From: Determinants of HPV-vaccination uptake and subgroups with a lower uptake in the Netherlands
 | 2012 | 2014 | 2017 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | N | HPV-uptake % (a) | Multi- level univariate COR | p-value | N | HPV-uptake % (a) | Multi- level univariate COR | p-value | N | HPV-uptake % (a) | Multi- level univariate COR | p-value |
Total | 102,456 | 60.0% | Â | Â | 100,988 | 62.8% | Â | Â | 96,439 | 46.6% | Â | Â |
Individual level | ||||||||||||
MMR-vaccination status | 2012 |  |  | < 0.001 | 2014 |  |  | < 0.001 | 2017 |  |  | < 0.001 |
 Zero vaccinations | 5355 | 3.7% | reference | ref. | 3190 | 6.6% | ref. | ref. | 2548 | 6.0% | ref. | ref. |
 One vaccination | 3079 | 28.4% | 9.72 | < 0.001 | 3304 | 26.2% | 4.68 | < 0.001 | 3162 | 13.3% | 2.24 | < 0.001 |
 Two Vaccinations | 94,022 | 64.3% | 44.05 | < 0.001 | 94,494 | 66.0% | 25.34 | < 0.001 | 90,729 | 48.9% | 13.95 | < 0.001 |
 DT (aP)-IPV-vaccination status | 2012 |  |  | < 0.001 | 2014 |  |  | < 0.001 | 2017 |  |  | < 0.001 |
 Zero vaccinations | 5549 | 6.1% | ref. | ref. | 3258 | 10.3% | ref. | ref. | 2656 | 8.2% | ref. | ref. |
 Primary series | 2851 | 28.2% | 5.67 | < 0.001 | 3088 | 25.9% | 2.81 | < 0.001 | 3539 | 20.0% | 2.63 | < 0.001 |
 Completed series | 94,056 | 64.2% | 25.84 | < 0.001 | 94,642 | 65.8% | 15.50 | < 0.001 | 90,244 | 48.7% | 9.94 | < 0.001 |
 Ethnicity | 2012 |  |  | < 0.001 | 2014 |  |  | < 0.001 | 2017 |  |  | < 0.001 |
 NLD - NLD | 17,319 | 63.6% | ref. | ref. | 17,761 | 65.2% | ref. | ref. | 70,614 | 49.4% | ref. | ref. |
 NLD - Turkey | 352 | 32.4% | 0.30 | < 0.001 | 405 | 34.6% | 0.30 | < 0.001 | 1023 | 26.0% | 0.34 | < 0.001 |
 Turkey - Turkey | 1306 | 27.9% | 0.26 | < 0.001 | 1133 | 30.3% | 0.25 | < 0.001 | 1802 | 20.5% | 0.24 | < 0.001 |
 NLD - Morocco | 199 | 36.2% | 0.36 | < 0.001 | 224 | 35.7% | 0.34 | < 0.001 | 762 | 18.8% | 0.22 | < 0.001 |
 Morocco - Morocco | 1272 | 18.2% | 0.16 | < 0.001 | 1249 | 23.9% | 0.20 | < 0.001 | 2920 | 16.5% | 0.18 | < 0.001 |
 NLD - Surinam | 369 | 52.8% | 0.73 | 0.003 | 414 | 54.8% | 0.70 | 0.001 | 927 | 41.3% | 0.71 | < 0.001 |
 Surinam - Surinam | 544 | 48.5% | 0.68 | < 0.001 | 463 | 57.9% | 0.86 | 0.108 | 708 | 45.6% | 0.86 | 0.048 |
 NLD - Ned Antilles/Aruba | 186 | 51.6% | 0.65 | 0.004 | 161 | 57.8% | 0.74 | 0.058 | 475 | 35.6% | 0.55 | < 0.001 |
 Ned Antilles/Aruba –Ned Antilles/Aruba | 214 | 23.8% | 0.20 | < 0.001 | 150 | 44.7% | 0.45 | < 0.001 | 183 | 35.5% | 0.57 | < 0.001 |
 NLD - other WC | 748 | 58.6% | 0.84 | 0.020 | 858 | 64.1% | 0.95 | 0.493 | 2331 | 51.0% | 1.03 | 0.573 |
