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Sébastien Bruel, Julie Cochard, Sandrine Espinouse

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |July 25, 2020
    PubMed
    Summary
    This summary is machine-generated.

    Educational interventions boost human papillomavirus (HPV) knowledge and vaccination intention but do not increase actual HPV vaccination rates. Further research is needed to bridge the gap between knowledge and immunization coverage.

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    Area of Science:

    • Public Health
    • Vaccinology
    • Health Education

    Background:

    • Human papillomavirus (HPV) infection is a common sexually transmitted infection linked to various cancers, including cervical cancer.
    • The HPV vaccine is safe and effective, yet global vaccination coverage remains suboptimal, particularly in France.
    • School-based interventions are crucial for improving HPV vaccination uptake among adolescents.

    Purpose of the Study:

    • To review the effectiveness of school-based interventions on HPV vaccination in adolescent girls.
    • To analyze factors influencing HPV knowledge and vaccination intention.
    • To identify barriers to HPV immunization coverage.

    Main Methods:

    • A literature review of studies published in MEDLINE and Public Health Databases from November 2017.

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  • Analysis of 16 studies focusing on school-based interventions for HPV vaccination in girls aged 11-19 years.
  • Categorization of studies based on participant age (underage vs. adult students) and intervention type.

    • Main Results:

    • Educational interventions, including written information and presentations, significantly improved HPV knowledge in the medium term.
    • Personalized messaging, combined information sources, and pre-intervention questionnaires showed the greatest impact on knowledge.
    • While knowledge and intention increased, this did not consistently translate into higher actual vaccination rates.

    Conclusions:

    • Educational interventions effectively enhance knowledge and intention regarding HPV vaccination.
    • A significant gap exists between increased knowledge and actual HPV immunization coverage.
    • Further research is required to understand and address the factors contributing to this knowledge-behavior gap.