Conclusion
HPV-related cancer
Coverage of HPV vaccination in France has been steadily increasing over the last decade, but larger efforts are required to meet programmatic objectives. Of particular importance will be addressing the social inequalities in vaccine awareness, intention to get vaccinated and uptake, demonstrated throughout this study, that could lead to substantial inequalities in HPV-related cancer risk. The adolescents contribute to making decisions on vaccine uptake and our data suggest that policies facilitating and harmonising HPV vaccine promotion by healthcare professionals and adapted school lessons on HPV vaccination could mitigate inequalities in vaccine coverage. A first nation-wide vaccination campaign for 12–13-year-olds is scheduled in France during the current school year 2023-2024, and there is hope that this will not only increase coverage rates, but also reduce related social inequalities.