PMID- 23137871 OWN - NLM STAT- MEDLINE DCOM- 20130606 LR - 20121211 IS - 0398-7620 (Print) IS - 0398-7620 (Linking) VI - 60 IP - 6 DP - 2012 Dec TI - [Acceptability of vaccination against human papillomavirus (HPV) by pediatricians, mothers and young women in Ho Chi Minh City, Vietnam]. PG - 437-46 LID - S0398-7620(12)00583-4 [pii] LID - 10.1016/j.respe.2012.03.010 [doi] AB - BACKGROUND: Cervical cancer (CC) is almost always induced by some oncogenic types of human papillomavirus (HPV). In Vietnam, it is the first leading cause of cancer in women, with highest prevalence in Ho Chi Minh City (HCMC). Since 2006, prevention of the CC has been improved by licensure of recombinant vaccines directed against HPV 16 and 18, effective when administered before the age of first sexual intercourse. A national program for routine immunization of pre-adolescent girls in addition to cytological screening of adult women would greatly reduce the impact of CC in Vietnam but vaccines remain expensive and it is unclear how this strategy would be accepted by the target population. The aim of this study was to assess the acceptability of HPV vaccination by pediatricians, mothers with a daughter aged 9-15 years and young women aged 16-26 years in HCMC. METHODS: Between March and June 2010, a cross-sectional survey of knowledge and attitudes was administered to 115 pediatricians in the pediatric hospital, 210 mothers and 400 young women attending the gynecology department of the University Hospital. RESULTS: Pediatricians generally had a good perception of the risk but they still lacked knowledge about HPV vaccination, given by 66% of them. Among mothers, 18% knew the relationship between HPV infection and CC, 43% had heard of HPV vaccination and 40% agreed to vaccinate their daughter. Among young women, 35% knew the risk, 49% knew the vaccine and 38% wanted to be vaccinated. Level of education, amount of income and celibacy were positively related to intention to be vaccinated. The lack of information on HPV vaccination and the high cost of vaccines were the main causes of refusal or indecision. CONCLUSION: Routine HPV vaccination of girls in HCMC will be well accepted by the population if a large campaign of health education is implemented by the government and if the affordability of vaccines is facilitated. CI - Copyright (c) 2012 Elsevier Masson SAS. All rights reserved. FAU - Phan, D P T AU - Phan DP AD - Institut de la francophonie pour la medecine tropicale, Vientiane, Republique democratique populaire Lao. FAU - Pham, Q T AU - Pham QT FAU - Strobel, M AU - Strobel M FAU - Tran, D S AU - Tran DS FAU - Tran, T L AU - Tran TL FAU - Buisson, Y AU - Buisson Y LA - fre PT - English Abstract PT - Journal Article TT - Acceptabilite de la vaccination contre les papillomavirus humains (HPV) par les pediatres, les meres et les jeunes femmes a Ho Chi Minh Ville, Vietnam. DEP - 20121106 PL - France TA - Rev Epidemiol Sante Publique JT - Revue d'epidemiologie et de sante publique JID - 7608039 RN - 0 (Papillomavirus Vaccines) SB - IM MH - Adolescent MH - Adult MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - Mothers MH - Papillomaviridae/*immunology MH - Papillomavirus Infections/*prevention & control MH - Papillomavirus Vaccines/*administration & dosage MH - Patient Acceptance of Health Care/*statistics & numerical data MH - Uterine Cervical Neoplasms/*prevention & control/virology MH - Vietnam MH - Young Adult EDAT- 2012/11/10 06:00 MHDA- 2013/06/07 06:00 CRDT- 2012/11/10 06:00 PHST- 2011/07/21 00:00 [received] PHST- 2011/12/20 00:00 [revised] PHST- 2012/03/29 00:00 [accepted] PHST- 2012/11/10 06:00 [entrez] PHST- 2012/11/10 06:00 [pubmed] PHST- 2013/06/07 06:00 [medline] AID - S0398-7620(12)00583-4 [pii] AID - 10.1016/j.respe.2012.03.010 [doi] PST - ppublish SO - Rev Epidemiol Sante Publique. 2012 Dec;60(6):437-46. doi: 10.1016/j.respe.2012.03.010. Epub 2012 Nov 6.