arpana Verma1,2
  1. 1Manchester Urban Collaboration on Health, Institute of Population Health, Manchester Academic Health Sciences Centre, University of Manchester, Manchester, UK
  2. 2Public Health Department, NHS Bury, Bury, UK
  3. 3Centre for Biostatistics, Institute of Population Health, Manchester Academic Health Sciences Centre, Jean McFarlane Building, University of Manchester, Manchester, UK
  4. 4Women's Cancer Centre, Institute of Cancer Sciences, Manchester Academic Health Sciences Centre, St Mary's Hospital, University of Manchester, Manchester, UK
  5. 5Public Health England/NHS Cancer Screening Programmes, Fulwood House, Old Fulwood Road, Sheffield, UK
  1. Correspondence to Mrs Angela Spencer, Manchester Urban Collaboration on Health, Institute of Population Health, University of Manchester, Stopford Building, Oxford Road, Manchester M13 9PT, UK; angela.pilkington{at}


Background Achieving high human papillomavirus (HPV) vaccine coverage may reduce inequalities in cervical cancer prevention by mitigating the inequalities seen in the cervical screening programme. This paper assesses whether the same sociodemographic factors are associated with both cervical screening and HPV vaccination.

Methods Girls’ HPV vaccination records were linked by address to cervical screening records for their mothers in the North West of England. Index of Multiple Deprivation scores (2010) and census ethnicity data (2001) were used to investigate the association between deprivation and ethnic composition of area of residence with HPV vaccination and cervical screening uptake, along with potential differences between Primary Care Trusts (PCTs), which were responsible for vaccine delivery.

Results Deprivation was not associated with routine (12–13-year-olds) vaccination initiation, but girls living in the most deprived quintile were significantly less likely to complete the three vaccine doses (OR 0.75; 95% CI 0.63 to 0.88). Mother–daughter pairs failing to engage in either screening or vaccination were also more likely to live in deprived areas (routine vaccination OR for most deprived quintile: 2.35; 95% CI 2.00 to 2.77). There were differences between PCTs after controlling for demographic effects (OR 1.35; 95% CI 1.23 to 1.52).

Conclusions Ensuring completion of the vaccine schedule is critical for organisations responsible for vaccine delivery in order to reduce cancer risk among girls living in deprived areas. There remains a small minority of mothers and daughters from disadvantaged backgrounds who do not participate in either cervical screening or HPV vaccination.


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