Trust in the public health system as a source of information on vaccination matters most when environments are supportive
Trust in the public health system as a source of information on vaccination matters most when environments are supportive
复制标题
当环境支持时，对公共卫生系统作为疫苗接种信息来源的信任最为重要
DOI：
10.1016/j.vaccine.2022.06.012
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发表时间：
2022
期刊：
影响因子：
5.5
通讯作者：
Albarracín, Dolores
中科院分区：
文献类型：
--
作者：
Lohmann, Sophie;Albarracín, Dolores
目的了解健康保险是否覆盖疫苗费用，并与医疗保健提供者讨论疫苗接种是否对CDC的信任是必要的来自美国的2，549名成年人的全国代表性样本回答了关于对CDC的信任，保险范围，与医疗保健提供者的互动以及风险认知的问题，然后在2018 - 19流感季节的过程中提供了针对流感的实际疫苗接种的纵向报告。ResultsTrust in CDC as a source of information on vaccines was a strong precursor of vaccination.然而，根据多水平回归分析，这种影响局限于有保险的受访者或其提供者与他们讨论疫苗的受访者。此外，信任的效果更强时，保险范围和医疗保健提供者的讨论present.ConclusionsEnvironmental factors支持疫苗接种增加了近50%的积极影响，在疾病预防控制中心的信任疫苗摄取。保险公司和医疗保健提供者可以通过支付疫苗接种费用和与患者进行个性化对话来促进疫苗接种。
ObjectivesTo understand whether health insurance coverage of vaccine costs and discussing vaccination with a healthcare provider are necessary for trust in CDC (Centers for Disease Control) to increase the uptake of the vaccine.MethodA nationally representative sample of 2,549 adults from the United States answered questions about trust in CDC, insurance coverage, interactions with healthcare providers, and risk perceptions, and then provided longitudinal reports of actual vaccination against influenza during the course of the 2018–19 flu season.ResultsTrust in CDC as a source of information on vaccines was a strong precursor of vaccination. According to multilevel regressions, however, this effect was localized to respondents who had insurance coverage or whose providers discussed the vaccine with them. Further, the effect of trust was even stronger when both insurance coverage and healthcare provider discussions were present.ConclusionsEnvironmental factors supportive of vaccination increased the positive influence of trust in CDC on vaccine uptake by almost 50 percent. Insurance companies and healthcare providers can promote vaccination by covering the costs of vaccination and discussing vaccines in personalized conversations with patients.