Coverage and compliance of Human Papilloma Virus vaccines in Paris: demonstration of low compliance with non-school-based approaches

• Published in: Journal of adolescent health 2010-09, Vol.47 (3), p.237-241
• Main Authors: Rouzier, Roman, Giordanella, Jean-Pierre
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age Distribution; Female; Health Care Surveys - methods; Health Care Surveys - statistics & numerical data; Humans; Immunization Programs - methods; Immunization Programs - utilization; Papillomavirus Infections - prevention & control; Papillomavirus Vaccines; Paris; Patient Compliance - statistics & numerical data; Young Adult
• ISSN: 1879-1972
• DOI: 10.1016/j.jadohealth.2010.04.006

To evaluate the coverage and compliance of the Human Papilloma Virus (HPV) vaccine in Paris. We selected a female population living in Paris, between the ages of 14 and 23 years (French recommendations) on December 31st, 2008, that was affiliated to social security (n = 77,744). We evaluated the dynamic of HPV vaccine dose reimbursement between July 2007 and April/May 2009 for this population. The coverage rate in the study population with at least one dose of the vaccine was 17%. A complete vaccination scheme (three doses) was observed in less than 43% of affiliates, whereas two doses have been reimbursed to 26% of the affiliates and only one dose to 31%. Higher rates of coverage and compliance were observed among girls between 15 and 17 years of age. Coverage and compliance rates corresponding to the French HPV vaccine program appear to be lower than those observed in countries with different recommendations and implementation strategies, and particularly school-based program. Our study suggests that health authorities should modify current recommendations.