Individualism, acceptance and differentiation as attitude traits in the public's response to vaccination.

Individualism, acceptance and differentiation as attitude traits in the public's response to vaccination.
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DOI:
10.4161/hv.21183
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发表时间:
2012-09
影响因子:
4.8
通讯作者:
Kaplan G
Kaplan G
中科院分区:
医学3区
文献类型:
--
作者:
Velan B;Boyko V;Lerner-Geva L;Ziv A;Yagar Y;Kaplan G

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通过对以色列人口的代表性样本(n = 2,018)进行的调查,评估了公众对疫苗接种的态度,其中受访者被要求表达他们对五种不同疫苗接种计划的立场。其中包括:大流行性流感疫苗、季节性流感疫苗、旅行疫苗、人类乳头瘤病毒疫苗和儿童疫苗。对回答的分析揭示了三个主要的态度特征:a)接受,其特征是认为目标应该接种疫苗; B)个人主义,其特征是认为接种疫苗应该留给个人选择;和c)差异化,其特征是在处理不同的疫苗接种计划时倾向于表达不同的态度。有趣的是,在这项调查中,直接反对接种疫苗被发现是一个次要的态度特征。群体中的群体可以根据他们采取这些不同态度的倾向被定义为接受者,明智的接受者,区分者,软个人主义者和硬个人主义者。这些团体对所有五种疫苗接种计划以及其他健康建议(如早期发现癌症的筛查)表达了不同的立场。在一定程度上,态度特征也可能与实际遵守疫苗接种计划有关。有趣的是,对疫苗接种的态度与收入或教育相关的社会概况无关,尽管年轻人表现出更高程度的个人主义和分化。总而言之,所有这些都符合当前的社会环境,强调了个人的批判性评价和自我激励的倾向。参与疫苗接种计划的卫生当局应考虑到这一点。
The attitude of the general public to vaccination was evaluated through a survey conducted on a representative sample of the Israeli population (n = 2,018), in which interviewees were requested to express their standpoints regarding five different vaccination programs. These included: pandemic influenza vaccination, seasonal influenza vaccination, travel vaccines, Human Papilloma Virus vaccine and childhood vaccinations. Analysis of the responses reveal three major attitude traits: a) acceptance, characterized by the opinion that targets should be vaccinated; b) individualism, characterized by the opinion that vaccination should be left to personal choice; and c) differentiation, characterized by the tendency to express different attitudes when addressing different vaccination programs. Interestingly, direct opposition to vaccination was found to be a minor attitude trait in this survey. Groups within the population could be defined according to their tendency to assume these different attitudes as Acceptors, Judicious-acceptors, Differentiators, Soft-individualists, and Hard-individualists. These groups expressed different standpoints on all five vaccination programs as well as on other health recommendations, such as screening for early detection of cancer. Attitude traits could be also correlated, to a certain extent, with actual compliance with vaccination programs. Interestingly, attitudes to vaccination were not correlated with social profiles related to income or education, although younger individuals exhibited higher degrees of individualism and differentiation. Taken together, all this is in accordance with the current social settings, underlining the individual's tendency for critical evaluation and self-stirring. This should be taken into consideration by health authorities involved in vaccination programs.
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