Health Teachers Research Articles

The Effectivity of the PBL Model in Learning Outcomes Analyzing Variations Basketball Playing Skills for Class X SMAN 7 in Central Maluku Regency

This study aims to analyze the ability of Physical Education and Sports Health teachers using the Problem-based learning model to improve basketball playing skills of class X-IPA1 High School 7, Central Maluku. This research is descriptive with a qualitative approach. The research participants were Physical Education and Sports Health teachers at class X. The data collection techniques used were; (1) observation; uses innovative learning assessment format of 19 assessment indicators, (2) interviews, (3) documentation, and (4) triangulation. To analyze data, use the model qualitative analysis technique from Milles and Huberman. This research produces several points: (1) The average ability of subjects to utilize problem-based learning in Physical Education, Sports, and Health, especially the material analyzing variations in basketball playing skills, is 69,47%, so it is in the “Good” category. (2) Based on 19 innovative learning assessment indicators, the results were as follows: (a) The best category had 5% or only 1 indicator, (b) the “Good” category had 42% or 8 indicators, (c) the “Sufficient” category had 48% or 9 indicators, (d) “Poor” category of 5% or 1 indicator. Even though the subject’s ability is in the average category, there is 1 indicator in the “poor” category. In conclusion, (1) the research subjects were not optimal in implementing the problem-based learning model in learning Physical Education, Sports, and Health, especially the material analyzing variations in Basketball Playing Skills. (2) Subjects have not activated the ability to analyze variations in students’ skills in practical activities in the field. (3) Participants had not carried out assessments of learning processes. Keywords: effectivity, PBL, learning outcomes

Job Stress and Burnout Among School Health Teachers During the COVID-19 Pandemic: The Mediating Effect of Resilience and the Moderating Effect of School Organizational Culture

Objectives: This study aims to examine the mediating effect of resilience and the moderating effect of school organizational culture on the relationship between job stress and burnout among school health teachers during COVID-19. Methods: The participants of the study were 223 school health teachers. The data collected included the Korean version of the Connor-Davidson Resilience Scale (K-CD-RISC), Job Stress Scale, Maslach Burnout Inventory (MBI), and School Organizational Culture Scale. Data analysis was performed using SPSS/WIN 25.0 software. Results: There was a significant positive correlation between job stress and burnout among school health teachers. Conversely, both resilience and school organizational culture were negatively correlated with burnout. The mediating effect of resilience on the relationship between job stress and burnout was significant. However, the moderating effect of school organizational culture was not significant. Conclusions: To prevent burnout in school health teachers, it is necessary to develop policy alternatives aimed at reducing job stress and to implement psychological and emotional support measures to improve resilience.

How Live Music Can Be Delivered to Children and Young People to Support Their Mental Health and Wellbeing: Co-Produced Solutions and Key Findings from a Series of Intergenerational Multi-Disciplinary Workshops

Background: Children and young people’s (CYP) mental health is a policy priority, with rates of poor mental health reported to be as much as one in five across the UK. Traditional mental health support services cannot meet demand, and new approaches are needed. The creative arts can be an effective tool in supporting mental health. However, little is known about how live music can be used to support CYP mental health and wellbeing. We facilitated three, two-day intergenerational and multi-disciplinary workshops to co-produce ideas about how live music could be delivered to this end. Results: Workshops were held in three locations in Scotland, attended by a mixture of CYP, youth workers, mental health practitioners, teachers, and musicians (n = 91). A range of co-created solutions were generated including a live music festival designed for and with CYP and free gig tickets. Barriers and facilitators for CYP accessing live music were also identified. Furthermore, these workshops were found to increase confidence for musicians in delivering live music events to CYP, and CYP felt their voices were heard in their design of the delivery. Conclusions: This study presents novel co-created solutions about how live music can be delivered to CYP that need to be tried and tested in future research. It also provides key insights for musicians, live music providers, and people supporting CYP about the best approach to delivering live music for CYP.

The Association between Organizational Factors of Health Promoting Schools and Teachers' Health Lifestyles: A Multilevel Analysis.

