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2021-22 年法国青少年父母中 HPV 疫苗认知、接种和意愿的社会人口学决定因素。

Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22.

机构信息

EHESP French School of Public Health, Paris, France.

Emerging Disease Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, France.

出版信息

Hum Vaccin Immunother. 2024 Dec 31;20(1):2381300. doi: 10.1080/21645515.2024.2381300. Epub 2024 Aug 6.

Abstract

Human Papillomavirus (HPV) vaccine coverage was <50% in France in 2022 and even lower among socially disadvantaged populations. We aimed to evaluate socio-demographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents, and related attitudes and knowledge items. Parents of adolescents attending middle schools across France, who participated in a randomized trial responded to an anonymous baseline survey, conducted between November 2021 and February 2022. We used logistic regression models adjusting for a child's age and sex to explore sociodemographic determinants (including at-home multilingualism, occupational categories, local deprivation index and urbanity) of HPV vaccine awareness, uptake, and intention. Among the 1889 participants from 61 schools, parents working as factory workers/farmers had significantly lower odds of vaccine awareness compared to executives/professionals, both if they reported (OR = 0.07; 0.03-0.15) or not (OR = 0.20; 0.11-0.36) speaking also another language than French at home. Parents in lower occupational categories with multilingual families were less likely to have the intention to vaccinate their child (OR = 0.19; 0.07-0.56). Recent physician visit or vaccine offer was strong positive determinants of awareness, uptake and intention. A substantial gradient across occupational categories was observed for attitudes and knowledge around HPV vaccine usefulness, safety, and accessibility. This study confirms the disparities on HPV vaccine uptake in France and provides insight into mechanisms of social disparities in HPV vaccine awareness, access and intention.

摘要

人乳头瘤病毒(HPV)疫苗在 2022 年法国的覆盖率<50%,在社会弱势群体中甚至更低。我们旨在评估青少年父母对 HPV 疫苗的认识、接受度和接种意向的社会人口决定因素,以及相关的态度和知识项目。在法国各地的中学就读的青少年的父母参加了一项随机试验,他们在 2021 年 11 月至 2022 年 2 月期间对一项匿名基线调查做出了回应。我们使用逻辑回归模型,根据孩子的年龄和性别进行调整,以探索 HPV 疫苗的认识、接受度和接种意向的社会人口决定因素(包括家庭多语言环境、职业类别、地方贫困指数和城市性)。在 61 所学校的 1889 名参与者中,与管理人员/专业人员相比,工厂工人/农民等职业类别的父母报告在家中也说除法语以外的其他语言时,对疫苗的认识明显较低(OR=0.07;0.03-0.15)或不报告(OR=0.20;0.11-0.36)。家庭多语言环境中职业类别较低的父母,其为孩子接种疫苗的意向较低(OR=0.19;0.07-0.56)。最近的医生就诊或疫苗提供是提高认识、接受度和意向的有力积极决定因素。在 HPV 疫苗有用性、安全性和可及性的态度和知识方面,观察到职业类别之间存在明显的梯度差异。这项研究证实了法国 HPV 疫苗接种率的差异,并深入了解了 HPV 疫苗认识、获取和接种意向的社会差异的机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/987c/11305024/1303002e859f/KHVI_A_2381300_F0001_B.jpg

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