Patients' high acceptability of a future therapeutic HIV vaccine in France: a French paradox?


Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
09 May 2019
Historique:
received: 06 01 2018
accepted: 01 05 2019
entrez: 11 5 2019
pubmed: 11 5 2019
medline: 11 7 2019
Statut: epublish

Résumé

France is the European country with the lowest level of confidence in vaccines. Measurement of patients' acceptability towards a future therapeutic HIV vaccine is critically important. Thus, the aim of this study was to evaluate patients' acceptability of a future therapeutic HIV vaccine in a representative cohort of French patients living with HIV-AIDS (PLWHs). This multicentre study used quantitative and qualitative methods to assess PLWHs' opinions and their potential acceptance of a future therapeutic HIV vaccine. Cross-sectional study on 220 HIV-1 infected outpatients, aged 18-75 years. The participants' characteristics were similar to those of the overall French PLWH population. Responses from the questionnaires showed high indices of acceptance: the mean score for acceptability on the Visual Analog Scale VAS was 8.4 of 10, and 92% of patients agreed to be vaccinated if a therapeutic vaccine became available. Acceptability depended on the expected characteristics of the vaccine, notably the duration of its effectiveness: 44% of participants expected it to be effective for life. This acceptance was not associated with socio-demographic, clinical (mode of contamination, duration of disease), quality of life, or illness-perception parameters. Acceptability was also strongly correlated with confidence in the treating physician. The PLWHs within our cohort had high indices of acceptance to a future therapeutic HIV vaccine. This study was retroactively registered on ClinicalTrials.gov with ID: NCT02077101 in February 21, 2014.

Sections du résumé

BACKGROUND BACKGROUND
France is the European country with the lowest level of confidence in vaccines. Measurement of patients' acceptability towards a future therapeutic HIV vaccine is critically important. Thus, the aim of this study was to evaluate patients' acceptability of a future therapeutic HIV vaccine in a representative cohort of French patients living with HIV-AIDS (PLWHs).
METHODS METHODS
This multicentre study used quantitative and qualitative methods to assess PLWHs' opinions and their potential acceptance of a future therapeutic HIV vaccine. Cross-sectional study on 220 HIV-1 infected outpatients, aged 18-75 years.
RESULTS RESULTS
The participants' characteristics were similar to those of the overall French PLWH population. Responses from the questionnaires showed high indices of acceptance: the mean score for acceptability on the Visual Analog Scale VAS was 8.4 of 10, and 92% of patients agreed to be vaccinated if a therapeutic vaccine became available. Acceptability depended on the expected characteristics of the vaccine, notably the duration of its effectiveness: 44% of participants expected it to be effective for life. This acceptance was not associated with socio-demographic, clinical (mode of contamination, duration of disease), quality of life, or illness-perception parameters. Acceptability was also strongly correlated with confidence in the treating physician.
CONCLUSION CONCLUSIONS
The PLWHs within our cohort had high indices of acceptance to a future therapeutic HIV vaccine.
TRIAL REGISTRATION BACKGROUND
This study was retroactively registered on ClinicalTrials.gov with ID: NCT02077101 in February 21, 2014.

Identifiants

pubmed: 31072394
doi: 10.1186/s12879-019-4056-6
pii: 10.1186/s12879-019-4056-6
pmc: PMC6509812
doi:

Substances chimiques

AIDS Vaccines 0

Banques de données

ClinicalTrials.gov
['NCT02077101']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