Schools are both learning environments for students and workplaces for faculty. Recognizing the role of organizational factors in staff health in school environments, the study aimed to explore which factors, including transformational leadership, teachers' perceived management support and HPS accreditation awards, were most associated with promoting a healthy lifestyle for teachers. A cross-sectional study was undertaken of 137 elementary schools in 2014, involving 433 directors and 2090 teachers. Data were collected using an anonymous structured questionnaire. Hierarchical linear modeling was used to analyze both teacher- and school-level factors associated with health-promoting lifestyles. There was a significant positive correlation between teachers' overall health-promoting lifestyle profile (HPLP-II) scores and both perceived management support (coefficient = .98, p < .001) and transformational leadership (coefficient = .38, p = .039). All 6 HPLP-II subscales also showed significant positive correlations with perceived management support (coefficients .12-.24, p < .001). Supporting a healthy working atmosphere and strong principal transformational leadership are keys to enhancing teachers' health-promoting lifestyles. Future research could explore how transformational leadership and management support influence teachers' health behaviors and identify effective strategies and interventions.

A CROSS-SECTIONAL STUDY ON KNOWLEDGE AND PRACTICE REGARDING MENSTRUAL HYGIENE AMONG FEMALE NURSING STUDENTS IN A TERTIARY CARE HOSPITAL

Objectives: Menstruation, though a normal physiological process in the females of reproductive age group, is surrounded by various misconceptions and social taboos. Inadequate knowledge and unhygienic menstrual practices can adversely affect female health. Poor menstrual hygiene practice has been negatively associated with infection of the reproductive and genitor-urinary tract, cervical cancer, absenteeism from school, or drop-out, poor academic performance, lower self-esteem, and poor quality of life. We conducted this study to evaluate the knowledge and practices regarding menstruation in female nursing students in a tertiary care hospital. Methods: An observational, cross-sectional, questionnaire-based study was conducted over for three months on female B.Sc nursing students in the first year to the fourth year through face-to-face interview at the department of Pharmacology in a tertiary care hospital. Data regarding socio-demographic profile, knowledge of obstetric and gynaecological factors, perception of menstruation, and hygienic practice of the participants during their menstruation were collected. Results: Responses from 165 participants were analyzed. The mean (± SD) age of the students was 19.64 (± 1.09) years. Most of their parents had education up to a diploma and above (47.27% among mothers and 70.9% among fathers). The majority of the participants used to experience dysmenorrhea (52.72%) and had pre-menarcheal ideas about menstruation (78.18%). Mother was the most common source of information (54.54%) followed by teachers (16.96%) and media (13.33%). The majority knew the source (89.09%) and cause (100%) of menstrual bleeding. A considerable portion (45.45%) thought menstruation as the sign of conception. The majority (96.36%) used commercially made sanitary pads, and used to dispose of the used sanitary pads in the dustbin (98.19%) by wrapping them with paper (98.19%). Conclusion: Present study found an encouraging picture regarding knowledge and hygienic practices during menstruation among the participants. Education about menstrual hygiene needs to be imparted at the grass root level. In this regard Anganwadi and health care workers, teachers and media can play a major role. All mothers need to be taught about the importance of hygienic practices during menstruation, convey correct information to their daughters, and should be encouraged to break the age-old myths and taboos associated with menstruation.

A figurational analysis of Health and/or Physical Education teacher educators’ conceptualisations of policy, and their sociogenesis

ABSTRACT Policy engagement is key to promoting quality physical education yet it has been identified as a ‘grand challenge’ for Health and/or Physical Education (H/PE) internationally. All H/PE professionals, including teacher educators, have a collective responsibility to engage with policy but existing research tells us little about how H/PE teacher educators (H/PETEs) understand and engage with policy. It is important to examine H/PETEs conceptualisations of policy for a few reasons, not least because teacher educators play a crucial role in supporting future generations of teachers who themselves will need to engage with policy as a core feature of their professional lives. Drawing on figurational sociology, and the concept of assemblage, this paper offers insights into the nature and development – or sociogenesis – of teacher educators’ conceptualisations of policy. The data shared in this paper was generated through semi-structured interviews with 12 H/PETE from 7 countries. Inductive-deductive analysis – drawing largely on figurational concepts such as interdependence, power, habitus and sociogenesis – revealed that H/PETEs conceptualised policy as: (i) informing intended action and change; (ii) a way to govern practice; (iii) imposition and possibility. In terms of how these conceptualisations came to be, key features of the H/PETE figuration that were identified as influential include: (i) interdependence with human and non-human elements; (ii) balances of power and (iii) social and individual habitus. It is concluded that capitalising on these elements through professional learning, for example, could support H/PETEs in engaging with policy in productive and meaningful ways. Given that engaging with policy is viewed as a collective responsibility of H/PETEs, and many – if not all – of the H/PETEs felt they needed support in this regard, this should be a key focus for the field.

