Determinants for HPV vaccine uptake in the Netherlands: A multilevel study

Vaccine. 2010 Feb 25;28(9):2070-5. doi: 10.1016/j.vaccine.2009.12.042. Epub 2009 Dec 30.


In March 2009, a HPV catch-up vaccination campaign was implemented in the Netherlands for girls born between 1993 and 1996. We performed a multilevel study to investigate determinants for HPV vaccination uptake. National coverage for the first dose was 49.9%, with regional uptakes ranging from 31% to 61%. Data was gathered from individual to regional level. Our results suggest that organizing information meetings at schools and communicating with gynaecologists might be beneficial. Lower uptake among various ethnic groups and in areas with higher proportion of voters for Religious Political Parties indicate that communication on HPV vaccine should be adapted to religious and ethnic communities. Furthermore, lower uptake in areas with lower socioeconomic status needs attention since participation to cervical screening is also lower in these areas.

MeSH terms

  • Adolescent
  • Data Collection
  • Delivery of Health Care
  • Female
  • Health Education
  • Humans
  • Immunization Programs / statistics & numerical data*
  • Logistic Models
  • Netherlands
  • Papillomavirus Vaccines / administration & dosage*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Politics


  • Papillomavirus Vaccines