Abstract：
OBJECTIVE: To describe family physicians\' (FP) practices and attitudes towards HPV vaccination guidelines since its extension to males in 2021, and to identify levers to promote HPV vaccination in all adolescents.
METHODS: Cross-sectional study among FPs established in France in 2021. We collected sociodemographic data, practices, opinions, and attitudes towards vaccination, and FPs\' demands regarding training and information about HPV. We used logistic regression models to identify the variables associated with HPV vaccination proposal.
RESULTS: Of 530 FPs included, 469 (88.5%) reported that they systematically proposed HPV vaccines to girls vs 335 (63.2%) to boys. A total of 366 (69.0%) FPs reported an increase in HPV vaccines proposal to all adolescents since the extension of HPV vaccination to males recommended by French guidelines. However, factors associated with HPV vaccination proposal differed by target females and target males. Setting and mode of practice, opinion about the number of recommended vaccines and HPV vaccines, and demands of training on HPV vaccines were associated with HPV vaccination proposal to target females. Whereas academic status, opinion about HPV vaccination guidelines extension to males, using continuing medical education as the main source of information on HPV vaccines, and demands for training on HPV vaccines were associated with HPV vaccination proposal to target males.
CONCLUSIONS: Extension of HPV vaccination to males in French guidelines might have had a favorable impact on HPV vaccination proposal by FPs to adolescents. However, levers to promote HPV vaccination might differ according to the target population sex.
METHODS: Cross-sectional study among FPs established in France in 2021. We collected sociodemographic data, practices, opinions, and attitudes towards vaccination, and FPs\' demands regarding training and information about HPV. We used logistic regression models to identify the variables associated with HPV vaccination proposal.
RESULTS: Of 530 FPs included, 469 (88.5%) reported that they systematically proposed HPV vaccines to girls vs 335 (63.2%) to boys. A total of 366 (69.0%) FPs reported an increase in HPV vaccines proposal to all adolescents since the extension of HPV vaccination to males recommended by French guidelines. However, factors associated with HPV vaccination proposal differed by target females and target males. Setting and mode of practice, opinion about the number of recommended vaccines and HPV vaccines, and demands of training on HPV vaccines were associated with HPV vaccination proposal to target females. Whereas academic status, opinion about HPV vaccination guidelines extension to males, using continuing medical education as the main source of information on HPV vaccines, and demands for training on HPV vaccines were associated with HPV vaccination proposal to target males.
CONCLUSIONS: Extension of HPV vaccination to males in French guidelines might have had a favorable impact on HPV vaccination proposal by FPs to adolescents. However, levers to promote HPV vaccination might differ according to the target population sex.
摘要：
目的：描述自2021年将HPV疫苗接种指南扩展到男性以来，家庭医生（FP）的做法和态度，并确定在所有青少年中促进HPV疫苗接种的杠杆。
方法：2021年在法国建立的FP的横断面研究。我们收集了社会人口统计数据,实践,意见,以及对疫苗接种的态度，以及FPs关于HPV培训和信息的要求。我们使用逻辑回归模型来确定与HPV疫苗接种建议相关的变量。
结果：包括530个FP，469（88.5％）报告说，他们系统地提出了HPV疫苗的女孩与男孩335(63.2%)。自法国指南建议将HPV疫苗接种扩展到男性以来，共有366（69.0％）FP报告了所有青少年的HPV疫苗提案增加。然而,与HPV疫苗接种建议相关的因素因目标女性和目标男性而异.设置和实践模式，关于推荐疫苗和HPV疫苗数量的意见，HPV疫苗培训需求与针对女性的HPV疫苗接种建议相关.而学术地位,关于HPV疫苗接种指南扩展到男性的意见，使用继续医学教育作为HPV疫苗的主要信息来源，HPV疫苗培训需求与针对男性的HPV疫苗接种建议相关.
结论：在法国指南中，将HPV疫苗接种扩展到男性可能对FPs对青少年的HPV疫苗接种建议产生有利影响。然而,促进HPV疫苗接种的杠杆可能根据目标人群的性别而有所不同。
方法：2021年在法国建立的FP的横断面研究。我们收集了社会人口统计数据,实践,意见,以及对疫苗接种的态度，以及FPs关于HPV培训和信息的要求。我们使用逻辑回归模型来确定与HPV疫苗接种建议相关的变量。
结果：包括530个FP，469（88.5％）报告说，他们系统地提出了HPV疫苗的女孩与男孩335(63.2%)。自法国指南建议将HPV疫苗接种扩展到男性以来，共有366（69.0％）FP报告了所有青少年的HPV疫苗提案增加。然而,与HPV疫苗接种建议相关的因素因目标女性和目标男性而异.设置和实践模式，关于推荐疫苗和HPV疫苗数量的意见，HPV疫苗培训需求与针对女性的HPV疫苗接种建议相关.而学术地位,关于HPV疫苗接种指南扩展到男性的意见，使用继续医学教育作为HPV疫苗的主要信息来源，HPV疫苗培训需求与针对男性的HPV疫苗接种建议相关.
结论：在法国指南中，将HPV疫苗接种扩展到男性可能对FPs对青少年的HPV疫苗接种建议产生有利影响。然而,促进HPV疫苗接种的杠杆可能根据目标人群的性别而有所不同。
