Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22

Human Papillomavirus (HPV) vaccine coverage was <50% in France in 2022 and even lower among socially disadvantaged populations. We aimed to evaluate socio-demographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents, and related attitudes and knowledge ite...

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Main Authors: Alexia F. Rivera, Josée M. Dussault, Damien Oudin Doglioni, Sandra Chyderiotis, Jonathan Sicsic, Anne-Sophie Barret, Jocelyn Raude, Aurélie Gauchet, Amandine Gagneux-Brunon, Sébastien Bruel, Morgane Michel, Anne-Sophie Le Duc-Banaszuk, Nathalie Thilly, Judith E. Mueller
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2381300
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author Alexia F. Rivera
Josée M. Dussault
Damien Oudin Doglioni
Sandra Chyderiotis
Jonathan Sicsic
Anne-Sophie Barret
Jocelyn Raude
Aurélie Gauchet
Amandine Gagneux-Brunon
Sébastien Bruel
Morgane Michel
Anne-Sophie Le Duc-Banaszuk
Nathalie Thilly
Judith E. Mueller
author_facet Alexia F. Rivera
Josée M. Dussault
Damien Oudin Doglioni
Sandra Chyderiotis
Jonathan Sicsic
Anne-Sophie Barret
Jocelyn Raude
Aurélie Gauchet
Amandine Gagneux-Brunon
Sébastien Bruel
Morgane Michel
Anne-Sophie Le Duc-Banaszuk
Nathalie Thilly
Judith E. Mueller
author_sort Alexia F. Rivera
collection DOAJ
description Human Papillomavirus (HPV) vaccine coverage was <50% in France in 2022 and even lower among socially disadvantaged populations. We aimed to evaluate socio-demographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents, and related attitudes and knowledge items. Parents of adolescents attending middle schools across France, who participated in a randomized trial responded to an anonymous baseline survey, conducted between November 2021 and February 2022. We used logistic regression models adjusting for a child’s age and sex to explore sociodemographic determinants (including at-home multilingualism, occupational categories, local deprivation index and urbanity) of HPV vaccine awareness, uptake, and intention. Among the 1889 participants from 61 schools, parents working as factory workers/farmers had significantly lower odds of vaccine awareness compared to executives/professionals, both if they reported (OR = 0.07; 0.03–0.15) or not (OR = 0.20; 0.11–0.36) speaking also another language than French at home. Parents in lower occupational categories with multilingual families were less likely to have the intention to vaccinate their child (OR = 0.19; 0.07–0.56). Recent physician visit or vaccine offer was strong positive determinants of awareness, uptake and intention. A substantial gradient across occupational categories was observed for attitudes and knowledge around HPV vaccine usefulness, safety, and accessibility. This study confirms the disparities on HPV vaccine uptake in France and provides insight into mechanisms of social disparities in HPV vaccine awareness, access and intention.
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spelling doaj-art-669a0f19d5f94d1baedcb2de52cb8a692025-08-20T02:16:49ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2381300Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22Alexia F. Rivera0Josée M. Dussault1Damien Oudin Doglioni2Sandra Chyderiotis3Jonathan Sicsic4Anne-Sophie Barret5Jocelyn Raude6Aurélie Gauchet7Amandine Gagneux-Brunon8Sébastien Bruel9Morgane Michel10Anne-Sophie Le Duc-Banaszuk11Nathalie Thilly12Judith E. Mueller13EHESP French School of Public Health, Paris, FranceEmerging Disease Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, FranceEmerging Disease Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, FranceEmerging Disease Epidemiology Unit, Institut Pasteur, Université Paris Cité, Paris, FranceUniversité Paris Cité, Paris, FranceSanté Publique France, Saint Maurice, FranceEHESP French School of Public Health, Paris, FranceUniv. Savoie Mont Blanc, Univ. Grenoble Alpes, Grenoble, FranceCHU de Saint-Etienne – Service d’infectiologie, Saint-Etienne, FranceDepartment of General Practice, Faculté de Médecine Jacques Lisfranc, Université Jean Monnet, Université de Lyon, Saint-Etienne, FranceECEVE, Université Paris Cité, Paris, FranceCentre Régional de Coordination des Dépistages des cancers‐Pays de la Loire, Angers, FranceUniversité de Lorraine, Nancy, FranceEHESP French School of Public Health, Paris, FranceHuman Papillomavirus (HPV) vaccine coverage was <50% in France in 2022 and even lower among socially disadvantaged populations. We aimed to evaluate socio-demographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents, and related attitudes and knowledge items. Parents of adolescents attending middle schools across France, who participated in a randomized trial responded to an anonymous baseline survey, conducted between November 2021 and February 2022. We used logistic regression models adjusting for a child’s age and sex to explore sociodemographic determinants (including at-home multilingualism, occupational categories, local deprivation index and urbanity) of HPV vaccine awareness, uptake, and intention. Among the 1889 participants from 61 schools, parents working as factory workers/farmers had significantly lower odds of vaccine awareness compared to executives/professionals, both if they reported (OR = 0.07; 0.03–0.15) or not (OR = 0.20; 0.11–0.36) speaking also another language than French at home. Parents in lower occupational categories with multilingual families were less likely to have the intention to vaccinate their child (OR = 0.19; 0.07–0.56). Recent physician visit or vaccine offer was strong positive determinants of awareness, uptake and intention. A substantial gradient across occupational categories was observed for attitudes and knowledge around HPV vaccine usefulness, safety, and accessibility. This study confirms the disparities on HPV vaccine uptake in France and provides insight into mechanisms of social disparities in HPV vaccine awareness, access and intention.https://www.tandfonline.com/doi/10.1080/21645515.2024.2381300HPVhuman papillomavirus vaccineawarenessuptakeintentionsocial determinants
spellingShingle Alexia F. Rivera
Josée M. Dussault
Damien Oudin Doglioni
Sandra Chyderiotis
Jonathan Sicsic
Anne-Sophie Barret
Jocelyn Raude
Aurélie Gauchet
Amandine Gagneux-Brunon
Sébastien Bruel
Morgane Michel
Anne-Sophie Le Duc-Banaszuk
Nathalie Thilly
Judith E. Mueller
Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
Human Vaccines & Immunotherapeutics
HPV
human papillomavirus vaccine
awareness
uptake
intention
social determinants
title Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
title_full Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
title_fullStr Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
title_full_unstemmed Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
title_short Sociodemographic determinants of HPV vaccine awareness, uptake, and intention among parents of adolescents in France 2021-22
title_sort sociodemographic determinants of hpv vaccine awareness uptake and intention among parents of adolescents in france 2021 22
topic HPV
human papillomavirus vaccine
awareness
uptake
intention
social determinants
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2381300
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