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. 2020 Oct 13;266:113441. doi: 10.1016/j.socscimed.2020.113441

Table 2.

Competing strategies physicians use to motivate HPV vaccination.

Strategies corresponding to personal, lower-level construal (n) Strategies corresponding to general, higher-level construal (n)
Prevention benefits Specific (181) General (262)
“It will protect your child from getting a virus that causes cervical cancer (in girls) and genital warts and anal cancer (in boys).” “[HPV vaccine] reduces the risk of CANCER!”
Timing Physiological (20) Behavioral (58)
“[Their] immune system works best at this age and that is why we recommend [HPV vaccine] now …” “It is important to get the vaccine before it is needed, so that's why I recommend it at the 11–12 year visit.”
Sexual activity Patients' (14) Future partners' (14)
“Kids usually don't share their thoughts on sex or their level of curiosity, which can lead to action. Don't want to judge, but … best to be safe.” “While [your] child may never have sex with anyone but their spouse on their wedding night, their spouse may have had a one-time occurrence in the past (college) and put [your] child at risk.”
Endorsement Personal (27) Organizational (47)
“I think, as a physician, [HPV vaccination] is important.” “It is recommended by the AAP and the CDC as part of routine vaccination.”
Vaccine comparisons Novel (31) Similar (16)
“I described the vaccine as an amazing breakthrough.” “Similar to other vaccines, the goal is to protect [the] child in the future.”
Experience Personal (34) Professional (5)
“My own children, both my daughters and son, have gotten HPV vaccine. It confirms how important and safe I feel the vaccine is.” “I have seen this infection repeatedly …. [HPV vaccine] will help protect them.”