Univ. Grenoble Alpes, Univ. Savoie Mont Blanc, LIP/PC2S, Grenoble, France; Health Psychology Lab, McGill University, Montréal, France.
Université de Lorraine, APEMAC, F-57000, Metz, France.
Vaccine. 2024 Apr 11;42(10):2628-2636. doi: 10.1016/j.vaccine.2024.02.080. Epub 2024 Mar 15.
The vaccine coverage against human papillomavirus (HPV) vaccination remains low in France. The objective of this study was to study adolescent perceptions by comparing boys and girls, in order to build effective school-based interventions.
This paper presents a cross-sectional study in French middle school pupils. They completed online questionnaires on their knowledge and attitudes toward the HPV vaccine, HPV vaccination status, their intention, reasons to vaccinate or not to vaccinate, and psychological antecedents of vaccination. A structural equation modeling (SEM) analysis was used to test the hypothesized model.
The participants are 818 pupils aged from 12 to 16 years (M = 13.78). Most pupils were in the pre-contemplative stage (62.7 % of boys and 40.8 % of girls). SEM analysis indicated that the relationship between the level of HPV knowledge, the representations of vaccines in general, and vaccine intention was mediated by attitudes towards the HPV vaccine among both boys and girls.
These findings reveal a high percentage of boys who do not feel concerned by the HPV vaccine and highlight the need to consider the psychological antecedents of vaccination in general in addition to the specific attitudes to the HPV vaccine.
在法国，人乳头瘤病毒（HPV）疫苗的接种覆盖率仍然很低。本研究的目的是通过比较男孩和女孩来研究青少年的认知，以便制定有效的基于学校的干预措施。
本研究采用横断面研究设计，对法国中学的学生进行了在线问卷调查，内容包括他们对 HPV 疫苗的知识和态度、HPV 疫苗接种状况、接种意愿、接种或不接种的原因以及疫苗接种的心理前因。采用结构方程模型（SEM）分析来检验假设模型。
参与者为 818 名年龄在 12 至 16 岁之间的学生（M=13.78）。大多数学生处于前沉思阶段（62.7%的男生和 40.8%的女生）。SEM 分析表明，HPV 知识水平、疫苗总体形象与疫苗接种意愿之间的关系，在男孩和女孩中均通过对 HPV 疫苗的态度来间接体现。
这些发现揭示了很大比例的男孩对 HPV 疫苗不感兴趣，这强调了在考虑 HPV 疫苗的具体态度之外，还需要考虑一般疫苗接种的心理前因。
