Social equity in Human Papillomavirus vaccination: a natural experiment in Calgary Canada

摘要: The Alberta Immunization Program offers a vaccine against the Human Papillomavirus (HPV) free of charge to all girls in Grades 5 and 9. is provided two different service delivery models depending upon acceptance program by local school board. Vaccinations may be “in-school” or “community” through appointments at Public Health Clinics. purpose this study was determine whether there difference uptake Calgary between models, “community”, examine if socioeconomic status (SES) contributing factor. Individual data from Zone vaccination database for grade 9 years 2008–2011 were analyzed using descriptive statistics. These included records 35,592 girls. Logistic regression used effect system SES on being vaccinated, controlling type. HPV completion rates 75% (95% confidence interval = 74.7%, 75.8%) with an compared 36% 35.3%, 37.2%) schools model. A girl’s neighbourhood related likelihood vaccinated model available her. For attending model, proportion completing increased as decreased (high 79%; medium low 83%; p-value<0.001). Catholic School District decrease immunization high mid 41%; 42%; 34%; results show that those lower differentially disadvantaged not having access Service make create inequities health protection disease prevention based status.