Experiences, Attitudes, and Perceived Competence Regarding Sustainable Development Among Physical Education and Health Teachers in Sweden

Purpose: Literature suggest that physical education and health (PEH) may contribute to the sustainable development (SD) agenda, yet little is known how PEH teachers relate SD to their teaching practices. This paper explores Swedish upper secondary PEH teachers’ experiences and perceived competence regarding teaching SD as part of PEH. Method: An online questionnaire was used to examine SD competence. Data from 702 PEH teachers were analyzed descriptively and inferentially. Results: PEH teachers perceive higher competence regarding the social dimension of SD compared to the economic and environmental dimensions. Female teachers and those with more than 15 years teaching experiences reported the highest perceived competence. Seventy percent of the respondents perceived that they lacked competence to teach SD. Discussion/Conclusion: PEH teachers struggle to relate SD to PEH practice and call for support to increase their competence in terms of how to conceptualize and transform SD into PEH teaching practice.

A mixed methods study of suicide protective factors in college students

IntroductionMental health professionals, teachers, families, and public administrators are concerned about suicide rates among young people, particularly in the university context. For every ten college students worldwide, three attempt suicide in their lifetime, and two experience suicidal ideation. Reducing these rates requires interventions that recognize the problem in terms of risk factors and protective factors.ObjectiveThe general aim of the study was to map the protective factors for suicide among college students, as perceived by them, mental health professionals, and coordinators of undergraduate courses in a public university in the North of Brazil.MethodsThe study followed an exploratory, mixed-method design. Data were collected through interviews and the application of a questionnaire with 54 participants, including college students (n = 20), mental health professionals (n = 22), and course coordinators (n = 12). Data were analyzed using Content Analysis and simple descriptive statistics.ResultsThe findings show that the protective factors for suicide most cited among the three groups were social support, strengthening of internal resources, institutional support, and finding meaning about the change to enter the university. Although the three audiences did not converge, the protective factors also frequently reported were psychological treatment, leisure activities, religious engagement, medical treatment, civic engagement, employability, opportunities for social ascension offered by the university, and quality family relationships.ConclusionIt is suggested that these protective factors are considered when formulating policies to promote mental health and suicide prevention in the university environment.

Percepciones sobre educación interprofesional en estudiantes y docentes de primer año en carreras de Ciencias de la Salud a través de Aprendizaje-Servicio en contexto de COVID-19: un análisis mixto

IntroductionInterprofessional education (IPE) is crucial for the training of future health professionals, promoting collaboration and teamwork between disciplines. This study analyzes the perceptions about IPE of students and teachers in first year health sciences courses, using a Service Learning (S-L) methodology, which was conducted online during the COVID-19 pandemic. MethodologyA sequential mixed-method approach was implemented involving 88 students and 12 faculty members from Occupational Therapy, Physiotherapy, Nutrition and Dietetics, and Speech Therapy. ResultsThe findings revealed significant differences in the disposition towards interprofessional learning and interprofessional education after the intervention, especially in Nutrition and Dietetics students. Furthermore, the qualitative analysis highlighted the favorable perception of students and teachers towards IPE in virtual mode. Key skills such as interaction, communication, commitment, respect, and empathy were highlighted. The triangulation of qualitative and quantitative data showed convergence in “teamwork” and “patient-centeredness”. ConclusionThis study supports the importance of IPE in the undergraduate training of health professionals, even in virtual environments like the present. Students demonstrated an excellent disposition and patient-centered approach. These findings underscore the need to continue developing undergraduate IPE programs, equipping students with skills and competencies for their future professional careers.

Developing Self-Management in Type 1 Diabetes at Secondary Schools: Who Is Responsible? A Qualitative Study.