 other WC - other WC | 430 | 43.5% | 0.44 | < 0.001 | 468 | 53.2% | 0.62 | < 0.001 | 704 | 46.9% | 0.84 | 0.025 |
 NLD - other NWC | 490 | 58.0% | 0.84 | 0.071 | 581 | 59.9% | 0.82 | 0.027 | 1673 | 50.0% | 0.99 | 0.778 |
 other NWC - other NWC | 1184 | 47.6% | 0.57 | < 0.001 | 1192 | 59.3% | 0.83 | 0.004 | 2190 | 51.1% | 1.05 | 0.252 |
 other WC - other NWC | 92 | 43.5% | 0.50 | 0.001 | 104 | 44.2% | 0.45 | < 0.001 | 196 | 35.7% | 0.53 | < 0.001 |
 Unknown | 77,751 | 61.2% | 0.85 | < 0.001 | 75,825 | 63.9% | 0.94 | 0.003 | 9931 | 42.9% | 0.74 | < 0.001 |
Postal code level | ||||||||||||
 Socioeconomic status (b) | 2012 |  |  | < 0.001 | 2014 |  |  | < 0.001 | 2017* |  |  | < 0.001 |
 Low | 17,723 | 51.4% | ref. | ref. | 19,395 | 54.9% | ref. | ref. | 18,149 | 36.9% | ref. | ref. |
 Low-intermediate | 29,714 | 58.8% | 1.27 | < 0.001 | 26,556 | 62.9% | 1.34 | < 0.001 | 25,467 | 44.6% | 1.36 | < 0.001 |
 High-intermediate | 38,297 | 62.7% | 1.50 | < 0.001 | 37,747 | 64.4% | 1.57 | < 0.001 | 34,292 | 48.8% | 1.64 | < 0.001 |
 High | 15,981 | 65.3% | 1.84 | < 0.001 | 16,732 | 68.4% | 1.93 | < 0.001 | 18,099 | 54.8% | 2.09 | < 0.001 |
Road distance | 2012* | Â | Â | 0.129 | 2014 | Â | Â | 0.031 | 2017 | Â | Â | 0.340 |
 0 km | 12,694 | 60.3% | ref. | ref. | 13,661 | 62.3% | ref. | ref. | 13,104 | 45.8% | ref. | ref. |
 0–5 km | 44,246 | 59.3% | 1.03 | 0.279 | 41,395 | 62.0% | 1.04 | 0.105 | 38,045 | 46.9% | 1.02 | 0.547 |
 5–10 km | 28,986 | 60.6% | 1.06 | 0.026 | 28,560 | 63.9% | 1.07 | 0.003 | 29,079 | 46.7% | 1.04 | 0.081 |
  > 10 km | 16,495 | 60.8% | 1.05 | 0.115 | 17,343 | 63.3% | 1.05 | 0.072 | 16,185 | 46.2% | 1.02 | 0.333 |
Municipality level | ||||||||||||
 Urbanization level (c) | 2012* |  |  | 0.020 | 2014* |  |  | 0.134 | 2017 |  |  | 0.058 |
 Very high | 23,398 | 53.3% | ref. | ref. | 19,446 | 57.9% | ref. | ref. | 19,280 | 45.3% | ref. | ref. |
 High | 31,870 | 60.3% | 1.14 | 0.272 | 30,512 | 62.9% | 1.03 | 0.793 | 29,502 | 46.1% | 0.95 | 0.642 |
 Moderately high | 17,260 | 62.7% | 1.28 | 0.038 | 18,314 | 64.0% | 1.16 | 0.232 | 17,512 | 47.9% | 1.03 | 0.819 |
 Low | 21,315 | 63.8% | 1.36 | 0.007 | 23,200 | 65.5% | 1.22 | 0.099 | 21,526 | 48.3% | 1.07 | 0.572 |
 Very low | 8604 | 63.1% | 1.25 | 0.062 | 9513 | 64.1% | 1.11 | 0.390 | 8618 | 44.3% | 0.87 | 0.266 |
 Voting % political parties (d) | 2012 |  |  |  | 2014* |  |  |  | 2017 |  |  |  |
 Lower or higher than national mean | ||||||||||||
People’s Party for Freedom and Democracy (VVD) | ||||||||||||