401

Références

AIDS. 2003 Oct 17;17(15):W1-10
pubmed: 14523295
Clin Sci (Lond). 2006 Jan;110(1):59-71
pubmed: 16336205
J Psychosom Res. 2006 Jun;60(6):631-7
pubmed: 16731240
Expert Rev Vaccines. 2009 Feb;8(2):179-90
pubmed: 19196198
N Engl J Med. 2009 Dec 3;361(23):2209-20
pubmed: 19843557
Vaccine. 2010 Mar 24;28(15):2743-8
pubmed: 20117271
Expert Rev Pharmacoecon Outcomes Res. 2010 Jun;10(3):269-81
pubmed: 20545592
AIDS. 2010 Jul 17;24(11):1749-56
pubmed: 20597165
Med Mal Infect. 2010 Dec;40(12):683-90
pubmed: 20822870
Therapie. 2010 Jul-Aug;65(4):357-65, 347-55
pubmed: 20854759
J Acquir Immune Defic Syndr. 2012 Apr 15;59(5):498-505
pubmed: 22205438
J Acquir Immune Defic Syndr. 2012 Apr 15;59(5):506-15
pubmed: 22293550
Hum Vaccin Immunother. 2012 May;8(5):569-81
pubmed: 22634436
Sante Publique. 2012 Nov-Dec;24(6):547-60
pubmed: 23473048
Lancet Infect Dis. 2013 Jul;13(7):606-13
pubmed: 23676442
Immunol Rev. 2013 Jul;254(1):355-71
pubmed: 23772631
Hum Vaccin Immunother. 2013 Aug;9(8):1779-81
pubmed: 23896582
Curr HIV Res. 2013 Sep;11(6):441-9
pubmed: 24033299
Lancet. 2013 Nov 2;382(9903):1525-33
pubmed: 24152939
Euro Surveill. 2013 Oct 31;18(44):null
pubmed: 24176658
Cell. 2014 Feb 13;156(4):633-48
pubmed: 24529371
Vaccine. 2014 Apr 25;32(20):2281-7
pubmed: 24631097
AIDS Care. 2014;26 Suppl 1:S29-40
pubmed: 24731158
Mol Immunol. 2015 Feb;63(2):320-7
pubmed: 25193323
PLoS One. 2014 Nov 05;9(11):e111321
pubmed: 25372044
Vaccine. 2015 Feb 18;33(8):1063-70
pubmed: 25583384
PLoS Curr. 2015 Feb 25;7:null
pubmed: 25789201
EBioMedicine. 2015 Jun 23;2(8):891-7
pubmed: 26425696
J Clin Epidemiol. 2016 Apr;72:116-25
pubmed: 26548542
Expert Rev Vaccines. 2016 Aug;15(8):989-1007
pubmed: 26901118
Expert Rev Vaccines. 2016 Jul;15(7):937-48
pubmed: 27140417
Soc Sci Med. 2016 Jun;159:48-57
pubmed: 27173740
PLoS One. 2016 Jun 03;11(6):e0156118
pubmed: 27257809
EBioMedicine. 2016 Oct;12:295-301
pubmed: 27658738
Curr Opin Virol. 2017 Apr;23:75-81
pubmed: 28453967
JAMA. 2017 Jun 27;317(24):2532-2542
pubmed: 28655021

Auteurs

Svetlane Dimi (S)

Department of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France. svetlane.dimi@sfr.fr.

David Zucman (D)

Department of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.

Olivier Chassany (O)

EA 7334 REMES, Patient-Centered Outcomes Research, University Paris-Diderot, Sorbonne Paris Cité, Paris, France.
Clinical Research Unit in Health Economics (URC-ECO), Fernand Widal Hospital, AP-HP, Paris, France.

Christophe Lalanne (C)

EA 7334 REMES, Patient-Centered Outcomes Research, University Paris-Diderot, Sorbonne Paris Cité, Paris, France.

Thierry Prazuck (T)

Department of Infectious Diseases, Regional Hospital Orléans, Orléans, France.

Emmanuel Mortier (E)

Department of Internal Medicine, Louis Mourier Hospital, Colombes, France.

Catherine Majerholc (C)

Department of Internal Medicine, Réseau Ville Hôpital Val de Seine, Foch Hospital, Suresnes, France.

Isabelle Aubin-Auger (I)

EA 7334 REMES, University Paris-Diderot, Sorbonne Paris Cité, Paris, France.

Pierre Verger (P)

Observatoire régional de la santé Paca, Marseille, France.
AMU-UMR912 SESSTIM-IRD, Marseille France, Marseille, France.

Martin Duracinsky (M)

EA 7334 REMES, Patient-Centered Outcomes Research, University Paris-Diderot, Sorbonne Paris Cité, Paris, France.
Clinical Research Unit in Health Economics (URC-ECO), Fernand Widal Hospital, AP-HP, Paris, France.
Department of Internal Medicine & Clinical Immunology, Bicetre Hospital, AP-HP, Kremlin-Bicetre, Paris, France.

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