Occupational therapists have the proven capacity to improve outcomes for young adults who are self-managing Type 1 diabetes (T1D). There is insufficient understanding of adolescents' experiences of developing responsibility for diabetes self-management (DSM). To investigate adolescents' perceptions of sharing responsibility for T1D management at school. This study had a descriptive qualitative design and used semistructured interviews and thematic analysis. It is the second phase of a mixed-methods study with a sequential explanatory design that investigated mechanisms of responsibility-sharing at school. Secondary school in Australia. Purposive sample of adolescents (age 15-16 yr) with T1D (N = 11). Adolescents approached the complex occupation of school-based DSM primarily in partnership with their parents, with each adolescent having unique responsibilities while sharing others. Health care professionals and teachers reportedly had minimal involvement. Adolescents described owning most DSM tasks, with their perceptions of building independence limiting the sharing of this responsibility. A heightened sense of risk meant that adolescents were likely to communicate with others in cases of errant blood glucose readings. Current processes commonly resulted in reduced school participation. Adolescents valued working responsively and interdependently with their parents to manage T1D at school, which aligns with the occupational therapy model of co-occupation. Effective responsibility-sharing depends on clear, frequent, autonomy-supportive, team-based communications. Our results showed that patterns of communication for determining school-based DSM processes were fragmented and risk focused, with limited adolescent involvement, resulting in strategies that led to students at times being excluded from school activities. Plain-Language Summary: This is the first study to use an occupational lens to examine the way in which adolescents share their responsibility for diabetes care at school. Diabetes self-management in secondary schools occurs more often when adolescents work interdependently with their parents to manage their diabetes. Adolescent involvement in formal school processes and a clearer allocation of team roles and responsibilities would better support health-promoting habits and school participation.

Evaluation of the Impact on Teacher Efficiency, Job Stress, and Job Satisfaction According to the Operation of the School Health Teacher Competency Enhancement Program

Evaluation of the Impact on Teacher Efficiency, Job Stress, and Job Satisfaction According to the Operation of the School Health Teacher Competency Enhancement Program

Analysis of Inclusive Education Curriculum in Physical Education, Sports, and Health Subjects at Brajan Elementary School, Tamantirto, Yogyakarta

This study aims to determine the implementation of the inclusive education curriculum related to learning planning, learning implementation, and learning assessment. The study was conducted at Brajan Elementary School, Tamantirto in the 2023/2024 school year. This study used a qualitative method with observation, documentation, and interview techniques with three main respondents: class VI teachers, principals, and Physical Education, Sports, and Health (PJOK) teachers. The research findings show that the school has not prepared a PDBK Student Learning Profile, made adaptations or modifications related to the devices, or prepared an Individual Learning Program. This is because teachers do not yet know about preparing inclusive learning, teachers have never attended training, schools do not have GPK, lack adequate resources, and schools have not been involved or collaborated with related experts in preparing learning devices for PDBK.

Hubungan Persepsi dan Motivasi Diri Terhadap Minat Mahasiswa Pendidikan Jasmani Kesehatan dan Rekreasi Menjadi Guru PJOK

This research aims to find out the relationship of perception and self-motivation to the interest of students of Physical Education Health and Recreation to become teachers of Physics Education Sports and Health. This research uses a method of quantitative approach through causality relationships. The subjects used in this study are students from the Department of Jasmanian Education Health and Recreation State University of the 2020 Army. The sample determination was selected using a non-probability sampling method with a purposive sample approach, and the number was calculated using the Slovenian formula to total 131 students. Data collection techniques using questionnaires and documentation. The results showed that the relationship between the perception variable and the interest variable was 0.046 while the relationship of the self-motivation variable with the interest Variable was 0.860. From these values, claim that perception variables and self-motivation variables have a relationship with interest variables positively. The results of the Test of the determination coefficient of perception variables and self-motivation variables to student interest variables have a relationship of 85.1%. This it can be concluded that the self-motivation variable has a major role in the level of interest of students in Physical Education Health and Recreation to become teachers of Physical education Sports and Health.

Exploration of the Path of Integrating Teachers' Mental Health Work into Teacher Ethics Construction in Colleges and Universities in the New Era

An in-depth study has been conducted on how the work of college teachers in mental health in the new era can be integrated into the way of building teacher ethics. Excellent teachers' morality has laid a solid foundation for the educational foundation of colleges and universities, and at the same time, it also reflects the management level and educational quality of colleges and universities to a certain extent. This paper reveals the main problems by analyzing the actual situation of the current construction of teachers' morality in colleges and universities. At the same time, it also puts forward how colleges and universities should strengthen the mental health work into the strategy of teacher ethics construction in the new historical background, as well as how to create and shape the environment of teacher ethics suitable for the characteristics of colleges and universities more effectively.

