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Master Thesis

Dépistage du cancer du col de l'utérus : étude qualitative appréciant l'effet de l'invitation à la vaccination contre les papillomavirus humains chez les filles sur la motivation des mères à assister au dépistage

Abstract : Background : in France, the national cervical cancer screening program has been rolled out since 2018 as the flagship action of the Cancer Plan 2014-2019. The stated objective is to increase screening coverage to 80%, up from 59% for the period 2015-2017. We studied how the information provided during the daughter’s vaccination process influenced mothers’ intentions for their own future screening, in order to identify possible new levers to improve the screening coverage rate. Methods: qualitative study carried out in semi-structured interviews among women residing within the MACS (community of commune Maremne Adour Côte-Sud - Landes) whose daughters had started a vaccination scheme against HPV in the previous six months, considered to have had access to information concerning the benefits of vaccination. Their consent was obtained. Data saturation has been obtained. The key themes targeted by the interview guide were identified using the literature review. Results: 11 women participated in the study. The interviews made it possible to discuss: the information received during the vaccination process, their usual gynecological followup and their future screening intentions. The use of validated models of adherence made it possible to identify the relevant motivational elements for screening. These elements are: the feeling of satisfaction with the information received, the perception of cervical cancer threat for them and their daughters, the ability to project themselves in the long term, the mother-daughter relationship dimension including the role of transmission and the importance of their own example. Conclusions: the information given to mothers in the context of inviting girls to be vaccinated strengthens their motivation for future screening intentions. It encourages mother-daughter communication, and cervical cancer information delivery should focus on both prevention tools to strengthen linkages and maximize participation.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03258818
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Submitted on : Friday, June 11, 2021 - 9:15:16 PM
Last modification on : Friday, July 9, 2021 - 3:48:02 AM
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Delphine Coupry. Dépistage du cancer du col de l'utérus : étude qualitative appréciant l'effet de l'invitation à la vaccination contre les papillomavirus humains chez les filles sur la motivation des mères à assister au dépistage. Médecine humaine et pathologie. 2021. ⟨dumas-03258818⟩

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