Disparities of perceptions and practices related to cervical cancer prevention and the acceptability of HPV vaccination according to educational level in a French cross-sectional survey of 18-65 years old women.

Autor: Haesebaert J; Université Lyon 1, CNRS UMR 5558 et Centre Léon Bérard, Lyon, France., Lutringer-Magnin D; Université Lyon 1, CNRS UMR 5558 et Centre Léon Bérard, Lyon, France., Kalecinski J; Institut de Cancérologie de la Loire et Université Jean Monnet de Saint-Étienne, IFR 143, Saint-Étienne, France., Barone G; Université Lyon 1, CNRS UMR 5558 et Centre Léon Bérard, Lyon, France., Jacquard AC; Sanofi-Pasteur MSD, Lyon, France., Leocmach Y; Sanofi-Pasteur MSD, Lyon, France., Régnier V; Institut de Cancérologie de la Loire et Université Jean Monnet de Saint-Étienne, IFR 143, Saint-Étienne, France., Vanhems P; Université Lyon 1, CNRS UMR 5558 et Hospices Civils de Lyon, Lyon, France., Chauvin F; Institut de Cancérologie de la Loire et Université Jean Monnet de Saint-Étienne, IFR 143, Saint-Étienne, France., Lasset C; Université Lyon 1, CNRS UMR 5558 et Centre Léon Bérard, Lyon, France.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2014 Oct 10; Vol. 9 (10), pp. e109320. Date of Electronic Publication: 2014 Oct 10 (Print Publication: 2014).
DOI: 10.1371/journal.pone.0109320
Abstrakt: Introduction: We aimed to study the relationships between educational level, women's knowledge about cervical cancer (CC), and acceptance of HPV vaccination for their daughters.
Methods: We analysed data from a quantitative (self-administrated questionnaire) and qualitative (semi-structured interviews) cross-sectional study performed in 2008 among 1,229 French 18-65-year-old women recruited by general practitioners. Women were categorized into three educational level groups: low (LEL: 43.9%), medium (MEL: 33.4%) and high (HEL: 22.6%).
Results: Knowledge about CC and its prevention was lower among LEL women. In the 180 mothers of 14-18-year-old daughters (99 LEL, 54 MEL, 45 HEL), acceptance of HPV vaccine was higher in LEL (60.4%) and MEL (68.6%) than in HEL mothers (46.8%). Among LEL mothers, those who were favourable to HPV vaccination were more likely to be young (OR = 8.44 [2.10-34.00]), to be vaccinated against hepatitis B (OR = 4.59 [1.14-18.52]), to have vaccinated their children against pneumococcus (OR = 3.52 [0.99-12.48]) and to present a history of abnormal Pap smear (OR = 6.71 [0.70-64.01]).
Conclusion: Although LEL women had poorer knowledge about CC and its prevention, they were more likely to accept HPV vaccination than HEL mothers.
Databáze: MEDLINE
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