The intentions of French health university students to recommend and to receive the HPV vaccine are mainly influenced by vaccine knowledge, confidence in vaccines and personal HPV vaccination
•Gaps in knowledge about the role of HPV in head and neck cancers and anal cancers,•Most of health students would recommend the HPV vaccine to friends and relatives.•Positive attitudes were more frequent in medical/pharmacy versus nursing students.•After adjustment, educational health program didn&#...
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| Veröffentlicht in: | Vaccine 2024-03, Vol.42 (8), p.1934-1940 |
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| creator | Bruel, Sébastien Rakotomampionona, Zohasina Gignon, Maxime Agrinier, Nelly Ndiaye, Ndeye Coumba Lasset, Christine Giraudeau, Bruno Michel, Morgane Mueller, Judith E. Gauchet, Aurélie Banaszuk, Anne-Sophie Thilly, Nathalie Gagneux-Brunon, Amandine |
| description | •Gaps in knowledge about the role of HPV in head and neck cancers and anal cancers,•Most of health students would recommend the HPV vaccine to friends and relatives.•Positive attitudes were more frequent in medical/pharmacy versus nursing students.•After adjustment, educational health program didn't remain associated with attitudes.
Despite documented effectiveness in preventing several cancers, genital warts and safety of Human Papillomavirus (HPV) vaccine, immunization coverage among French adolescents remains far from the 80 % target. University health students (HS) in France may promote HPV vaccine through a national service (Service Sanitaire des Etudiants en Santé). We aimed to evaluate intentions to recommend the HPV vaccine to friends and relatives, to receive HPV vaccine, and to identify factors associated with these attitudes.
We conducted a cross-sectional survey in five French Universities from October 2019 to February 2020, using a self-administered online questionnaire. We used bivariable and multivariable logistic regression models to identify determinants of behavior around HPV vaccine: (i) individual intention for vaccination, and (ii) vaccine recommendation to friends and relatives.
Among the 732 respondents (180 men, 552 women), 305 (41.7%) reported previous HPV vaccination (54.5 % among women), 504 (68.9%) would recommend the HPV vaccine to friends and relatives, 532 (72.7%) respondents would be vaccinated today if it was recommended for them. Intentions to recommend or to receive the HPV vaccine were less frequent in nursing students compared to medical and pharmacy students. After adjustment for demographical factors, HPV vaccine knowledge was associated with intention [aOR 1.30 (95%-confidence interval, 1.15–1.47)] and recommendation [1.26 (1.10–1.45)], respectively. Additionally, adjusting for knowledge about HPV infections, and confidence in vaccines in general was associated with vaccine intention [1.55, (1.30–1.84)] and recommendation [1.52 (1.24–1.86)]. HPV-vaccinated HS were more prone to recommend the HPV vaccine to friends and relatives [10.9 (6.6–17.9)].
A majority of HS would accept and/or recommend HPV vaccines. HS with greater knowledge about the HPV vaccine were more prone to recommend it. Strengthening knowledge about HPV and its vaccination is probably necessary before their Involvement in a HPV immunization program. |
| doi_str_mv | 10.1016/j.vaccine.2024.02.033 |
| format | Article |
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Despite documented effectiveness in preventing several cancers, genital warts and safety of Human Papillomavirus (HPV) vaccine, immunization coverage among French adolescents remains far from the 80 % target. University health students (HS) in France may promote HPV vaccine through a national service (Service Sanitaire des Etudiants en Santé). We aimed to evaluate intentions to recommend the HPV vaccine to friends and relatives, to receive HPV vaccine, and to identify factors associated with these attitudes.
We conducted a cross-sectional survey in five French Universities from October 2019 to February 2020, using a self-administered online questionnaire. We used bivariable and multivariable logistic regression models to identify determinants of behavior around HPV vaccine: (i) individual intention for vaccination, and (ii) vaccine recommendation to friends and relatives.
Among the 732 respondents (180 men, 552 women), 305 (41.7%) reported previous HPV vaccination (54.5 % among women), 504 (68.9%) would recommend the HPV vaccine to friends and relatives, 532 (72.7%) respondents would be vaccinated today if it was recommended for them. Intentions to recommend or to receive the HPV vaccine were less frequent in nursing students compared to medical and pharmacy students. After adjustment for demographical factors, HPV vaccine knowledge was associated with intention [aOR 1.30 (95%-confidence interval, 1.15–1.47)] and recommendation [1.26 (1.10–1.45)], respectively. Additionally, adjusting for knowledge about HPV infections, and confidence in vaccines in general was associated with vaccine intention [1.55, (1.30–1.84)] and recommendation [1.52 (1.24–1.86)]. HPV-vaccinated HS were more prone to recommend the HPV vaccine to friends and relatives [10.9 (6.6–17.9)].
A majority of HS would accept and/or recommend HPV vaccines. HS with greater knowledge about the HPV vaccine were more prone to recommend it. Strengthening knowledge about HPV and its vaccination is probably necessary before their Involvement in a HPV immunization program.</description><identifier>ISSN: 0264-410X</identifier><identifier>EISSN: 1873-2518</identifier><identifier>EISSN: 0264-410X</identifier><identifier>DOI: 10.1016/j.vaccine.2024.02.033</identifier><identifier>PMID: 38369391</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Age ; Attitudes ; Cervical cancer ; Children & youth ; Colleges & universities ; cross-sectional studies ; Education ; France ; Health occupations ; Health promotion ; Human papillomavirus ; humans ; Immunization ; Infections ; Knowledge ; Life Sciences ; Likert scale ; Midwifery ; Nursing ; Papillomaviridae ; Papillomavirus infections ; Papillomavirus vaccines ; Pharmacy ; Physical therapy ; Prevention ; Professionals ; Public health ; Questionnaires ; Regression analysis ; Regression models ; Sexually transmitted diseases ; Statistical analysis ; STD ; Students ; Teenagers ; vaccination ; Vaccines</subject><ispartof>Vaccine, 2024-03, Vol.42 (8), p.1934-1940</ispartof><rights>2024 Elsevier Ltd</rights><rights>Copyright © 2024 Elsevier Ltd. All rights reserved.</rights><rights>2024. Elsevier Ltd</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c408t-a8e76e5238e1efe84f98ddaf859c6608e0903aa92d9444638536d652a18c76d33</cites><orcidid>0000-0002-6517-6707 ; 0000-0001-7413-5248 ; 0000-0003-1144-403X ; 0000-0002-0892-2187 ; 0000-0003-0797-9971</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2956714151?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,778,782,883,3539,27907,27908,45978,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38369391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://u-picardie.hal.science/hal-04472994$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Bruel, Sébastien</creatorcontrib><creatorcontrib>Rakotomampionona, Zohasina</creatorcontrib><creatorcontrib>Gignon, Maxime</creatorcontrib><creatorcontrib>Agrinier, Nelly</creatorcontrib><creatorcontrib>Ndiaye, Ndeye Coumba</creatorcontrib><creatorcontrib>Lasset, Christine</creatorcontrib><creatorcontrib>Giraudeau, Bruno</creatorcontrib><creatorcontrib>Michel, Morgane</creatorcontrib><creatorcontrib>Mueller, Judith E.</creatorcontrib><creatorcontrib>Gauchet, Aurélie</creatorcontrib><creatorcontrib>Banaszuk, Anne-Sophie</creatorcontrib><creatorcontrib>Thilly, Nathalie</creatorcontrib><creatorcontrib>Gagneux-Brunon, Amandine</creatorcontrib><creatorcontrib>on behalf of the PrevHPV Study Group</creatorcontrib><creatorcontrib>PrevHPV Study Group</creatorcontrib><title>The intentions of French health university students to recommend and to receive the HPV vaccine are mainly influenced by vaccine knowledge, confidence in vaccines and personal HPV vaccination</title><title>Vaccine</title><addtitle>Vaccine</addtitle><description>•Gaps in knowledge about the role of HPV in head and neck cancers and anal cancers,•Most of health students would recommend the HPV vaccine to friends and relatives.•Positive attitudes were more frequent in medical/pharmacy versus nursing students.•After adjustment, educational health program didn't remain associated with attitudes.
Despite documented effectiveness in preventing several cancers, genital warts and safety of Human Papillomavirus (HPV) vaccine, immunization coverage among French adolescents remains far from the 80 % target. University health students (HS) in France may promote HPV vaccine through a national service (Service Sanitaire des Etudiants en Santé). We aimed to evaluate intentions to recommend the HPV vaccine to friends and relatives, to receive HPV vaccine, and to identify factors associated with these attitudes.
We conducted a cross-sectional survey in five French Universities from October 2019 to February 2020, using a self-administered online questionnaire. We used bivariable and multivariable logistic regression models to identify determinants of behavior around HPV vaccine: (i) individual intention for vaccination, and (ii) vaccine recommendation to friends and relatives.
Among the 732 respondents (180 men, 552 women), 305 (41.7%) reported previous HPV vaccination (54.5 % among women), 504 (68.9%) would recommend the HPV vaccine to friends and relatives, 532 (72.7%) respondents would be vaccinated today if it was recommended for them. Intentions to recommend or to receive the HPV vaccine were less frequent in nursing students compared to medical and pharmacy students. After adjustment for demographical factors, HPV vaccine knowledge was associated with intention [aOR 1.30 (95%-confidence interval, 1.15–1.47)] and recommendation [1.26 (1.10–1.45)], respectively. Additionally, adjusting for knowledge about HPV infections, and confidence in vaccines in general was associated with vaccine intention [1.55, (1.30–1.84)] and recommendation [1.52 (1.24–1.86)]. HPV-vaccinated HS were more prone to recommend the HPV vaccine to friends and relatives [10.9 (6.6–17.9)].
