SynthesisJournal of epidemiology and community health2017
Interventions to reduce inequalities in vaccine uptake in children and adolescents aged <19 years: a systematic review.
Synthesis in Journal of epidemiology and community health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
49 citing papers in PubMed, 7 syntheses or guidelines pooled it, 96 citations in OpenAlex.
- A systematic literature review of human papillomavirus vaccination strategies in delivery systems within national and regional immunization programs.Human vaccines & immunotherapeutics · 2024Pooled it
- Communication around HPV vaccination for adolescents in low- and middle-income countries: a systematic scoping overview of systematic reviews.Systematic reviews · 2019Pooled it
- Social inequities in vaccination coverage among infants and pre-school children in Europe and Australia - a systematic review.BMC public health · 2019Pooled it
- Barriers and enablers to adolescent self-consent for vaccination: A mixed-methods evidence synthesis.Vaccine · 2019Pooled it
- Vaccination in England: a review of why business as usual is not enough to maintain coverage.BMC public health · 2018Pooled it
- The effects of public health policies on health inequalities in high-income countries: an umbrella review.BMC public health · 2018Pooled it
- Immunization, urbanization and slums - a systematic review of factors and interventions.BMC public health · 2017Pooled it
- Factors associated with pneumococcal vaccine hesitancy and interventions to improve vaccine uptake in older adults: A narrative review using an established conceptual framework.Human vaccines & immunotherapeutics · 2026Review
- Spatial accessibility analysis of vaccination units in Gansu Province, China (2025).Human vaccines & immunotherapeutics · 2026Article
- Improving childhood vaccination among minority populations in middle- and high-income countries: a realist review of health system interventions.Journal of epidemiology and community health · 2026Review
- Impact of vaccination timing and coverage on measles near elimination dynamics: a mathematical modelling analysis.Nature communications · 2025Article
- Household determinants of delayed MMR vaccination: longitudinal analysis using electronic health records in North East London, UK.BMJ open · 2025Observational
- Area Socioeconomic Status, Vaccination Access, and Female Human Papillomavirus Vaccination.JAMA network open · 2025Article
- Effects of the introduction of a routine rotavirus vaccination programme on vaccination coverage and factors in a Japanese municipality: the VENUS Study.BMJ public health · 2025Article
- Omicron incidence and seroprevalence among children in Montreal, Canada, in early 2023: final results from the longitudinal EnCORE serology study.Epidemiology and infection · 2024Article
- Interventions to increase vaccination in vulnerable groups: rapid overview of reviews.BMC public health · 2024Article
- Determinants of non-vaccination against seasonal influenza during pregnancy.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- A Low-Cost, Integrated Immunization, Health, and Nutrition Intervention in Conflict Settings in Pakistan-The Impact on Zero-Dose Children and Polio Coverage.Pathogens (Basel, Switzerland) · 2024Article
- Factors associated with COVID-19 vaccine uptake among health professionals in Debre Markos town public health facilities, Northwest Ethiopia.PLOS global public health · 2024Article
- Learning from the universal, proactive outreach of the Brazilian Community Health Worker model: impact of a Community Health and Wellbeing Worker initiative on vaccination, cancer screening and NHS health check uptake in a deprived community in the UK.BMC health services research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 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 to decrease vaccine uptake inequalities in light of new technologies applied to vaccination and new vaccine programmes (eg, human papillomavirus in adolescents).
methodsWe searched MEDLINE, Embase, ASSIA, The Campbell Collaboration, CINAHL, The Cochrane Database of Systematic Reviews, Eppi Centre, Eric and PsychINFO for intervention, cohort or ecological studies conducted at primary/community care level in children and young people from birth to 19 years in OECD countries, with vaccine uptake or coverage as outcomes, published between 2008 and 2015.
resultsThe 41 included studies evaluated complex multicomponent interventions (n=16), reminder/recall systems (n=18), outreach programmes (n=3) or computer-based interventions (n=2). Complex, locally designed interventions demonstrated the best evidence for effectiveness in reducing inequalities in deprived, urban, ethnically diverse communities. There is some evidence that postal and telephone reminders are effective, however, evidence remains mixed for text-message reminders, although these may be more effective in adolescents. Interventions that escalated in intensity appeared particularly effective. Computer-based interventions were not effective. Few studies targeted an inequality specifically, although several reported differential effects by the ethnic group.
conclusionsLocally designed, multicomponent interventions should be used in urban, ethnically diverse, deprived populations. Some evidence is emerging for text-message reminders, particularly in adolescents. Further research should be conducted in the UK and Europe with a focus on reducing specific inequalities.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.