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法国未来治疗性艾滋病毒疫苗极高的可接受性:法国悖论?

Patients' high acceptability of a future therapeutic HIV vaccine in France: a French paradox?

机构信息

Department of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.

EA 7334 REMES, Patient-Centered Outcomes Research, University Paris-Diderot, Sorbonne Paris Cité, Paris, France.

出版信息

BMC Infect Dis. 2019 May 9;19(1):401. doi: 10.1186/s12879-019-4056-6.

Abstract

BACKGROUND

France is the European country with the lowest level of confidence in vaccines. Measurement of patients' acceptability towards a future therapeutic HIV vaccine is critically important. Thus, the aim of this study was to evaluate patients' acceptability of a future therapeutic HIV vaccine in a representative cohort of French patients living with HIV-AIDS (PLWHs).

METHODS

This multicentre study used quantitative and qualitative methods to assess PLWHs' opinions and their potential acceptance of a future therapeutic HIV vaccine. Cross-sectional study on 220 HIV-1 infected outpatients, aged 18-75 years.

RESULTS

The participants' characteristics were similar to those of the overall French PLWH population. Responses from the questionnaires showed high indices of acceptance: the mean score for acceptability on the Visual Analog Scale VAS was 8.4 of 10, and 92% of patients agreed to be vaccinated if a therapeutic vaccine became available. Acceptability depended on the expected characteristics of the vaccine, notably the duration of its effectiveness: 44% of participants expected it to be effective for life. This acceptance was not associated with socio-demographic, clinical (mode of contamination, duration of disease), quality of life, or illness-perception parameters. Acceptability was also strongly correlated with confidence in the treating physician.

CONCLUSION

The PLWHs within our cohort had high indices of acceptance to a future therapeutic HIV vaccine.

TRIAL REGISTRATION

This study was retroactively registered on ClinicalTrials.gov with ID: NCT02077101 in February 21, 2014.

摘要

背景

法国是欧洲对疫苗信心最低的国家。测量患者对未来治疗性 HIV 疫苗的可接受程度至关重要。因此,本研究的目的是评估法国 HIV-AIDS(PLWH)患者代表性队列中患者对未来治疗性 HIV 疫苗的可接受性。

方法

这项多中心研究使用定量和定性方法评估 PLWH 对未来治疗性 HIV 疫苗的意见及其潜在接受程度。对 220 名年龄在 18-75 岁的 HIV-1 感染门诊患者进行横断面研究。

结果

参与者的特征与法国总体 PLWH 人群相似。问卷调查的结果显示出高度的可接受性:视觉模拟量表(VAS)的可接受性平均得分为 10 分中的 8.4 分,92%的患者如果有治疗性疫苗可用,他们愿意接种疫苗。可接受性取决于疫苗的预期特征,特别是其有效性的持续时间:44%的参与者期望它具有终身效力。这种接受程度与社会人口统计学、临床(感染模式、疾病持续时间)、生活质量或疾病认知参数无关。可接受性也与对治疗医生的信心密切相关。

结论

我们队列中的 PLWH 对未来的治疗性 HIV 疫苗具有较高的可接受性指数。

试验注册

本研究于 2014 年 2 月 21 日在 ClinicalTrials.gov 上以 ID:NCT02077101 进行了回溯性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baf1/6509812/c1bf0fe7da91/12879_2019_4056_Fig1_HTML.jpg

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