title: HPV vaccination coverage in French girls attending middle and high schools: a declarative cross sectional study in the department of Côte d'Or.
abstract: OBJECTIVE
  To assess human papillomavirus prophylactic vaccine coverage among a representative population of French girls, aged 14 years and above, attending middle and high schools, and to determine factors associated with the initiation and completion of the vaccination protocol.
  
  
  METHODS
  This cross-sectional study, designed with cluster sampling, was conducted from October 2010 to May 2011, in 29 schools in the department of Côte d'Or, France. The schools were randomized according to their status (public or private) and location (rural or urban). Two classes per level were then included. All analyses were stratified on age.
  
  
  RESULTS
  948 questionnaires were collected (87.9% participation). Mean age was 15.2 years (SD=1.3), ranging between 14 and 19. Only 31.7% of 14-year-old girls and 61.4% of girls aged 15 and above initiated vaccination (one dose), and 7.8% of 14-year-old girls and 48.5% of girls aged 15 and above completed it (three doses). An urban school location and a physician's recommendation were independently associated with vaccination initiation in girls aged 14. In girls aged 15 and above, the parents' socioeconomic status, the family composition and a recommendation by a physician were independently associated with vaccination initiation. Once vaccination had been initiated, girls who attended private school, who belonged to families with higher outcomes, who lived with a single parent or who smoked were less likely to complete the vaccination protocol.
  
  
  CONCLUSIONS
  HPV prophylactic vaccine coverage in girls attending school in Côte d'Or appears to be low. Physicians play a major role in vaccine acceptance.
authors: Hospital Hygiene and Epidemiology Unit, CHU Dijon, France; Breast and Gynecologic Cancer Registry of Côte d'Or, Centre Georges François Leclerc, Dijon, EA 4184, France. Electronic address: aurelie_bertaut@hotmail.fr.
authors: Aurélie
authors: A
authors: Bertaut
authors: Pascal
authors: P
authors: Chavanet
authors: Serge
authors: S
authors: Aho
authors: Karine
authors: K
authors: Astruc
authors: Serge
authors: S
authors: Douvier
authors: Isabelle
authors: I
authors: Fournel
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D005602:France; D006801:Humans; D053918:Papillomavirus Vaccines / Q000008:administration & dosage* / Q000191:economics; D012574:Schools; D012725:Sexual Behavior; D011795:Surveys and Questionnaires; D014611:Vaccination / Q000191:economics / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent; CI; Cervical cancer; GP; HPV; OBJ GYN; OR; Obstetrician gynecologist; Papillomavirus vaccines; Prevention; Vaccination coverage; confidence interval; general practitioner; human papillomavirus; odds ratio