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2022 年法国男男性行为者中疫苗犹豫程度的梯度:一项电子横断面调查。

Gradient of vaccine hesitancy among French men having sex with men: An electronic cross-sectional survey in 2022.

机构信息

ORS PACA, Southeastern Health Regional Observatory, Marseille, France.

Université de Lorraine, APEMAC , Nancy, France.

出版信息

Hum Vaccin Immunother. 2023 Dec 15;19(3):2293489. doi: 10.1080/21645515.2023.2293489. Epub 2023 Dec 14.

Abstract

In developed countries, vaccinations against hepatitis B (HBV), hepatitis A (HAV), and human papillomavirus (HPV) are often recommended to men who have sex with men (MSM) because of the risky sexual practices in which some engage. Vaccine coverage against these diseases is not optimal in France, probably due in part to vaccine hesitancy (VH). The overall aim of this survey among MSM was to estimate the prevalence of different grades of VH for these vaccines as well as of general VH (toward any vaccine). The specific objectives were to study the sociodemographic correlates of MSM specific and general VH and its association with vaccine uptake. A cross-sectional electronic survey (February-August 2022) collected information from 3,730 French MSM about their perceptions of HBV, HAV, and HPV and their related vaccines, to construct "specific VH" variables. Information about their past vaccination behaviors for any vaccine was used to construct a "general VH" variable, based on the World Health Organization definition. Almost 90% of MSM showed moderate or high specific VH for HBV, HAV, and/or HPV, and 54% general VH. A higher education level and comfortable financial situation were associated with lower grades of specific and general VH. Younger age was associated with less frequent specific VH and more frequent general VH. Specific VH, versus general, was more strongly associated with frequent self-reported non-vaccination against these three disease. Addressing their concerns about vaccines, improving their knowledge of vaccine-preventable sexually transmitted infections, and motivating them to get vaccinated are public health priorities.

摘要

在发达国家,由于男男性行为者(MSM)存在一些高风险的性行为,因此经常建议他们接种乙型肝炎(HBV)、甲型肝炎(HAV)和人乳头瘤病毒(HPV)疫苗。法国这些疾病的疫苗接种覆盖率并不理想,这可能部分归因于疫苗犹豫(VH)。本项针对 MSM 的调查旨在评估这些疫苗以及一般 VH(针对任何疫苗)的不同程度 VH 的流行率。具体目标是研究 MSM 特定和一般 VH 及其与疫苗接种率的关联的社会人口学相关因素。一项横断面电子调查(2022 年 2 月至 8 月)收集了 3730 名法国 MSM 关于他们对 HBV、HAV 和 HPV 及其相关疫苗的看法的信息,以构建“特定 VH”变量。根据世界卫生组织的定义,使用他们过去任何疫苗接种行为的信息来构建“一般 VH”变量。近 90%的 MSM 对 HBV、HAV 和/或 HPV 的特定 VH 呈中度或高度,54%的 MSM 对一般 VH 呈中度或高度。较高的教育水平和舒适的财务状况与较低的特定和一般 VH 程度相关。年龄较小与较不频繁的特定 VH 和更频繁的一般 VH 相关。与一般 VH 相比,特定 VH 与这些三种疾病的自我报告非接种更密切相关。解决他们对疫苗的担忧、提高他们对疫苗可预防的性传播感染的认识以及激励他们接种疫苗是公共卫生的重点。

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