Vaccine hesitancy and coercion: all eyes on France

Article metrics

With record levels of vaccine hesitancy and one of the most drastic reinforcements of vaccine mandates in recent years, there is much to learn from the French experience.

Access optionsAccess options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

Fig. 1: Opinions regarding vaccination in general: trends since 2000 (France, adults 18+ years, N = 15,000–30,000).

Barometers from 2000 to 2017, Santé Publique France

References

  1. 1.

    Peretti-Watel, P., Larson, H. J., Ward, J. K., Schulz, W. S. & Verger, P. Vaccine hesitancy: clarifying a theoretical framework for an ambiguous notion. PLoS Curr. https://doi.org/10.1371/currents.outbreaks.6844c80ff9f5b273f34c91f71b7fc289 (2015).

  2. 2.

    Bocquier, A. et al. Social differentiation of vaccine hesitancy among French parents and the mediating role of trust and commitment to health: a nationwide cross-sectional study. Vaccine 36, 7666–7673 (2018).

  3. 3.

    Gallup. Wellcome Global Monitor 2019. How Does the World Feel about Science and Health? (Wellcome Trust, 2019).

  4. 4.

    Larson, H. J. The biggest pandemic risk? Viral misinformation. Nature 7727, 309 (2018).

  5. 5.

    Ward, J. K., Colgrove, J. & Verger, P. Why France is making eight new vaccines mandatory. Vaccine 36, 1801–1803 (2018).

  6. 6.

    Karafillakis, E. & Larson, H. J. The paradox of vaccine hesitancy among healthcare professionals. Clin. Microbiol. Infect. 24, 799–800 (2018).

  7. 7.

    Verger, P. et al. Prevalence and correlates of vaccine hesitancy among general practitioners: a cross-sectional telephone survey in France, April to July 2014. Eurosurveillance 21, 1–10 (2016).

  8. 8.

    Wilson, R. et al. Seasonal influenza self-vaccination behaviours and attitudes among nurses in Southeastern France. Hum. Vaccines Immunother. https://doi.org/10.1080/21645515.2019.1587274 (2019).

  9. 9.

    Betsch, C. Advocating for vaccination in a climate of science denial. Nat. Microbiol. 2, 17106 (2017).

  10. 10.

    Poland, G. A. & Jacobson, R. M. The age-old struggle against the antivaccinationists. N. Engl. J. Med. 364, 97–99 (2011).

  11. 11.

    Bertrand, A. & Torny, D. Libertés individuelles et santé collective: Une étude socio-historique de l’obligation vaccinale (CERMES, France, 2004).

  12. 12.

    Ward, J. K. Rethinking the antivaccine movement concept: a case study of public criticism of the swine flu vaccine’s safety in France. Soc. Sci. Med. 159, 48–57 (2016).

  13. 13.

    Conis, E. Vaccine Nation: America’s Changing Relationship with Immunization (University of Chicago Press, 2014).

  14. 14.

    Reich, J. A. Calling the Shots: Why Parents Reject Vaccines (NYU Press, 2016).

  15. 15.

    Ward, J. K. Journalists and science: boundary-making in the media coverage of the 2009 pandemic flu vaccine’s safety in France. Sociologie (in the press).

  16. 16.

    Attwell, K. The politics of picking: selective vaccinators and population-level policy. SSM Popul. Health 7, 100342 (2018).

  17. 17.

    Schmid, P. & Betsch, C. Effective strategies for rebutting science denialism in public discussions. Nat. Hum. Behav. https://doi.org/10.1038/s41562-019-0632-4 (2019).

  18. 18.

    Omer, S. B., Betsch, C. & Leask, J. Mandate vaccination with care. Nature 571, 469–472 (2019).

  19. 19.

    Santé Publique France. Bulletin de santé publique: Vaccination (Santé Publique France, 2019).

  20. 20.

    Gagneur, A., Gosselin, V. & Dubé, È. Motivational interviewing: a promising tool to address vaccine hesitancy. Vaccine 36, 6553–6555 (2018).

Download references

Acknowledgements

The authors would like to thank Santé Publique France for providing access to the Health Barometers databases. This work was supported by a CNRS Momentum grant (to J.K.W.), funds by the Institut Hospitalo-Universitaire (IHU) Méditerranée Infection, the National Research Agency (convention. 15-CE36-0008-01) and the program ‘Investissements d’avenir’ (convention ANR-10-IAHU-03), the Région Provence-Alpes-Côte d’Azur, the European funding FEDER PRIMI, the Institute for Research in Public Health (convention 17-PREV-39), and the ITMO Cancer (Plan cancer 2014–2019). The funding sources had no involvement in the research nor any role in the writing of the manuscript and the decision to submit it for publication.

Author information

All authors participated in the literature search, the analysis and the writing of the paper.

Correspondence to Jeremy K. Ward.

Ethics declarations

Competing interests

The authors declare no competing interests.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark