Physicians’ decision processes about the HPV vaccine: A qualitative study

Bouchez, Maité; Ward, Jeremy K.; Bocquier, Aurélie; Benamouzig, Daniel; Peretti‐Watel, Patrick; Seror, Valérie; Verger, Pierre

doi:10.1016/j.vaccine.2020.12.019

Cited by 20 publications

(12 citation statements)

References 26 publications

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“…Vaccines have been highly recognized by the medical community for increasing defenses against infectious diseases. However, vaccines are always confronted with skepticism and hardly ever trusted by all people (19)(20) (Wilson et al, 2020;Bouchez et al, 2021). Their effectiveness, safety, and even necessity have been long discussed by both the public as well as experts in the eld of public health (21)(22)(23)(24).…”

Section: Literature and Hypothesesmentioning

confidence: 99%

Constructed Recognition: How Nationalism Influences Public Acceptance of Domestic COVID-19 Vaccines in China

Zhou

et al. 2022

Preprint

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Background Despite numbers of vaccine scandals and the potential side effects, COVID-19 vaccines have gained widespread acceptance in China. The purpose of the study was to explain why the support of vaccines is so high in China. Methods Based on existing literature, we proposed hypotheses from three aspects: self-interests, altruism and nationalism. Adopting data from a survey conducted in May of 2021, we used ordered logit regression models to examine the three explanations. Moreover, we explored how individuals’ trust in domestic scientists influences their assessment of the quality of COVID-19 vaccines. Results A total of 2038 participants completed our questionnaire online (females = 48.72%). The statistical results shows that the self-interest and altruism can partially explain public’s positive opinions toward COVID-19 vaccines. And the main finding of this paper is that the nationalistic values are important sources of their acceptance of the vaccines, for the Chinese government has further strengthened the linkage between the vaccine and patriotism. Trust in scientists, as an extension of nationalism, is another important motivation of vaccine acceptance in China, for the reputations of these experts are deliberately shaped by the government. Conclusion This paper finds that citizens’ high recognition of domestic vaccines is a derivative of nationalistic ideology, which implies that public’s attitudes toward vaccines are consciously constructed by the Chinese government.

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Section: Literature and Hypothesesmentioning

confidence: 99%

Constructed Recognition: How Nationalism Influences Public Acceptance of Domestic COVID-19 Vaccines in China

Zhou

et al. 2022

Preprint

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“…As for GPs, they face difficulties in informing patients on vaccination and need to acquire educational techniques to improve their communication with vaccine hesitant patients 25…”

Section: Methods and Analysismentioning

confidence: 99%

Impact of a school-based and primary care-based multicomponent intervention on HPV vaccination coverage among French adolescents: a cluster randomised controlled trial protocol (the PrevHPV study)

et al. 2022

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IntroductionVaccination is an effective and safe strategy to prevent Human papillomavirus (HPV) infection and related harms. Despite various efforts by French authorities to improve HPV vaccine coverage (VC) these past few years, VC has remained far lower than in most other high-income countries. To improve it, we have coconstructed with stakeholders a school-based and primary care-based multicomponent intervention, and plan to evaluate its effectiveness, efficiency and implementation through a cluster randomised controlled trial (cRCT).Methods and analysisThis pragmatic cRCT uses an incomplete factorial design to evaluate three components applied alone or in combination: (1) adolescents and parents’ education and motivation at school, using eHealth tools and participatory learning; (2) general practitioners’ training on HPV using motivational interviewing techniques and provision of a decision aid tool; (3) free-of-charge access to vaccination at school. Eligible municipalities (clusters) are located in one of 14 preselected French school districts and must have only one secondary school which enrols at least 2/3 of inhabitants aged 11–14 years. A randomisation stratified by school district and deprivation index allocated 90 municipalities into 6 groups of 15. The expected overall sample size estimate is 41 940 adolescents aged 11–14 years. The primary endpoint is the HPV VC (≥1 dose) among adolescents aged 11–14 years, at 2 months, at the municipality level (data from routine databases). Secondary endpoints include: HPV VC (≥1 dose at 6 and 12 months; and 2 doses at 2, 6 and 12 months); differences in knowledge, attitudes, behaviours, and intention among adolescents, parents and general practitioners between baseline and 2 months after intervention (self-administered questionnaires); incremental cost-effectiveness ratio. Implementation measures include dose, fidelity, adaptations, reached population and satisfaction (activity reports and self-administered questionnaires).Ethics and disseminationThis protocol was approved by the French Ethics Committee ‘CPP Sud-Est VI’ on 22 December 2020 (ID-RCB: 2020-A02031-38). No individual consent was required for this type of research; all participants were informed of their rights, in particular not to participate or to oppose the collection of data concerning them. Findings will be widely disseminated (conference presentations, reports, factsheets and academic publications).Trial registration numberNCT04945655.

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“…At the individual level, studies found that various demographic characteristics, such as race [15,16], age [17][18][19], sex [16,18,19], education level [20], and economic status [21], are reasons for vaccine hesitation. In addition, other factors include the cognition of disease [22,23], parental attitudes [8,24], side effects [23,25,26], moral intuition [27], the seasonality and number of childbirths [28,29], trust in health professionals [23,30], vaccination history [31,32], and fear of needles [33].…”

Section: Literature Reviewmentioning

confidence: 99%

Exploring and Monitoring the Reasons for Hesitation with COVID-19 Vaccine Based on Social-Platform Text and Classification Algorithms

Liu

2021

Healthcare

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(1) Background: The COVID-19 pandemic is globally rampant, and it is the common goal of all countries to eliminate hesitation in taking the COVID-19 vaccine and achieve herd immunity as soon as possible. However, people are generally more hesitant about the COVID-19 vaccine than about other conventional vaccines, and exploring the specific reasons for hesitation with the COVID-19 vaccine is crucial. (2) Methods: this paper selected text data from a social platform to conduct qualitative analysis of the text to structure COVID-19 vaccine hesitancy reasons, and then conducted semiautomatic quantitative content analysis of the text through a supervised machine-learning method to classify them. (3) Results: on the basis of a large number of studies and news reports on vaccine hesitancy, we structured 12 types of the COVID-19 vaccine hesitancy reasons. Then, in the experiment, we conducted comparative analysis of three classifiers: support vector machine (SVM), logistic regression (LR), and naive Bayes classifier (NBC). Results show that the SVM classification model with TF-IDF and SMOTE had the best performance. (4) Conclusions: our study structured 12 types of COVID-19 vaccine hesitancy reasons through qualitative analysis, filling in the gaps of previous studies. At the same time, this work provides public health institutions with a monitoring tool to support efforts to mitigate and eliminate COVID-19 vaccine hesitancy.

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Physicians’ decision processes about the HPV vaccine: A qualitative study

Cited by 20 publications

References 26 publications

Constructed Recognition: How Nationalism Influences Public Acceptance of Domestic COVID-19 Vaccines in China

Constructed Recognition: How Nationalism Influences Public Acceptance of Domestic COVID-19 Vaccines in China

Impact of a school-based and primary care-based multicomponent intervention on HPV vaccination coverage among French adolescents: a cluster randomised controlled trial protocol (the PrevHPV study)

Exploring and Monitoring the Reasons for Hesitation with COVID-19 Vaccine Based on Social-Platform Text and Classification Algorithms

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