 Lower | 64,595 | 57.3% | ref. | ref. | 60,833 | 60.5% | ref. | ref. | 58,855 | 43.6% | ref. | ref. |
 Higher | 37,852 | 64.8% | 1.30 | < 0.001 | 40,152 | 66.3% | 1.27 | < 0.001 | 37,583 | 51.3% | 1.47 | < 0.001 |
Labor Party (PvdA), Denk (DENK) | ||||||||||||
 Lower | 36,543 | 60.9% | reference | ref. | 39,038 | 62.7% | ref. | ref. | 34,880 | 46.7% | ref. | ref. |
 Higher | 65,904 | 59.6% | 1.09 | 0.096 | 61,947 | 62.9% | 1.10 | 0.076 | 61,558 | 46.5% | 1.00 | 0.931 |
Party for Freedom (PPV), Forum for Democracy (FvD) | ||||||||||||
 Lower | 57,814 | 59.7% | reference | ref. | 56,784 | 62.3% | ref. | ref. | 52,307 | 48.1% | ref. | ref. |
 Higher | 44,633 | 60.5% | 1.14 | 0.007 | 44,201 | 63.5% | 1.10 | 0.077 | 44,131 | 44.8% | 0.88 | 0.006 |
Socialist Party (SP) | ||||||||||||
 Lower | 52,335 | 57.6% | reference | ref. | 53,199 | 59.8% | ref. | ref. | 4665 | 44.3% | ref. | ref. |
 Higher | 50,112 | 62.6% | 1.40 | < 0.001 | 47,786 | 66.2% | 1.45 | < 0.001 | 41,773 | 49.5% | 1.29 | < 0.001 |
Christian Democratic Appeal (CDA) | ||||||||||||
 Lower | 77,344 | 59.9% | ref. | ref. | 73,747 | 63.0% | ref. | ref. | 71,075 | 46.8% | ref. | ref. |
 Higher | 25,103 | 60.6% | 0.94 | 0.201 | 27,238 | 62.4% | 0.97 | 0.487 | 25,363 | 45.9% | 0.94 | 0.221 |
Democrats 66 (D66) | ||||||||||||
 Lower | 43,514 | 59.9% | ref. | ref. | 45,849 | 61.2% | ref. | ref. | 38,093 | 42.7% | ref. | ref. |
 Higher | 58,933 | 60.1% | 1.25 | < 0.001 | 55,136 | 64.2% | 1.30 | < 0.001 | 58,345 | 49.1% | 1.46 | < 0.001 |
Christian Union (CU), Reformed Political Party (SGP) | ||||||||||||
 Lower | 78,482 | 61.8% | ref. | ref. | 75,461 | 64.9% | ref. | ref. | 71,521 | 48.5% | ref. | ref. |
 Higher | 23,965 | 54.3% | 0.59 | < 0.001 | 25,524 | 56.7% | 0.60 | < 0.001 | 24,917 | 41.1% | 0.62 | < 0.001 |
Green Left (GL) | ||||||||||||
 Lower | 44,692 | 62.0% | ref. | ref. | 47,846 | 63.2% | ref. | ref. | 38,670 | 45.0% | ref. | ref. |
 Higher | 57,755 | 58.6% | 1.07 | 0.196 | 53,139 | 62.5% | 1.11 | 0.046 | 57,768 | 47.6% | 1.21 | < 0.001 |
Party for the Animals (PvdD) | ||||||||||||
 Lower | 37,964 | 61.9% | ref. | ref. | 40,832 | 63.7% | ref. | ref. | 38,633 | 46.7% | ref. | ref. |
 Higher | 64,483 | 59.0% | 1.03 | 0.561 | 60,153 | 62.2% | 1.02 | 0.737 | 57,805 | 46.5% | 1.03 | 0.588 |
50PLUS (50+) | ||||||||||||
 Lower | 57,554 | 58.1% | reference | ref. | 55,729 | 61.0% | ref. | ref. | 55,484 | 46.5% | ref. | ref. |
 Higher | 44,893 | 62.6% | 1.31 | < 0.001 | 45,256 | 65.0% | 1.25 | < 0.001 | 40,954 | 46.7% | 1.10 | 0.052 |