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

Haesebaert, Julie; Lutringer-Magnin, Delphine; Kalecinski, Julie; Barone, Giovanna; Jacquard, Anne-Carole; Leocmach, Yann; Régnier, Véronique; Vanhems, Philippe; Chauvin, Franck; Lasset, Christine

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

Files

pone.0109320.pdf (210.46 KB)

Authors

Haesebaert, Julie

Lutringer-Magnin, Delphine

Kalecinski, Julie

Barone, Giovanna

Jacquard, Anne-Carole

Leocmach, Yann

Régnier, Véronique

Vanhems, Philippe

Chauvin, Franck

Lasset, Christine

Issue Date

2014-10-10

Type

Article

Language

en_US

Keywords

Disparities of Perceptions , Cervical Cancer Prevention , Acceptability of HPV Vaccination , Educational Level , French , 18–65 Years Old Women

Abstract

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.

Citation

Haesebaert, J., Lutringer-Magnin, D., Kalecinski, J., Barone, G., Jacquard, A. C., Leocmach, Y., Régnier, V., Vanhems, P., Chauvin, F., & Lasset, C. (2014). 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. PloS one, 9(10), e109320. https://doi.org/10.1371/journal.pone.0109320

Publisher

PloS One