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Related Experiment Video

Updated: Nov 25, 2025

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Physicians' decision processes about the HPV vaccine: A qualitative study.

Maité Bouchez1, Jeremy K Ward2, Aurélie Bocquier3

  • 1Ecole des Hautes Etudes en Santé Publique, 15 Av. du professeur Léon Bernard, 35043 Rennes, France.

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|December 17, 2020
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Summary

Physician trust in vaccine stakeholders influences HPV vaccine recommendations. Their professional style and ethos also play a key role in how they advise patients on the human papillomavirus (HPV) vaccine.

Keywords:
Human Papilloma VirusPhysiciansTrustVaccine HesitancyVaccines

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Area of Science:

  • Medical sociology
  • Public health
  • Vaccinology

Background:

  • Low human papillomavirus (HPV) vaccine uptake in France (23.7% in 2018) is linked to a crisis of trust.
  • Physician recommendations are critical for HPV vaccine acceptance or refusal.

Purpose of the Study:

  • To explore the decision-making processes of physicians regarding HPV vaccine recommendations.
  • To understand factors influencing physicians' HPV vaccine endorsement or opposition.

Main Methods:

  • Qualitative interviews were conducted with French general practitioners, gynecologists, and pediatricians.
  • A thematic analysis, both inductive and deductive, was applied to coded interview data.
  • A combination of random selection and snowballing was used to build a convenience sample of physicians.

Main Results:

  • Two-thirds of physicians favored HPV vaccination; some opposed it, while others were hesitant.
  • Physician trust in vaccination system stakeholders correlated with their critical stance on the vaccine and patient opinion influence.
  • Five physician types emerged: dissidents, hesitant, laissez-faire, educators, and uncompromising vaccinators, with pediatricians overrepresented among educators and uncompromising vaccinators.

Conclusions:

  • Physicians' trust in HPV vaccination strategy stakeholders significantly impacts their recommendations, mirroring laypeople's trust levels.
  • Professional style and ethos are significant influencers in physicians' approaches to HPV vaccine recommendations.