Challenge to improve Japan's deplorable HPV vaccination rate by local government actions
Aim In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October...
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Veröffentlicht in: | The journal of obstetrics and gynaecology research 2022-05, Vol.48 (5), p.1233-1239 |
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container_title | The journal of obstetrics and gynaecology research |
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creator | Miyoshi, Ai Ueda, Yutaka Yagi, Asami Kimura, Toshihiro Kobayashi, Eiji Tasaka, Keiichi Todo, Aiko Matsunami, Katsura Matsuoka, Taro Kimura, Tadashi |
description | Aim
In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment.
Method
This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services.
Results
The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p |
doi_str_mv | 10.1111/jog.15202 |
format | Article |
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In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment.
Method
This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services.
Results
The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p < 0.0001), 3.5% in 8th grade (p < 0.0001), 6.8% in 9th grade (p < 0.0001), and a remarkable 16.5% in 10th grade (p < 0.0001).
Conclusion
When a local government sends an HPV informational leaflet targeted at young girls, it can significantly improve their HPV vaccination rates.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.15202</identifier><identifier>PMID: 35274421</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Cervical cancer ; cervical cancer screening ; educational intervention ; Female ; HPV vaccination ; Human papillomavirus ; Humans ; Immunization ; Immunization Programs ; Japan ; leaflet ; Local Government ; Papillomavirus Infections - prevention & control ; Papillomavirus Vaccines - adverse effects ; Population studies ; Uterine Cervical Neoplasms - etiology ; Vaccination ; Vaccination - adverse effects</subject><ispartof>The journal of obstetrics and gynaecology research, 2022-05, Vol.48 (5), p.1233-1239</ispartof><rights>2022 Japan Society of Obstetrics and Gynecology.</rights><rights>2022 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-46e4fc2ae640fb6ed475004c7fa48cf015e6727a87da8d8732ad520828ea8e3</citedby><cites>FETCH-LOGICAL-c4432-46e4fc2ae640fb6ed475004c7fa48cf015e6727a87da8d8732ad520828ea8e3</cites><orcidid>0000-0002-2314-5857 ; 0000-0003-0229-2513 ; 0000-0001-8760-6379 ; 0000-0002-3222-5963</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.15202$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.15202$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35274421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyoshi, Ai</creatorcontrib><creatorcontrib>Ueda, Yutaka</creatorcontrib><creatorcontrib>Yagi, Asami</creatorcontrib><creatorcontrib>Kimura, Toshihiro</creatorcontrib><creatorcontrib>Kobayashi, Eiji</creatorcontrib><creatorcontrib>Tasaka, Keiichi</creatorcontrib><creatorcontrib>Todo, Aiko</creatorcontrib><creatorcontrib>Matsunami, Katsura</creatorcontrib><creatorcontrib>Matsuoka, Taro</creatorcontrib><creatorcontrib>Kimura, Tadashi</creatorcontrib><title>Challenge to improve Japan's deplorable HPV vaccination rate by local government actions</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim
In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment.
Method
This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services.
Results
The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p < 0.0001), 3.5% in 8th grade (p < 0.0001), 6.8% in 9th grade (p < 0.0001), and a remarkable 16.5% in 10th grade (p < 0.0001).
Conclusion
When a local government sends an HPV informational leaflet targeted at young girls, it can significantly improve their HPV vaccination rates.</description><subject>Cervical cancer</subject><subject>cervical cancer screening</subject><subject>educational intervention</subject><subject>Female</subject><subject>HPV vaccination</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunization Programs</subject><subject>Japan</subject><subject>leaflet</subject><subject>Local Government</subject><subject>Papillomavirus Infections - prevention & control</subject><subject>Papillomavirus Vaccines - adverse effects</subject><subject>Population studies</subject><subject>Uterine Cervical Neoplasms - etiology</subject><subject>Vaccination</subject><subject>Vaccination - adverse effects</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LAzEQhoMoflQP_gEJeFAP2ybZ7CYepWirCBUU8bZMs7N1S3ZTk22l_95o1YNgLhOYZx5mXkKOOevz-AZzN-vzTDCxRfa5lCphKsu34z-VPNFM5XvkIIQ5Y1xdcr1L9tJMKCkF3ycvw1ewFtsZ0s7Rull4t0J6BwtozwItcWGdh6lFOn54piswpm6hq11LPXRIp2tqnQFLZ3HKtw22HQXz2Q-HZKcCG_Dou_bI483103Cc3E9Gt8Or-8RImYpE5igrIwBzyappjqVUGWPSqAqkNhXjGeZKKNCqBF1qlQoo46VaaASNaY-cb6xx77clhq5o6mDQWmjRLUMh8lQrnjHOInr6B527pW_jbpHKsstoZTxSFxvKeBeCx6pY-LoBvy44Kz7DjlOz4ivsyJ58G5fTBstf8ifdCAw2wHttcf2_qbibjDbKDyJZh7A</recordid><startdate>202205</startdate><enddate>202205</enddate><creator>Miyoshi, Ai</creator><creator>Ueda, Yutaka</creator><creator>Yagi, Asami</creator><creator>Kimura, Toshihiro</creator><creator>Kobayashi, Eiji</creator><creator>Tasaka, Keiichi</creator><creator>Todo, Aiko</creator><creator>Matsunami, Katsura</creator><creator>Matsuoka, Taro</creator><creator>Kimura, Tadashi</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2314-5857</orcidid><orcidid>https://orcid.org/0000-0003-0229-2513</orcidid><orcidid>https://orcid.org/0000-0001-8760-6379</orcidid><orcidid>https://orcid.org/0000-0002-3222-5963</orcidid></search><sort><creationdate>202205</creationdate><title>Challenge