Can physicians and schools mitigate social inequalities in human papillomavirus vaccine awareness, uptake and vaccination intention among adolescents? A cross-sectional study, France, 2021 to 2022 Article Swipe
Hadrien Moffroid
,
Damien Oudin Doglioni
,
Sandra Chyderiotis
,
Jonathan Sicsic
,
Anne‐Sophie Barret
,
Jocelyn Raude
,
Sébastien Bruel
,
Aurélie Gauchet
,
Morgane Michel
,
Amandine Gagneux‐Brunon
,
Nathalie Thilly
,
Judith E. Mueller
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2807/1560-7917.es.2023.28.46.2300166
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.2807/1560-7917.es.2023.28.46.2300166
Background In France, human papillomavirus (HPV) vaccination coverage varies across socioeconomic levels. Aim We aimed at assessing HPV vaccine awareness, uptake and vaccination intention among adolescents in France. Methods In a cluster-randomised study, 13–15-year-old students in 61 French middle schools completed a web-based questionnaire. We used multivariable logistic regression to evaluate determinants of HPV vaccine awareness, self-reported uptake and vaccination intention among unvaccinated students and interaction terms to explore effects of visits to family physician and remembering school lessons on vaccination. The French deprivation index of school municipalities served as proxy for socioeconomic levels. Results Among 6,992 participants, awareness was significantly associated with parental education (odds ratio (OR) = 0.82; 95% confidence interval (CI): 0.71–0.95), language spoken at home (OR = 0.59; 95% CI: 0.52–0.66) and deprivation level (OR = 0.57; 95% CI: 0.44–0.71), regardless of physician visit or school lessons. Vaccine uptake was associated with parental education without a recent physician visit (OR = 0.31; 95% CI: 0.16–0.59, vs OR = 0.64; 95% CI: 0.52–0.78 with a visit, interaction p = 0.045). Vaccination intention among unvaccinated was associated with deprivation level (moderate-low vs low) among students not remembering school lessons on vaccination (OR = 0.17; 95% CI: 0.05-0.62, vs OR = 0.93; 95% CI: 0.51–1.67 remembering school lessons, interaction p = 0.022). Parental education was associated with vaccination intention among students reporting a physician visit (OR = 0.41; 95% CI: 0.26–0.64 vs OR = 1.05; 95% CI: 0.50–2.20 without a visit, interaction p = 0.034). Conclusion Our results suggest that healthcare and school could promote vaccination and mitigate social inequalities in HPV vaccination coverage.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2807/1560-7917.es.2023.28.46.2300166
- https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/28/46/eurosurv-28-46-4.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2023.28.46.2300166&mimeType=pdf&containerItemId=content/eurosurveillance
- OA Status
- diamond
- Cited By
- 6
- References
- 25
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388766248
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Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4388766248Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2807/1560-7917.es.2023.28.46.2300166Digital Object Identifier
- Title
-
Can physicians and schools mitigate social inequalities in human papillomavirus vaccine awareness, uptake and vaccination intention among adolescents? A cross-sectional study, France, 2021 to 2022Work title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-11-16Full publication date if available
- Authors
-
Hadrien Moffroid, Damien Oudin Doglioni, Sandra Chyderiotis, Jonathan Sicsic, Anne‐Sophie Barret, Jocelyn Raude, Sébastien Bruel, Aurélie Gauchet, Morgane Michel, Amandine Gagneux‐Brunon, Nathalie Thilly, Judith E. MuellerList of authors in order
- Landing page
-
https://doi.org/10.2807/1560-7917.es.2023.28.46.2300166Publisher landing page
- PDF URL
-
https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/28/46/eurosurv-28-46-4.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2023.28.46.2300166&mimeType=pdf&containerItemId=content/eurosurveillanceDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
-
https://www.eurosurveillance.org/deliver/fulltext/eurosurveillance/28/46/eurosurv-28-46-4.pdf?itemId=%2Fcontent%2F10.2807%2F1560-7917.ES.2023.28.46.2300166&mimeType=pdf&containerItemId=content/eurosurveillanceDirect OA link when available
- Concepts
-
Vaccination, Medicine, Socioeconomic status, Odds ratio, Confidence interval, Logistic regression, Demography, Cross-sectional study, Human papillomavirus, Family medicine, Proxy (statistics), Environmental health, Immunology, Internal medicine, Population, Machine learning, Computer science, Sociology, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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6Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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25Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.vaccination. | 80 |
| abstract_inverted_index.(moderate-low | 182 |
| abstract_inverted_index.0.44–0.71), | 133 |
| abstract_inverted_index.0.71–0.95), | 114 |
| abstract_inverted_index.multivariable | 46 |
| abstract_inverted_index.participants, | 97 |
| abstract_inverted_index.self-reported | 56 |
| abstract_inverted_index.significantly | 100 |
| abstract_inverted_index.socioeconomic | 10, 92 |
| abstract_inverted_index.municipalities | 87 |
| abstract_inverted_index.papillomavirus | 4 |
| abstract_inverted_index.questionnaire. | 43 |
| abstract_inverted_index.13–15-year-old | 33 |
| abstract_inverted_index.cluster-randomised | 31 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 12 |
| citation_normalized_percentile.value | 0.86455507 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |