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[贝桑松全科医生对人乳头瘤病毒疫苗接种的实践与态度]

[Practices and attitudes regarding HPV vaccination among general practitioners from Besançon].

作者信息

Bouvret P, Mougin C, Prétet J-L, Meurisse A, Bonnetain F, Fiteni F

机构信息

Unité de méthodologie et qualité de vie en cancérologie, centre hospitalier universitaire de Besançon, 25000 Besançon, France.

Université Franche-Comté, COMUE uB-FC, 25000 Besançon, France; CHRU de Besançon, 25000 Besançon, France; EA 3181, LabEx LipSTIC ANR-11-LABX-0021, FED4234, Inserm CIC-1431, 25000 Besançon, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2016 Oct;45(8):972-978. doi: 10.1016/j.jgyn.2015.12.002. Epub 2016 Jan 15.

DOI:10.1016/j.jgyn.2015.12.002
PMID:26780841
Abstract

OBJECTIVES

To assess opinions, practices and difficulties of general practitioners (GP) of Besançon concerning human papillomavirus (HPV) vaccination.

MATERIALS AND METHODS

A survey among the 140 GP of Besançon, France, was conducted in 2015.

RESULTS

A percentage of 77.1 reported being favourable to HPV vaccination and 72.9% practices HPV vaccination. The 2 main concerns about HPV vaccination for GP are the fear of side effects (for 40.6% of GP) and the doubt on efficacy. According to GP, the hepatitis B vaccination controversy, the fear of side effects, the limited clinical efficacy experience and the lack of confidence in health authorities are concerns about HPV vaccination for 77.1%, 76%, 74% and 49% of patients, respectively.

CONCLUSION

Courses for GP on HPV vaccination must be pursued and reinforced. A school-based program could be developed to facilitate communication between GP and patients to improve HPV vaccination coverage.

摘要

目的

评估贝桑松地区全科医生(GP)对于人乳头瘤病毒(HPV)疫苗接种的看法、做法及困难。

材料与方法

2015年对法国贝桑松地区的140名全科医生进行了一项调查。

结果

77.1%的受访者表示赞成HPV疫苗接种,72.9%的人实施HPV疫苗接种。全科医生对HPV疫苗接种的两大主要担忧是担心副作用(40.6%的全科医生)和对疗效存疑。据全科医生称,分别有77.1%、76%、74%和49%的患者因乙肝疫苗接种争议、担心副作用、临床疗效经验有限以及对卫生当局缺乏信心而对HPV疫苗接种存在担忧。

结论

必须继续并加强针对全科医生的HPV疫苗接种培训课程。可以制定一项以学校为基础的计划,以促进全科医生与患者之间的沟通,提高HPV疫苗接种覆盖率。

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