to improve Japan's deplorable HPV vaccination rate by local government actions</title><author>Miyoshi, Ai ; Ueda, Yutaka ; Yagi, Asami ; Kimura, Toshihiro ; Kobayashi, Eiji ; Tasaka, Keiichi ; Todo, Aiko ; Matsunami, Katsura ; Matsuoka, Taro ; Kimura, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-46e4fc2ae640fb6ed475004c7fa48cf015e6727a87da8d8732ad520828ea8e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Cervical cancer</topic><topic>cervical cancer screening</topic><topic>educational intervention</topic><topic>Female</topic><topic>HPV vaccination</topic><topic>Human papillomavirus</topic><topic>Humans</topic><topic>Immunization</topic><topic>Immunization Programs</topic><topic>Japan</topic><topic>leaflet</topic><topic>Local Government</topic><topic>Papillomavirus Infections - prevention & control</topic><topic>Papillomavirus Vaccines - adverse effects</topic><topic>Population studies</topic><topic>Uterine Cervical Neoplasms - etiology</topic><topic>Vaccination</topic><topic>Vaccination - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyoshi, Ai</creatorcontrib><creatorcontrib>Ueda, Yutaka</creatorcontrib><creatorcontrib>Yagi, Asami</creatorcontrib><creatorcontrib>Kimura, Toshihiro</creatorcontrib><creatorcontrib>Kobayashi, Eiji</creatorcontrib><creatorcontrib>Tasaka, Keiichi</creatorcontrib><creatorcontrib>Todo, Aiko</creatorcontrib><creatorcontrib>Matsunami, Katsura</creatorcontrib><creatorcontrib>Matsuoka, Taro</creatorcontrib><creatorcontrib>Kimura, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyoshi, Ai</au><au>Ueda, Yutaka</au><au>Yagi, Asami</au><au>Kimura, Toshihiro</au><au>Kobayashi, Eiji</au><au>Tasaka, Keiichi</au><au>Todo, Aiko</au><au>Matsunami, Katsura</au><au>Matsuoka, Taro</au><au>Kimura, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenge to improve Japan's deplorable HPV vaccination rate by local government actions</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2022-05</date><risdate>2022</risdate><volume>48</volume><issue>5</issue><spage>1233</spage><epage>1239</epage><pages>1233-1239</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim
In Japan, in 2013, following reports of several alleged adverse reactions in young girls following vaccination, the previously successful national human papillomavirus infection (HPV) vaccination program collapsed rapidly. In the 8 years since vaccination rates have hovered near zero. In October of 2020, in an attempt to mitigate this lingering disaster, the Japanese Ministry of Health, Labor, and Welfare (MHLW) agency finally revised its HPV vaccination informational leaflet that was designed to be distributed by local governments nationwide. Prior to this revision, Toyonaka City, in Japan's Osaka province, had already begun sending out their own unique leaflet to girls in the targeted 6th–10th grades. As a preview of how MHLW's revised leaflet might eventually succeed, we have studied the HPV vaccination results from Toyonaka City's experiment.
Method
This study was a population‐based analysis that compared the monthly rates of new vaccinations in girls of a targeted grade school age group. We looked at rates before and after the leaflets were sent by Toyonaka City's Division of Health Promotion and Senior Services.
Results
The vaccination rates between April 2020 and March 2021 were improved across all grades; 1.2% in 6th grade (p = 0.000185), 2.5% in 7th grade (p < 0.0001), 3.5% in 8th grade (p < 0.0001), 6.8% in 9th grade (p < 0.0001), and a remarkable 16.5% in 10th grade (p < 0.0001).
Conclusion
When a local government sends an HPV informational leaflet targeted at young girls, it can significantly improve their HPV vaccination rates.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>35274421</pmid><doi>10.1111/jog.15202</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2314-5857</orcidid><orcidid>https://orcid.org/0000-0003-0229-2513</orcidid><orcidid>https://orcid.org/0000-0001-8760-6379</orcidid><orcidid>https://orcid.org/0000-0002-3222-5963</orcidid></addata></record> |
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subjects | Cervical cancer cervical cancer screening educational intervention Female HPV vaccination Human papillomavirus Humans Immunization Immunization Programs Japan leaflet Local Government Papillomavirus Infections - prevention & control Papillomavirus Vaccines - adverse effects Population studies Uterine Cervical Neoplasms - etiology Vaccination Vaccination - adverse effects |
title | Challenge to improve Japan's deplorable HPV vaccination rate by local government actions |
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