{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T09:50:05Z","timestamp":1790502605346,"version":"4.1.0"},"reference-count":29,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T00:00:00Z","timestamp":1668384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Agence de Sant\u00e9 Oc\u00e9an Indien"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Vaccines"],"abstract":"<jats:p>Introduction: On Reunion Island, cervical cancer is the third most common cause of cancer in women. Primary prevention is based on the HPV vaccination, yet coverage rate is low (8.1%). The objective of the study was to evaluate the impact of a health promotion program on the proportion of middle school girls who have completed the HPV vaccination schedule. Material and methods: In this prospective, controlled intervention study of superiority, 12 classes were randomly selected in an intervention school where the promotion program took place, and in a control school where no specific intervention was planned. The program combined: information to students during school classes, information to parents by letter and phone calls, information to general practitioners by letter and video conference call, and the free school-based vaccination (in a \u201chealth bus\u201d parked in the schoolyard) with the nonavalent HPV vaccine. Results: In the intervention group, the completion was achieved for 26 girls, which was significantly higher than in the control group (three girls, p &lt; 10\u22123). The initiated vaccination was also higher in the intervention group (31 girls vs. 6 girls in the control group, p &lt; 10\u22123). The same results were obtained for the boys as for the full or partial scheme (seven boys vs. 0, p = 0.01; 16 boys vs. 1, p &lt; 10\u22123, respectively). Conclusions: Implementing a health promotion program and offering the free, school-based vaccination raised the vaccination coverage. These results are promising and may be a stepping stone to expanding this program to the whole Reunion Island and hopefully someday decrease the burden of cervical cancer.<\/jats:p>","DOI":"10.3390\/vaccines10111923","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T02:33:10Z","timestamp":1668393190000},"page":"1923","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["PROM SSCOL\u2014Impact of a Papillomavirus Vaccination Promotion Program in Middle Schools to Raise the Vaccinal Coverage on Reunion Island"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3283-1450","authenticated-orcid":false,"given":"Phuong Lien","family":"Tran","sequence":"first","affiliation":[{"name":"Service de Gyn\u00e9cologie et Obst\u00e9trique, Centre Hospitalier Universitaire (CHU) Sud La R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"},{"name":"Centre d\u2019Etudes P\u00e9rinatales de l\u2019Oc\u00e9an Indien, Centre Hospitalier Universitaire (CHU) Sud R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Chirpaz","sequence":"additional","affiliation":[{"name":"Cancer Registry of Reunion Island, Centre Hospitalier Universitaire (CHU) Nord R\u00e9union, Felix Guyon, All\u00e9e des Topazes CS 11 021, 97400 Saint-Denis, La R\u00e9union, France"},{"name":"INSERM, CIC 1410, Centre Hospitalier Universitaire (CHU) Sud R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malik","family":"Boukerrou","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie et Obst\u00e9trique, Centre Hospitalier Universitaire (CHU) Sud La R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"},{"name":"Centre d\u2019Etudes P\u00e9rinatales de l\u2019Oc\u00e9an Indien, Centre Hospitalier Universitaire (CHU) Sud R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3962-8869","authenticated-orcid":false,"given":"Antoine","family":"Bertolotti","sequence":"additional","affiliation":[{"name":"Service des Maladies Infectieuses-Dermatologie, Centre Hospitalier Universitaire (CHU) Sud R\u00e9union, Avenue du Pr\u00e9sident Mitterrand, BP350, 97448 Saint Pierre, La R\u00e9union, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,14]]},"reference":[{"key":"ref_1","unstructured":"(2022, April 28). 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