Determinants of geographic inequalities in HPV vaccination in the most populated region of France.

作者: Delphine Héquet , Roman Rouzier

DOI: 10.1371/JOURNAL.PONE.0172906

关键词:

摘要: Background In France, there are recommendations and reimbursements for human papillomavirus (HPV) vaccination but no HPV programs. Therefore, is largely determined by parents’ initiative, which can lead to inequalities. The objective of this study was determine the factors associated with poorer coverage rates in most populated region France. Methods The data were obtained from National Health Insurance between 2011 2013. Correlations initiation rate (at least 1 dose reimbursed) socio-demographic/cultural assessed using Pearson’s product-moment correlation coefficient. Multivariate analyses performed logistic regression. Results total, 121,636 girls received at one vaccine dose. born 1996 1999 18.7%. Disparities observed 8 departments region, ranging 12.9% 22.6%. At department level, unemployment, proportion immigrants foreigners, CMU health insurance (“Couverture Maladie Universelle”, a plan those who not otherwise covered through business or employment have low income) significantly inversely correlated rates, whereas urban residence, medical density, income use services related coverage. In multivariate model, only percentage foreigners remained independently lower individual strong driver initiation. Conclusion We geographic disparities Even if clear factor identified as determinant, we failure based on initiative. an organized policy vaccination, such school-based programs, help improve rates.

参考文章(27)
Kelly D. Blake, Allison J. Ottenbacher, Lila J. Finney Rutten, Meredith A. Grady, Sarah C. Kobrin, Robert M. Jacobson, Bradford W. Hesse, Predictors of human papillomavirus awareness and knowledge in 2013: gaps and opportunities for targeted communication strategies. American Journal of Preventive Medicine. ,vol. 48, pp. 402- 410 ,(2015) , 10.1016/J.AMEPRE.2014.10.024
Pierre Verger, Lisa Fressard, Fanny Collange, Arnaud Gautier, Christine Jestin, Odile Launay, Jocelyn Raude, Céline Pulcini, Patrick Peretti-Watel, Vaccine Hesitancy Among General Practitioners and Its Determinants During Controversies: A National Cross-sectional Survey in France EBioMedicine. ,vol. 2, pp. 891- 897 ,(2015) , 10.1016/J.EBIOM.2015.06.018
Sanjeet Bagcchi, HPV vaccination unlikely to promote risky sexual behaviours The Lancet Oncology. ,vol. 16, pp. e111- ,(2015) , 10.1016/S1470-2045(15)70068-9
Sanjay Tanday, HPV vaccination not linked to multiple sclerosis. Lancet Oncology. ,vol. 16, ,(2015) , 10.1016/S1470-2045(14)71194-5
Wei Wang, Yuanyuan Ma, Xia Wang, Huachun Zou, Fanghui Zhao, Shaoming Wang, Shaokai Zhang, Yong Zhao, Gifty Marley, Wei Ma, None, Acceptability of human papillomavirus vaccine among parents of junior middle school students in Jinan, China Vaccine. ,vol. 33, pp. 2570- 2576 ,(2015) , 10.1016/J.VACCINE.2015.04.010
Richard Musto, Jodi E Siever, J Cyne Johnston, Judy Seidel, M Sarah Rose, Deborah A McNeil, Social equity in Human Papillomavirus vaccination: a natural experiment in Calgary Canada BMC Public Health. ,vol. 13, pp. 640- 640 ,(2013) , 10.1186/1471-2458-13-640
Dorota M Gertig, Julia ML Brotherton, Alison C Budd, Kelly Drennan, Genevieve Chappell, A Marion Saville, Impact of a population-based HPV vaccination program on cervical abnormalities: a data linkage study. BMC Medicine. ,vol. 11, pp. 227- 227 ,(2013) , 10.1186/1741-7015-11-227
Shalanda A. Bynum, Stephanie A.S. Staras, Teri L. Malo, Anna R. Giuliano, Elizabeth Shenkman, Susan T. Vadaparampil, Factors Associated With Medicaid Providers' Recommendation of the HPV Vaccine to Low-Income Adolescent Girls Journal of Adolescent Health. ,vol. 54, pp. 190- 196 ,(2014) , 10.1016/J.JADOHEALTH.2013.08.006