[HPV prophylactic vaccine coverage and factors impacting its practice among students and high school students in Marseilles' area].
OBJECTIVE
To assess the coverage of HPV vaccine among young women from Marseilles' area and factors influencing the probability of this vaccination.


METHODS
An anonymous survey was conducted among 2124 high school and university students from Marseilles' area, France from December 2011 to May 2012.


RESULTS
Mean age of participants was 20.4years (±SD: 3.3). Only 41.6% participants reported being vaccinated against HPV, of whom 768 (93.3) had completed the 3 injections scheme. Among non-vaccinated respondents, 33.6% acknowledged they would accept a catch-up vaccination. Factors influencing the probability of being vaccinated were young age (AOR: 0.728; 95% CI: 0.681-0.779; P<0.001), socioeconomic and/or education level of parents (AOR: 1.324; 95% CI: 1.006-1.742; P=0.045), information about vaccination (AOR: 24.279; 95% CI: 5.417-108.82; P<0.001) and having a general practitioner (GP) favourable to vaccination (AOR: 68.776; 95% CI: 34.511-137.061; P<0.001). Factors influencing the probability to accept a catch-up vaccination were age (AOR: 1.059; 95% CI: 1.001-1.120; P=0.046), socioeconomic and/or education level of parents (AOR: 1.637; 95% CI: 1.198-2.237; P=0.002) and having a GP favourable to vaccination (AOR: 4.381; 95% CI: 2.978-6.445; P<0.001). Only 35.5% of respondents were aware that screening remains necessary following HPV vaccination.


CONCLUSIONS
The coverage of HPV vaccine among young women from Marseilles' area is insufficient. Factors influencing the probability of being vaccinated against HPV are age, socioeconomic and/or education level of parents and information regarding vaccination. GP plays a major role in the acceptance of HPV vaccine.
Service de gynécologie obstétrique, hôpital Nord, assistance publique des hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 20, France.
A
A
Baudoin
Service de gynécologie obstétrique, hôpital Nord, assistance publique des hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 20, France.
L
L
Sabiani
430, avenue de Lattre-de-Tassigny, 13009 Marseille, France.
F
F
Oundjian
Département de neuro-oncologie, hôpital de la Timone, assistance publique des hôpitaux de Marseille (AP-HM), 13005 Marseille, France.
E
E
Tabouret
Service de gynécologie obstétrique, hôpital de la Conception, assistance publique des hôpitaux de Marseille (AP-HM), boulevard Baille, 13005 Marseille, France; Faculté de médecine, université d'Aix-Marseille (AMU), 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France.
A
A
Agostini
Service de gynécologie obstétrique, hôpital de la Conception, assistance publique des hôpitaux de Marseille (AP-HM), boulevard Baille, 13005 Marseille, France; Faculté de médecine, université d'Aix-Marseille (AMU), 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France.
B
B
Courbière
Service de gynécologie obstétrique, hôpital Nord, assistance publique des hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 20, France; Faculté de médecine, université d'Aix-Marseille (AMU), 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France.
L
L
Boubli
Service de gynécologie obstétrique, hôpital Nord, assistance publique des hôpitaux de Marseille (AP-HM), chemin des Bourrely, 13915 Marseille cedex 20, France; Faculté de médecine, université d'Aix-Marseille (AMU), 27, boulevard Jean-Moulin, 13385 Marseille cedex 05, France. Electronic address: xcarco@free.fr.
X
X
Carcopino
D000293:Adolescent; D005260:Female; D005602:France / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D030361:Papillomavirus Infections / Q000517:prevention & control*; D053918:Papillomavirus Vaccines / Q000627:therapeutic use*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012574:Schools / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000706:statistics & numerical data; D013334:Students / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D014495:Universities / Q000706:statistics & numerical data; D002583:Uterine Cervical Neoplasms / Q000517:prevention & control; D014611:Vaccination / Q000706:statistics & numerical data*; D055815:Young Adult
D053918:Papillomavirus Vaccines
Couverture vaccinale; Coverage; General practitioner; Human papillomavirus; Médecin traitant; Papillomavirus; Prevention; Prévention; Vaccin; Vaccine