HPV Vaccination in General Practice : decision-making and behavioral elements for practice. ; Vaccination HPV en médecine générale : éléments décisionnels et comportementaux pour la pratique

Human papillomavirus (HPV) infection is the most common sexually transmitted infection. Cervical cancer (CC) is the most common HPV-related cancer. It is a preventable cancer thanks to two complementary interventions: screening and HPV vaccination. Vaccination coverage remains low in France, due to vaccine hesitancy.This work was presented in four parts. The first concerned the history of HPV vaccination through publications. This was achieved through bibliometric analysis, highlighting the paucity of French studies. The second was to understand the French situation by means of a netnography on the Doctissimo forum, a qualitative analysis of general practitioners and a quantitative study of health students. All these elements led to the third part, which was to find out how to act. A study using the discrete choice method was carried out to identify optimal statements concerning a vaccination program. A review of the literature on school-based interventions and on decision aids tools in the field of vaccination was also carried out. These data were used to co-construct interventions as part of the PrevHPV research project (part 4), a multi-component intervention involving adolescents, parents of adolescents, general practitioners and the school environment (including vaccination at school). The results of this study will be useful for understanding efficient interventions on HPV vaccination coverage. ; L’infection par les papillomavirus humains (HPV) est l’infection sexuellement transmissible la plus fréquente. Le cancer du col de l’utérus (CCU) est le plus fréquent des cancers liés aux HPV. Il s’agit d’un cancer évitable grâce à deux interventions complémentaires : le dépistage et la vaccination contre HPV. La couverture vaccinale reste faible en France en lien avec une hésitation vaccinale.Ce travail a été présenté en quatre axes. Le premier axe concernait l’histoire de la vaccination HPV au travers des publications. Ceci a été réalisé via une bibliométrie mettant en avant le peu d’études françaises. Le ...