Sara Mathieu-Chartier

Connaissances et utilisation des méthodes contraceptives et de la contraception d’urgence par les étudiantes québécoises de niveau collégial et universitaire : résultats de deux enquêtes complémentaires

by Sylvie Lévesque, Ph. D., Sara Mathieu-C., Ph. D. (c), Édith Guilbert, M.D., M.Sc., Gilles Lambert, Dominic Beaulieu Prévost, Ph. D., Martin Blais, Ph. D., Marie-Aude Boislard, Ph. D. et Joseph Lévy, Ph. D.

Published by Service Social

janvier 1, 2017

L’objectif de cet article est de présenter une mise à jour sur l’utilisation des méthodes contraceptives, y compris la contraception d’urgence, chez les femmes sexuellement actives qui fréquentent les cégeps et les universités du Québec. Cet article puise dans deux études sur la santé sexuelle menées en milieu collégial et universitaire (ESS-UQAM et PIXEL). Les principaux constats de ces études réalisées auprès d’un échantillon de 1812 universitaires (ESS-UQAM) et d’un échantillon de 921 étudiantes recrutées dans 17 cégeps et 7 universités (PIXEL) révèlent que, globalement, la proportion d’étudiantes québécoises utilisant des méthodes contraceptives efficaces est élevée et que la non-utilisation de contraception est faible (entre 2,9 % et 6 %). L’utilisation de méthodes contraceptives semble varier selon le parcours migratoire et l’orientation sexuelle des étudiantes. Ces résultats sont discutés dans la perspective de faire émerger certains des enjeux actuels en matière de contraception et d’orienter la prise de décision à l’égard d’interventions préventives.

URL: https://www.erudit.org/fr/revues/ss/2017-v63-n2-ss03713/1046499ar/resume/

Spring fever: process evaluation of a sex and relationships education programme for primary school pupils

by Newby, K., Mathieu-C., S.

Published by Sex Education

novembre 1, 2017

In primary schools in England, programmes of Sex and Relationships Education (SRE) are rare. Provision has been judged as requiring improvement in over one-third of these schools at a time when statutory provision has been mandated by the government. The aim of this study was to examine the early implementation of Spring Fever, a programme of primary school SRE, in terms of reach, fidelity, dose, recruitment and context. Data were collected through a teachers’ feedback form (n = 10), teachers’ focus group (n = 9); a parent diary (n = 7), parents’ interviews (n = 5), parent feedback (n = 41) and pupil feedback (n = 24). Reach was high with few pupils withdrawn. Fidelity to the lesson plans and achievement of learning objectives was high for most school years. Pupils enjoyed the programme and responded well. It was clear that learning had occurred but that pupils had been uncomfortable with some topics. Teachers were largely positive about the programme. Parents felt that it was age-appropriate, informative and handled sensitively. This is the first process evaluation of primary school SRE. Detailed descriptions of process evaluation are uncommon in the literature but this is vital for identifying issues pertinent to the future roll-out and evaluation of programmes.

URL: https://www.researchgate.net/publication/320970920_Spring_fever_process_evaluation_of_a_sex_and_relationships_education_programme_for_primary_school_pupils

Low prevalence of vaccine-type HPV infections in young women following the implementation of a school-based and catch-up vaccination in Quebec, Canada

by P. Goggin, C. Sauvageau, V. Gilca, F. Defay, G. Lambert, S. Mathieu-C., J. Guenoun, E. Comète & F. Coutlée

Published by Human Vaccines and Immunotherapeutics

octobre 1, 2017

Background: In Quebec, Canada, a school-based HPV vaccination for girls has been offered since 2008. The vaccine used in the program targets HPV16/18, responsible for ∼70% of cervical cancers and HPV6/11, responsible for the majority of anogenital warts. The objective of this study was to assess the prevalence of HPV in vaccinated and unvaccinated women. Methods: Women aged 17-29 years were eligible to participate. Participants' age, vaccination status and diverse risk factors were assessed by a computer-assisted questionnaire. Biological specimens were obtained by self-sampling. HPV genotyping was performed by Linear Array. Results: A total of 2,118 women were recruited. 2,042 completed the questionnaire and 1,937 provided a vaginal sample. Vaccination coverage varied from 83.5% in women aged 17-19 to 19.1% in those aged 23-29. The overall prevalence of HPV in sexually active women was 39.4% (95%CI: 37.0-41.7) and 56.7% of infected women had multiple type infections. The prevalence of vaccine HPV types varied by age and vaccination status except for women aged 23-29 for whom similar results were observed. Vaccine HPV types were detected in 0.3%, 1.4% and 10.5% of vaccinated women aged 17-19, 20-23, and 23-29 (p<0.05), respectively. HPV16 or HPV18 were detected in 10 women having received at least one dose of vaccine. Nine of these women were already sexually active at the time of vaccination. Conclusion: Infections with HPV types included in the vaccine are rare in women aged less than 23 years and are virtually absent in those who received at least one dose of vaccine before sexual debut.

URL: https://www.researchgate.net/publication/320515210_Low_prevalence_of_vaccine-type_HPV_infections_in_young_women_following_the_implementation_of_a_school-based_and_catch-up_vaccination_in_Quebec_Canada