Service de bactériologie-virologie-hygiène, CHU Dupuytren, 2, avenue Martin-Luther-King, 87042 Limoges cedex, France.
CHU de Créteil, 40, avenue de Verdun, 94010 Créteil cedex, France.
Med Mal Infect. 2014 Jan;44(1):18-24. doi: 10.1016/j.medmal.2013.11.001. Epub 2013 Dec 5.
Vaccination against human papillomavirus infections (HPV), introduced in the French vaccinal schedule in 2007, was recommended until the end of 2012 for 14-year-old girls, with a catch-up policy until 23years of age. We followed the evolution of this vaccine coverage rate (VC) during these 5years in the Vaccinoscopie(®) survey.
We present the analysis of data collected in 2012 from a sample of 1136 mothers of girls 14 to 16years of age. They answered a self-administered questionnaire on Internet and reported all vaccinations mentioned in their daughter's health record.
In 2012, respectively 12.9%, 33.6%, and 48.1% of girls 14, 15 and 16years of age had begun HPV vaccination (≥1 dose received) and respectively 4.3%, 23.6%, and 40.5% of them had received a complete vaccination schedule (3 doses), i.e. 31.7% of 14-16-year-old girls had started the vaccination schedule and 22.9% were fully vaccinated. VC for ≥1 dose had decreased between 2009 and 2012 (-14 points in 14-year-old girls, -16 points in 15-year-old girls, and -11 points between 2009 and 2012 in 16-year-old girls). Regional VCs were heterogeneous.
HPV VC is clearly insufficient. It is essential that physicians concerned by HPV vaccination be mobilized and take every opportunity to inform, reassure, and vaccinate teenage girls. HPV vaccination has been recommended for girls between 11 and 14years of age since 2013, which could help improve adherence to vaccination.
在 2007 年引入法国疫苗接种计划后,人乳头瘤病毒(HPV)感染的疫苗接种一直推荐用于 14 岁以下的女孩,直至 2012 年底,并为 23 岁以下的女孩提供补种政策。我们在 Vaccinoscopie(®)调查中跟踪了这 5 年来该疫苗接种率(VC)的变化情况。
我们分析了 2012 年从 1136 名 14-16 岁女孩的母亲中收集的数据。她们通过互联网回答了一份自我管理的问卷,并报告了她们女儿健康记录中提到的所有疫苗接种情况。
2012 年,分别有 12.9%、33.6%和 48.1%的 14、15 和 16 岁女孩开始接种 HPV 疫苗(已接种≥1 剂),分别有 4.3%、23.6%和 40.5%的女孩完成了完整的疫苗接种计划(3 剂),即 31.7%的 14-16 岁女孩开始接种疫苗,22.9%的女孩已完全接种。2009 年至 2012 年,≥1 剂 VC 下降(14 岁女孩下降 14 分,15 岁女孩下降 16 分,16 岁女孩 2009 年至 2012 年下降 11 分)。区域 VC 存在异质性。
HPV VC 明显不足。动员关心 HPV 疫苗接种的医生并利用一切机会为青少年女孩提供信息、安慰和接种疫苗至关重要。自 2013 年以来,HPV 疫苗接种已推荐用于 11-14 岁女孩,这有助于提高疫苗接种的依从性。