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Table 3 Multilevel multivariable logistic regression analysis of invitation year 2017, model 1.3, (n = 96,007; 99.6% of the girls included in model)

From: Determinants of HPV-vaccination uptake and subgroups with a lower uptake in the Netherlands

Variable

N

HPV-uptake

% (a)

Adjusted OR (AOR)

95% CI

p-value

MMR-vaccination status

< 0.001

 Zero vaccinations

2541

6.0%

reference

ref.

ref.

 One vaccination

3155

13.3%

2.38

1.96–2.89

< 0.001

 Two Vaccinations

90,311

48.9%

14.69

12.44–17.35

< 0.001

Ethnicity

< 0.001

 NL - NL

70,228

49.4%

ref.

ref.

ref.

 NL - Turkey

1021

26.1%

0.37

0.32–0.42

< 0.001

 Turkey - Turkey

1800

20.5%

0.27

0.24–0.31

< 0.001

 NL - Morocco

760

18.7%

0.23

0.19–0.28

< 0.001

 Morocco - Morocco

2920

16.5%

0.20

0.18–0.23

< 0.001

 NL- Surinam

924

41.5%

0.75

0.65–0.86

< 0.001

 Surinam - Surinam

707

45.7%

0.94

0.81–1.10

0.451

 NL - Ned Antilles/Aruba

475

35.6%

0.60

0.49–0.73

< 0.001

 Ned Antilles/Aruba - Ned Antilles/Aruba

182

35.7%

0.83

0.60–1.15

0.266

 NL - other WC

2320

51.0%

1.07

0.98–1.16

0.142

 other WC - other WC

704

46.9%

1.17

0.99–1.37

0.065

 NL - other NWC

1667

50.0%

1.03

0.93–1.14

0.555

 other NWC - other NWC

2188

51.1%

1.25

1.14–1.37

< 0.001

 other WC - other NWC

196

35.7%

0.65

0.48–0.88

0.005

 Unknown

9915

42.9%

0.91

0.87–0.95

< 0.001

Socioeconomic status (b)

< 0.001

 Low

18,149

36.9%

ref.

ref.

ref.

 Low - intermediate

25,467

44.6%

1.21

1.15–1.27

< 0.001

 High - intermediate

34,292

48.8%

1.40

1.34–1.47

< 0.001

 High

18,099

54.8%

1.68

1.59–1.77

< 0.001

Road distance

< 0.001

 0 km

13,104

45.8%

ref.

ref.

ref.

 0–5 km

37,943

46.9%

0.99

0.94–1.03

0.555

 5–10 km

28,925

46.7%

0.93

0.89–0.98

0.006

  > 10 km

16,035

46.2%

0.90

0.85–0.95

< 0.001

Urbanization level (c)

0.002

 Very high

19,258

45.3%

ref.

ref.

ref.

 High

29,441

46.1%

0.84

0.70–0.995

0.043

 Moderately high

17,432

47.9%

0.75

0.62–0.90

0.002

 Low

21,360

48.3%

0.89

0.74–1.08

0.244

 Very low

8616

44.1%

0.86

0.70–1.05

0.131

Voting % People’s Party for Freedom and Democracy (VVD)

 Lower

58,531

43.5%

ref.

ref.

ref.

 Higher

37,476

51.3%

1.22

1.12–1.33

< 0.001

Voting % Labor Party (PvdA), Denk (DENK)

 Lower

34,742

46.8%

ref.

ref.

ref.

 Higher

61,265

46.5%

0.94

0.86–1.04

0.209

Voting % Party for Freedom (PVV), Forum for Democracy (FvD)

 Lower

52,033

48.1%

ref.

ref.

ref.

 Higher

43,974

44.8%

0.90

0.81–0.99

0.029

Voting % Socialist Party (SP)

 Lower

54,491

44.3%

ref.

ref.

ref.

 Higher

41,516

49.5%

1.39

1.27–1.53

< 0.001

Voting % Christian Democratic Appeal (CDA)

 Lower

70,868

46.8%

ref.

ref.

ref.

 Higher

25,139

45.9%

0.89

0.80–0.99

0.026

Voting % Democrats 66 (D66)

 Lower

37,814

42.6%

ref.

ref.

ref.

 Higher

58,193

49.1%

1.17

1.05–1.30

0.003

Voting % Christian Union (CU), Reformed Political Party (SGP)

 Lower

71,226

48.5%

ref.

ref.

ref.

 Higher

24,781

41.1%

0.81

0.73–0.91

< 0.001

Voting % Green Left (GL)

 Lower

38,470

45.0%

ref.

ref.

ref.

 Higher

57,537

47.6%

1.15

1.03–1.30

0.015

Voting % Party for the Animals (PvdD)

 Lower

38,403

46.7%

ref.

ref.

ref.

 Higher

57,604

46.5%

0.82

0.74–0.91

< 0.001

Voting % 50PLUS (50+)

 Lower

55,213

46.5%

ref.

ref.

ref.

 Higher

40,794

46.6%

0.99

0.90–1.09

0.814

  1. Abbreviations: OR odds ratio, CI confidence interval, MMR mumps-measles-rubella, NL the Netherlands, Ned Antilles/Aruba the Netherlands Antilles and Aruba, WC western countries, NWC non-western countries, km kilometer, VVD People’s Party for Freedom and Democracy, PvdA Labor Party, PVV Party for Freedom, FvD Forum for Democracy, SP Socialist Party, CDA Christian Democratic Appeal, D66 Democrats 66, CU Christian Union, SGP Reformed Political Party, GL Green Left, PvdD The Party for the Animals, 50 + =50PLUS. For explanatory notes on the political parties we refer to Supplementary material 1
  2. (a) HPV-uptake % = % of total of girls (N) with a completed HPV-vaccination series (2 doses).
  3. (b) Socioeconomic status classification; low (≤ − 1.0000), low-intermediate (− 0.9999 to 0.0000), high-intermediate (0.0001–0.9999), high (≥1.0000).
  4. (c) Urbanization classification; Very high: > 2500 addresses per km2, high: 1500–2500 addresses per km2, moderately high: 1000–1500 addresses per km2, low: 500–100 addresses per km2, very low < 500 addresses per km2
  5. (d) Voting % classification: higher or lower compared to the national mean.