Determinants of Smoking Behavior in Physical Education, Sports, and Health Teachers in Surakarta City in 2021

&lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt; Smoking is an unhealthy habit but is often encountered in everyday life. Teacher of Physical Education, Sports, and Health as one of the sports actors if active smoking can impair their physical fitness. Teachers contribute to instilling health values in students and making them role models. Teachers who smoke will give students the perception that smoking behavior is a common and harmless action that is feared to affect students who are still in the period of self-discovery, unstable, and easily influenced in smoking behavior. This study aims to determine what factors influence smoking behavior in Physical Education, Sports, and Health teachers in Surakarta City.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; This study was quantitative research with a cross-sectional approach and the sample was 81 Physical Education, Sports, and Health teachers using a proportionate stratified random sampling technique. The analysis of this study used univariate and bivariate analysis with the Chi-Square test.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt; The results showed 30.9% of respondents are active smokers, and 69.1% are non-active smokers. Variables related to smoking behavior are knowledge (p=0.000), the role of the respondent as a teacher (p=0.000), perceived seriousness (p=0.000), perceived benefits (p=0.017), attitude (p=0.000), subjective norms (p=0.000), and perceived behavioral control p=0.003).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; Knowledge, attitude, role as a teacher, perceived seriousness, perceived benefits, perceived behavioral control, and subjective norm have a relationship with smoking behavior, while age, income, cues to action, and perceived susceptibility are not related to smoking behavior.&lt;/p&gt;

Pendampingan Pencegahan Risiko Anak Stunting pada Masyarakat, Kader Kesehatan, dan Guru PAUD/TK

The risk of stunting in Batetangnga Village is elevated because a significant number of pregnant mothers and toddlers are malnourished and lack adequate maternal knowledge. Furthermore, cadres and PAUD/TK teachers have not received any training to identify children who are at risk of stunting. The aimed of this community services are to improve participants' knowledge, awareness, motivation, and skills in stunting risk detection, prevention, and management. The results will be accurately measured, evaluated, and interpreted by skilled officers. The support method entails the following: [1] educating pregnant mothers and young mothers, health officers, and PAUD/TK teachers about (a) pregnant women who may be causing the child to stunt; (b) the risk of stunting for young children; and [2] providing health cadres and teachers of PAUD/TTK with training on identifying stunting risks in young children. The results indicated that there was a rise in knowledge from 78.9% to 81.8%, a rise in awareness from 66.7% to 73.8%, and a rise in motivation from 54.5% to 57.6% in the context of the detection, prevention, and treatment of children with stunting risks. Skilled officers promptly identify the potential for stunting. Accompanying activities are advantageous in enhancing the community's, health cadres', and PAUD/TK teachers' ability to prevent stunting in children.

Hubungan Pengetahuan, Sikap dan Kepatuhan Minum Tablet Fe Ppda Program Jufe (Jum’at Fe) dengan Kadar Hb (Hemoglobin) Remaja Putri di Sekolah Binaan Puskesmas Gekbrong Kabupaten Cianjur Tahun 2024

Introduction: Haemoglobin levels are low (&lt; 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.

Occupational therapy experiences of interprofessional collaboration in the support of autistic children.

Autistic children commonly receive simultaneous services from various health-care and other professionals, including occupational therapy, throughout their journey of diagnosis and consequent therapeutic support. Current best practice guidelines for supporting autistic youth emphasise the importance of interprofessional collaboration. Despite this, collaboration among health-care professionals does not always occur, and little is understood about clinicians' experiences of collaborative care. The aim of this study was to explore Australian paediatric occupational therapists' experiences of interprofessional collaboration and their perception of factors influencing collaboration when supporting autistic children. This study employed an exploratory qualitative descriptive design. Semi-structured interviews were conducted with 13 Australian paediatric occupational therapists involved in service provision to autistic children. Questions explored clinicians' experiences and perceptions of interprofessional collaboration. Reflexive thematic analysis was used to inductively analyse data. This study was conceptualised and conducted by a team of researchers with a range of personal and professional experiences with the autistic community. The research design was strongly informed by the Autism CRC'S research guidelines. Three themes were generated highlighting factors that influence collaboration between occupational therapists and other professionals. The first emphasised that 'clinicians' capacity to collaborate' at both organisational and individual levels was understood to be greatly influenced by funding structures. The second emphasised that 'relationships are key to collaboration' with these often established through shared workplaces or clients. The third, 'shared perceptions make collaboration easier' described how shared perceptions of collaboration, the occupational therapy role, and autism-related frames of reference were perceived to influence interprofessional collaboration. Findings indicate that, while occupational therapists perceive interprofessional collaboration as valuable in the support of autistic children, there are barriers to effective collaboration, particularly in the context of a marketised service delivery model. This study looked at how Australian occupational therapists work with other professionals to support autistic children. Even though it is recommended that professionals work together to support autistic children and their families, this does not always happen. In this study, researchers interviewed 13 occupational therapists and asked what it is like working with other professionals, what is helpful, and what makes working together difficult. From these interviews, it was found that many things affect how well occupational therapists can work with other health professionals and teachers to support autistic children. Factors like funding and workplace rules affect how professionals work together. Having someone take on the role of leader and having good relationships between professionals made it easier to work together. It was also helpful when occupational therapists and other professionals shared similar ideas on how to support autistic children. The study could be improved if it had gathered more information about the occupational therapists' education and what they have learnt about working with other professionals. Overall, the therapists in this study believed that working together to support autistic children and their families was important, but that there are many challenges to making this happen. More research on this topic would be helpful.

