Département de Médecine Générale, Université de Reims Champagne-Ardenne, UFR Médecine, 51 rue Cognacq Jay, 51100, Reims, France.
Comité Universitaire de Ressources pour la Recherche en Santé, Université de Reims Champagne-Ardenne, UFR Médecine, 51 rue Cognacq Jay, 51100, Reims, France.
J Cancer Educ. 2024 Jun;39(3):271-278. doi: 10.1007/s13187-024-02407-y. Epub 2024 Feb 14.
In 2019, French health authorities extended the recommendation for human papillomavirus (HPV) vaccination to include boys aged 11 to 19 years. We describe HPV vaccination practices among French general practitioners (GPs) since this recommendation wasapplied. We also identified factors associated with the propensity to propose HPV vaccination to boys. Cross-sectional study, between May and August 2022, among French GPs using a questionnaire asking about the GPs, their practices, and opinions regarding HPV vaccination, including whether they systematically proposed HPV vaccination to eligible boys or not. We investigated factors associated with systematic proposal of HPV vaccination, using univariate and multivariate logistic regression. In total, 360 GPs participated (76.6% females; mean age 34.7 ± 7.8 years; 22.9% had additional training in gynecology or pediatrics); 5.5% reported that they systematically offered HPV vaccination to boys prior to the recommendation, whereas 61.2% do so systematically since the recommendation. Factors associated with systematic proposal to boys (post recommendation) were female GP sex (78.6% versus 66.2%; OR = 2.0 [95% confidence interval (CI) 1.2-3.3]; p = 0.007) and systematic proposal prior to the recommendation (8.5% versus 0.7%; OR = 13.3 [1.7-101.7]; p = 0.01). Protection against HPV-induced cancer was cited as an argument to vaccinate girls (98.3% versus 89.2%; p < 0.0001); while reducing the risk of transmission was more commonly an argument to vaccinate boys (78.1% versus 51.8%; p < 0.0001). This study underlines the positive impact of the official recommendation for HPV vaccination of boys on the attitude of GPs, with an increase in the systematic proposal of HPV vaccination to boys.
2019 年,法国卫生当局将人乳头瘤病毒(HPV)疫苗接种建议扩大至 11 至 19 岁的男孩。我们描述了自该建议实施以来,法国全科医生(GP)接种 HPV 疫苗的情况。我们还确定了与向男孩提出 HPV 疫苗接种建议倾向相关的因素。这是一项横断面研究,于 2022 年 5 月至 8 月在法国 GP 中进行,使用问卷了解 GP 及其关于 HPV 疫苗接种的做法和意见,包括他们是否系统地向符合条件的男孩提出 HPV 疫苗接种建议。我们使用单变量和多变量逻辑回归调查了与系统提出 HPV 疫苗接种相关的因素。共有 360 名 GP 参与(76.6%为女性;平均年龄 34.7±7.8 岁;22.9%接受过妇科或儿科额外培训);5.5%报告在建议前系统向男孩提供 HPV 疫苗接种,而 61.2%自建议后系统提供。与向男孩系统提出建议相关的因素(推荐后)是女性 GP 性别(78.6%比 66.2%;比值比[OR] 2.0[95%置信区间(CI)1.2-3.3];p=0.007)和推荐前的系统建议(8.5%比 0.7%;OR 13.3[1.7-101.7];p=0.01)。预防 HPV 引起的癌症被认为是为女孩接种疫苗的一个理由(98.3%比 89.2%;p<0.0001);而减少传播风险则更常被视为为男孩接种疫苗的理由(78.1%比 51.8%;p<0.0001)。这项研究强调了官方推荐男孩接种 HPV 疫苗对 GP 态度的积极影响,增加了对男孩 HPV 疫苗接种的系统建议。