P1-S6.41 Determinants of human papilloma virus vaccination (HPVV) among Quebec (Canada) teenagers
Notice bibliographique
Résumé
Background In 2010, 76% of Quebec female students aged 14 and 15 received complete HPVV through a publicly funded school-based program where teenagers can elect to be vaccinated (parental consent not mandatory). Quebec's free HPVV program also targeted female teenagers up to age 18 in various settings (mostly public clinics and schools). A study was conducted to identify the determinants of HPVV among Quebec teenagers targeted by the program. Methods A mailed and electronic survey was conducted in 2010 of a random sample of 3000 females (aged 14 to 18) listed in the public health insurance data registry. The survey questionnaire was based on a model elaborated following an extensive literature review and upon an adaptation of the Health Belief Model and the Walsh and McPhee model. The model developed takes into account the mutual influence of teenagers and their parents, as well as interactions with health professionals, on the vaccination decision. Prior to the survey, two focus groups were conducted with vaccinated and non-vaccinated teenagers to improve the model, and the questionnaire reliability was tested on 110 students aged 14 and 15. The final questionnaire had 38 Likert scale and multiple-choice questions. Bivariate and multivariate analyses were done. Results The response rate was 46%. Generally, teenagers have a good knowledge of HPVV and the virus transmission. However, 68% thought that men cannot catch the virus. The HPVV coverage for one dose decreases with age: from 94% for teenagers aged 14 to 68% for those aged 17–18 (p<0.001). HPVV was significantly associated with better knowledge, HPVV perceived benefits, vaccination habits, encouragement from the school nurse or a teacher, relatives? Encouragement and parental approval (adjusted OR: 1.1–4.3). Not having HPVV was significantly associated with concern about HPVV side effects, family discouragement, and media promotion of HPVV (adjusted OR: 0.27–0.50). Conclusions School-based HPVV is more effective in reaching high vaccine uptake. Information on the virus transmission has to be improved; by targeting girls, the program suggests that only females can be infected. Even if their consent is not mandatory for teenager HPVV, parents play a major role in their daughter's vaccination decision. The media influence on unvaccinated teenagers must be deepened as it has a paradoxical impact.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».