Exploring Strategies to Mitigate the Adverse Health Impacts of Air Pollution on Children in India: A Qualitative Study.

Air pollution poses a significant threat to global public health, contributing to high rates of mortality and morbidity. India, home to the world's largest population of children, is particularly affected. This study aims to identify effective strategies to mitigate the adverse health impacts of air pollution on this vulnerable group. The study utilized directed content analysis using a deductive approach and purposeful sampling to carry out in-depth interviews with researchers, academicians, paediatricians, public health experts, and climate change experts from different organizations in India. In total, 17 interviews were conducted over two months in March and April 2024 until data saturation was reached. A total of 29 subcategories were extracted. The main sub-categories include strategies for reducing indoor emissions and multisectoral emission reduction, strategies to reduce exposure at home, schools and transit, strategies for public awareness, effective communication, health sector communication and awareness, and raising awareness by frontline workers and educational institutions, strategies for capacity building of health sector and frontline stakeholders, strategies for building research and knowledge translation, strategies forvertical and horizontal collaboration, strategies for child-centric policies, school closure policies, fiscal policies, comprehensive policymaking, sectoral policymaking, advocacy in policymaking, strategies for monitoring, and strategies for mother and child health. The results of this study indicate that mitigating the adverse health impacts of pollution for children would entail a multi-pronged approach encompassing effective communication and education strategies and awareness raising of important stakeholders such as health professionals, community, grassroots-level workers, parents, teachers and children. Such strategies could be useful to trigger the desired change in behaviour of all concerned. Also, there is a need for collaboration and partnership between various stakeholders and ministries as policy-making bodies. There is a need to build on the research and strengthen the monitoring and surveillance.

A transversal cross-sectional study of factors related to HPV vaccination status and cancer screening participation among French women aged 25–40

BackgroundIn 2020, uterine cervical cancer (UCC) was the 12th most common cancer among women in France and the 4th worldwide. French health authorities wanted to increase Human Papilloma Virus (HPV) vaccination and screening rates. There were still many barriers to these measures among young women, their families, and health professionals and teachers. Between 2014 and 2019, international studies found inconsistent effects of HPV vaccination on UCC screening. In 2022, a survey was conducted among women aged 25 to 40 in the Nord-Pas-de-Calais region to assess participation 1) in HPV vaccination and its barriers, 2) in UCC screening as a function of HPV vaccination status.MethodsData were collected using an anonymous online questionnaire distributed by QR code in 80 general practices randomly selected in the Nord-Pas-de-Calais region between January and June 2022. Results were analyzed bivariately using the Chi2 test, multivariately when numbers allowed, and in age subgroups (sensitivity analysis).Results407 complete questionnaires (for 602 participating women) were analyzed. In our sample, 41% of women aged 25 to 40 in the Nord-Pas-de-Calais region were vaccinated against HPV viruses in 2022. The risk factors for non-vaccination, after multivariable adjustment, were: the periods of eligibility for vaccination in the early days of French vaccination (2007–2012: odds ratio OR = 0.04 [95% CI, 0.02–0.09]; 2012–2017: OR = 0.5 [0.3–0.8]), information received from non-medical sources (OR = 0.3 [0.2–0.6]), and absence of information about vaccination (OR = 0.12 [0.05–0.27]). In our sample, 90% of women were screened for UCC. In bivariate analysis, women at risk of not being screened were those who were youngest, had been vaccinated against HPV, were not heterosexual, lived alone, had gynecological follow-up by their general practitioner, and did not have regular gynecological follow-up. Sensitivity analysis showed that the only risk factor significantly correlated with non-screening regardless of age group was lack of regular gynecological follow-up.ConclusionsParticipation in HPV vaccination and UCC screening is improved by medical education and gynecological follow-up. This multicenter study, limited by the relative youth of vaccination in France, should be repeated after 2037 to assess the possible effect of vaccination on screening.