Skip to Main content Skip to Navigation
Master Thesis

Vaccination contre les infections à papillomavirus humains‎ : pratique et difficultés des médecins généralistes isérois

Abstract : The HPV vaccination, recommended in France since March 2007 for girls aged 14, or aged between 15 and 23 and sexually active for a year or less, plays its part in the prevention of cervical cancer. On the first anniversary since Social Security started reimbursing the quadrivalent vaccine, we have conducted an observatory study on a randomly selected sample of 500 general practitioners (GP) amongst the 1 200 who are practicing in the Isère department. The aim of the study was to evaluate the modalities and difficulties encountered when offering the vaccine to patients. Data from 278 questionnaires was analyzed. The majority of GPs have accepted this new vaccination. It is most frequently offered by GPs aged 40 or less, or by GPs practicing general medicine only, during consultations regarding vaccine boosters or gynecological problems. The proportion of GPs who prescribe the vaccine to patients outside of the targeted population is high : 44% having prescribed it to women aged 23 or more and 68% to women aged between 15 and 23 and sexually active for more than a year. Only 60% of GPs systematically deliver the information on the necessity of Papanicolaou test when offering the vaccine, women GPs doing so more frequently than men GPs. Only 52% of them enquire systematically about the date of first sexual experience, as recommended by the Haut Conseil de la santé publique. These recommendations are better followed by GPs aged 40 or less. Fear of patients and their family for a new vaccine is the main reason for its rejection. It is necessary to further train GPs on the modalities of this vaccination to obtain a wider vaccination cover that is in line with recommendations.
Document type :
Master Thesis
Complete list of metadata

Cited literature [45 references]  Display  Hide  Download

https://dumas.ccsd.cnrs.fr/dumas-00784621
Contributor : Jean-Hugues Morneau <>
Submitted on : Monday, February 25, 2013 - 8:57:20 AM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Saturday, April 1, 2017 - 3:46:42 PM

Identifiers

  • HAL Id : dumas-00784621, version 1

Citation

Aurélie Barjhoux, Sandrine Glatigny. Vaccination contre les infections à papillomavirus humains‎ : pratique et difficultés des médecins généralistes isérois. Médecine humaine et pathologie. 2009. ⟨dumas-00784621⟩

Share

Metrics

Record views

187

Files downloads

954