A majority of HS would accept and/or recommend HPV vaccines. HS with greater knowledge about the HPV vaccine were more prone to recommend it. Strengthening knowledge about HPV and its vaccination is probably necessary before their Involvement in a HPV immunization program.</description><subject>Age</subject><subject>Attitudes</subject><subject>Cervical cancer</subject><subject>Children & youth</subject><subject>Colleges & universities</subject><subject>cross-sectional studies</subject><subject>Education</subject><subject>France</subject><subject>Health occupations</subject><subject>Health promotion</subject><subject>Human papillomavirus</subject><subject>humans</subject><subject>Immunization</subject><subject>Infections</subject><subject>Knowledge</subject><subject>Life Sciences</subject><subject>Likert scale</subject><subject>Midwifery</subject><subject>Nursing</subject><subject>Papillomaviridae</subject><subject>Papillomavirus infections</subject><subject>Papillomavirus vaccines</subject><subject>Pharmacy</subject><subject>Physical 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bruel, Sébastien</au><au>Rakotomampionona, Zohasina</au><au>Gignon, Maxime</au><au>Agrinier, Nelly</au><au>Ndiaye, Ndeye Coumba</au><au>Lasset, Christine</au><au>Giraudeau, Bruno</au><au>Michel, Morgane</au><au>Mueller, Judith E.</au><au>Gauchet, Aurélie</au><au>Banaszuk, Anne-Sophie</au><au>Thilly, Nathalie</au><au>Gagneux-Brunon, Amandine</au><aucorp>on behalf of the PrevHPV Study Group</aucorp><aucorp>PrevHPV Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The intentions of French health university students to recommend and to receive the HPV vaccine are mainly influenced by vaccine knowledge, confidence in vaccines and personal HPV vaccination</atitle><jtitle>Vaccine</jtitle><addtitle>Vaccine</addtitle><date>2024-03-19</date><risdate>2024</risdate><volume>42</volume><issue>8</issue><spage>1934</spage><epage>1940</epage><pages>1934-1940</pages><issn>0264-410X</issn><eissn>1873-2518</eissn><eissn>0264-410X</eissn><abstract>•Gaps in knowledge about the role of HPV in head and neck cancers and anal cancers,•Most of health students would recommend the HPV vaccine to friends and relatives.•Positive attitudes were more frequent in medical/pharmacy versus nursing students.•After adjustment, educational health program didn't remain associated with attitudes.
Despite documented effectiveness in preventing several cancers, genital warts and safety of Human Papillomavirus (HPV) vaccine, immunization coverage among French adolescents remains far from the 80 % target. University health students (HS) in France may promote HPV vaccine through a national service (Service Sanitaire des Etudiants en Santé). We aimed to evaluate intentions to recommend the HPV vaccine to friends and relatives, to receive HPV vaccine, and to identify factors associated with these attitudes.
We conducted a cross-sectional survey in five French Universities from October 2019 to February 2020, using a self-administered online questionnaire. We used bivariable and multivariable logistic regression models to identify determinants of behavior around HPV vaccine: (i) individual intention for vaccination, and (ii) vaccine recommendation to friends and relatives.
Among the 732 respondents (180 men, 552 women), 305 (41.7%) reported previous HPV vaccination (54.5 % among women), 504 (68.9%) would recommend the HPV vaccine to friends and relatives, 532 (72.7%) respondents would be vaccinated today if it was recommended for them. Intentions to recommend or to receive the HPV vaccine were less frequent in nursing students compared to medical and pharmacy students. After adjustment for demographical factors, HPV vaccine knowledge was associated with intention [aOR 1.30 (95%-confidence interval, 1.15–1.47)] and recommendation [1.26 (1.10–1.45)], respectively. Additionally, adjusting for knowledge about HPV infections, and confidence in vaccines in general was associated with vaccine intention [1.55, (1.30–1.84)] and recommendation [1.52 (1.24–1.86)]. HPV-vaccinated HS were more prone to recommend the HPV vaccine to friends and relatives [10.9 (6.6–17.9)].
A majority of HS would accept and/or recommend HPV vaccines. HS with greater knowledge about the HPV vaccine were more prone to recommend it. Strengthening knowledge about HPV and its vaccination is probably necessary before their Involvement in a HPV immunization program.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>38369391</pmid><doi>10.1016/j.vaccine.2024.02.033</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6517-6707</orcidid><orcidid>https://orcid.org/0000-0001-7413-5248</orcidid><orcidid>https://orcid.org/0000-0003-1144-403X</orcidid><orcidid>https://orcid.org/0000-0002-0892-2187</orcidid><orcidid>https://orcid.org/0000-0003-0797-9971</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0264-410X |
| ispartof | Vaccine, 2024-03, Vol.42 (8), p.1934-1940 |
| issn | 0264-410X 1873-2518 0264-410X |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_04472994v1 |
| source | Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Age Attitudes Cervical cancer Children & youth Colleges & universities cross-sectional studies Education France Health occupations Health promotion Human papillomavirus humans Immunization Infections Knowledge Life Sciences Likert scale Midwifery Nursing Papillomaviridae Papillomavirus infections Papillomavirus vaccines Pharmacy Physical therapy Prevention Professionals Public health Questionnaires Regression analysis Regression models Sexually transmitted diseases Statistical analysis STD Students Teenagers vaccination Vaccines |
| title | The intentions of French health university students to recommend and to receive the HPV vaccine are mainly influenced by vaccine knowledge, confidence in vaccines and personal HPV vaccination |
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