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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

The use of reimbursement data for timely monitoring of vaccination coverage: the example of human papillomavirus vaccine following public concerns about vaccine safety

Zeitschrift:
BMC Public Health > Ausgabe 1/2015
Autoren:
Laure Fonteneau, Marine Ragot, Isabelle Parent du Châtelet, Jean-Paul Guthmann, Daniel Lévy-Bruhl
Wichtige Hinweise

Competing interests

All authors declare that they have no competing interests.

Authors’ contributions

LF made the analysis and wrote the first draft of the manuscript. MR updated the data, IP, JPG and DLB contributed to the interpretation of the data and the discussion. DLB helped revising the manuscript. All authors read and approved the final version.

Abstract

Background

Since 2011 public concerns about Human Papillomavirus (HPV) vaccination safety and efficacy arose in France. We explored the relevance of using vaccines reimbursement data to assess the impact of those public concerns on vaccination coverage.

Methods

We used the Permanent Sample of Beneficiaries which was, at the time of the study, a representative sample of 1/97th health insurance beneficiaries of the main Social Security scheme, the General Health Insurance Scheme, covering approximately 77 % of the French resident population. We estimated HPV vaccination coverage among girls born between 1995 and 1999 at their 15th, 16th and 17th birthday.

Results

The coverage for complete vaccination among 16 years old girls decreased from 26.5 % in the first semester of 2011 to 18.6 % in the first semester of 2014.

Conclusions

HPV vaccination coverage was already low in 2011 and continued to decrease thereafter. Vaccines reimbursement data allowed us to reactively monitor the impact of the controversy on vaccination coverage and design counteracting measures.
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