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Master Thesis

Évaluation des perceptions et pratiques des médecins généralistes exerçant en gironde vis-à-vis de la vaccination contre les papillomavirus humains chez les jeunes filles

Abstract : Background: human papillomavirus (HPV) infection is the most common sexually transmitted infection (STI) worldwide and is the leading risk factor for cervical cancer. Vaccination against HPV is therefore recommended for young girls and boys from the age of 11 years, but vaccination coverage remains low in France. The main objective of this study was to evaluate the knowledge, attitudes, perceptions and practices among French general practitioners practicing in Gironde regarding HPV vaccination. Methods: a cross-sectional survey was conducted between July and October 2020 among GPs practicing in Gironde using an online questionnaire. A logistic regression model was used to investigate the factors associated with the non-systematic vaccine proposition. Results: in this cross-sectional survey of 383 respondents practicing in Gironde, the majority of participants were in favour of HPV vaccination for girls and young women (96%), as well as its generalization to boys (92%), which they perceived as the main lever for improving vaccination coverage (76%). Although the participants in the study declared themselves in favour of HPV vaccination, only 50% of doctors reported systematically offering it to eligible girls. In our study, having an average or limited level of knowledge about HPV vaccination as well as a younger age were significantly associated with a lower rate of routine offer (p < 0.001, respectively). The majority of participants were aware of the new 2019 HAS recommendations concerning the extension of HPV vaccination to boys aged 11-14 years (76.5%) and almost all of them will propose it when it becomes effective in the French vaccination calendar (96%). Conclusion: the existence of obstacles to this vaccination among doctors in a national context of vaccine hesitancy, and in particular their doubts about the benefits and safety of vaccines, represents an obstacle to offering vaccination to their patients, thus requiring greater information for health professionals and the general population.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03425027
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Submitted on : Wednesday, November 10, 2021 - 4:58:45 PM
Last modification on : Friday, December 17, 2021 - 3:47:08 AM
Long-term archiving on: : Friday, February 11, 2022 - 7:33:23 PM

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Julie Fourrier. Évaluation des perceptions et pratiques des médecins généralistes exerçant en gironde vis-à-vis de la vaccination contre les papillomavirus humains chez les jeunes filles. Médecine humaine et pathologie. 2021. ⟨dumas-03425027⟩

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