Human papillomavirus (HPV) vaccination: What can be found on the Web? Qualitative analysis of the Doctissimo.fr forum data |
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| Institution: | 1. Department of General Practice, Saint-Étienne, Jean Monnet University, 10, rue de la Marandière, 42270 Saint-Priest en Jarez, France;2. University of Lyon, Claude Bernard Lyon 1 University, Saint-Etienne University, 42023 Saint-Étienne, France;3. HESPER EA 7425, 69008 Lyon, France;4. The Clinic, Dubai International Financial Center, United Arab Emirates;1. Département de médecine générale, faculté de médecine Jacques-Lisfranc, Université Jean-Monnet Saint-Étienne, Saint-Étienne, France;2. Laboratoire SNA-EPIS EA4607, Saint-Étienne, France;3. HESPER Health Services and Performance Research EA7425, Lyon, France;1. Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, China;2. Research Team of Cervical Cancer Prevention Project in Shenzhen, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518028, China;3. Department of Information Technology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518055, China;4. Department of Gynecology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518028, China;1. Observatoire régional de la santé Île-de-France, 75000 Paris, France;2. Inserm, IPLESP, ERES, Institut Pierre-Louis d’épidémiologie et de santé publique, Sorbonne Université, 75012 Paris, France;1. Université Paris Diderot, UMR 8236 (LIED), Paris, France;2. INSERM, UMR 912 (SESSTIM), Marseille, France;3. Aix Marseille University, UMR S912, IRD, Marseille, France;4. ORS PACA, Observatoire régional de la santé Provence-Alpes-Côte d’Azur, Marseille, France;5. London School of Hygiene and Tropical Diseases, London, United Kingdom;6. Ecole des Hautes Etudes en Santé Publique, Rennes, France |
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| Abstract: | BackgroundVaccine hesitancy is a major issue in general practice. Regarding human papillomavirus, less than 20% of young French girls are vaccinated. With widespread availability of health information, the Internet seems to be a place of choice to discuss this reluctance. The main objective of this study was to explore perceptions of human papillomavirus vaccination through an analysis of the Doctissimo.fr forum data.MethodsUsing Nvivo software, a qualitative study was carried out from October 2017 to May 2018 on the Doctissimo.fr discussion forum. Online discussion threads not having any message since 2010 were excluded. All threads were analyzed by two independent evaluators.ResultsFaced with the doubt that emanated from the discussions and the confusion about the role of the vaccine, Internet users used multiple references in order to develop a reliable discourse. The general practitioner remained a trusted person. While the vaccine was perceived as risky, the cervical smear was approved and encouraged. Although the vaccine remained a feminine concern, males also entered this debate. Through their shared experiences, Internet users tried to influence others about whether or not to get vaccinated.ConclusionChanging the sexual image of the vaccine could help to establish a collective vaccination policy. Public health policies play an essential role by working with general practitioners and by increasing visibility on the web. The usefulness of the vaccine in 2019 seems to be questioned by Internet users as shown by their major approval of cervical smears. However, these two methods remain complementary in the fight against cervical cancer. |
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| Keywords: | General practice Human papillomavirus Vaccination Internet Social media Médecine générale Papillomavirus humain Vaccination Internet Médias sociaux |
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