Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review

摘要: Background In high-income countries, substantial differences exist in vaccine uptake relating to socioeconomic status, gender, ethnic group, geographic location and religious belief. This paper updates a 2009 systematic review on effective interventions decrease inequalities light of new technologies applied vaccination programmes (eg, human papillomavirus adolescents). Methods We searched MEDLINE, Embase, ASSIA, The Campbell Collaboration, CINAHL, Cochrane Database Systematic Reviews, Eppi Centre, Eric PsychINFO for intervention, cohort or ecological studies conducted at primary/community care level children young people from birth 19 years OECD with coverage as outcomes, published between 2008 2015. Results 41 included evaluated complex multicomponent (n=16), reminder/recall systems (n=18), outreach (n=3) computer-based (n=2). Complex, locally designed demonstrated the best evidence effectiveness reducing deprived, urban, ethnically diverse communities. There is some that postal telephone reminders are effective, however, remains mixed text-message reminders, although these may be more adolescents. Interventions escalated intensity appeared particularly effective. Computer-based were not Few targeted an inequality specifically, several reported differential effects by group. Conclusions Locally designed, should used diverse, deprived populations. Some emerging Further research UK Europe focus specific inequalities.