title: [Factors associated with HPV immunization for 13-14-year-old girls in the Geneva district, Switzerland].
abstract: BACKGROUND
  School vaccination programs against human papilloma virus (HPV) have been implemented in most Western countries. Only a few studies have investigated socio-economic factors related to school-based vaccination.
  
  
  METHODS
  A cross-sectional study was conducted using the vaccination cards of 1158 randomized girls aged 13 to 14 years enrolled in the public schools of the canton of Geneva. Several other socio-economic variables (nationality, socio-professional category and marital status of the parents) were collected.
  
  
  RESULTS
  Immunization coverage for three doses of HPV vaccine was 56%. After having controlled the covariates, Portuguese adolescents (adjusted OR [95% CI]: 4.18 [1.76-9.92]), adolescents whose mothers were workers (adjusted OR [95% CI]: 1.91 [1.38-2.65]) or married (adjusted OR [95% CI]: 1.44 [1.06-1.98]) showed significantly higher immunization rates than Swiss adolescents or those whose mothers' socio-professional category was senior manager or executive.
  
  
  CONCLUSIONS
  This study shows that the HPV vaccine coverage is not yet optimal in Geneva and varies significantly according to the socio-economic status, thus better promotion of HPV vaccination for certain target groups must be implemented.
authors.affiliation: Centre médical universitaire, faculté de médecine, université de Genève, institut de médecine sociale et préventive, avenue Michel-Servet 1, 1211 Genève 4, Suisse; Haute école de santé - Suisse Occidentale, avenue de Champel 47, 1206 Genève, Suisse; Service de santé de la jeunesse, département de l'instruction publique, case postale 3682, 11, rue Glacis-de-Rive, 1211 Genève 3, Suisse. Electronic address: emilien.jeannot@unige.ch.
authors.forename: E
authors.initials: E
authors.lastname: Jeannot
authors.forename: C-A
authors.initials: CA
authors.lastname: Wyler
authors.forename: A
authors.initials: A
authors.lastname: Meynard
authors.forename: B
authors.initials: B
authors.lastname: Kaiser
authors.forename: P
authors.initials: P
authors.lastname: Sudre
authors.forename: J
authors.initials: J
authors.lastname: Alvarin
authors.forename: P
authors.initials: P
authors.lastname: Chastonay
mesh_terms: D000293:Adolescent; D002947:Cities / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000008:administration & dosage*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012574:Schools / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D013557:Switzerland / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology / Q000517:prevention & control*; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D053918:Papillomavirus Vaccines
keywords: Adolescent; HPV; Immunization; Santé scolaire; School health; Vaccination