Socioeconomic status, demographics, beliefs and A(H1N1) vaccine uptake in the United States
Socioeconomic status, demographics, beliefs and A(H1N1) vaccine uptake in the United States
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DOI：
10.1016/j.vaccine.2011.05.014
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发表时间：
2011-07-18
期刊：
影响因子：
5.5
通讯作者：
Viswanath, K.
中科院分区：
文献类型：
--
作者：
Galarce, Ezequiel M.;Minsky, Sara;Viswanath, K.
及早接种流感疫苗是预防传染和降低流感相关发病率和死亡率的一种具有成本效益的解决办法。面对甲型H1N1流感等大流行性病毒，适当的疫苗接种率在遏制该疾病的传播和影响方面发挥着关键作用。为了了解2009-2010年甲型H1N1流感疫苗接种率相对较低的原因，我们对来自美国全国代表性样本的1569名受访者进行了在线调查。18岁及以上的成年人。由于先前的研究表明，在美国的一些人口亚群中，疫苗接种率特别低，我们对来自少数民族/种族群体和生活在联邦贫困线以下的参与者进行了过度抽样。我们的研究结果表明，甲型H1N1流感疫苗的接种与社会人口因素，甲型H1N1流感相关的信念和季节性疫苗接种有关。也就是说，甲型H1N1流感疫苗接种与年龄、城市化程度、认为甲型H1N1流感疫苗安全以及季节性流感疫苗接种密切相关。对安全性和季节性流感疫苗接种的看法与A（H1N1）的吸收有最强的关联。人们拒绝接种疫苗的原因因受访者的社会人口群体而异。例如，黑人参与者是最有可能报告曾试图获得疫苗但发现无法获得的种族/种族群体。总之，这些研究结果表明，一些明确的指针，战略公共卫生宣传工作呼吁沟通运动，对观众细分的社会阶层，种族/民族和信仰，往往是什么广告商所谓的“心理人口”。(C)2011爱思唯尔有限公司保留所有权利。
Early vaccination against influenza viruses is a cost-effective solution to prevent contagion and reduce influenza-related morbidity and mortality. In the face of pandemic viruses, such as the A(H1N1), adequate rates of vaccine uptake play a critical role in containing the spread and effects of the disease. In order to understand the reasons underlying the relatively low 2009-2010 A(H1N1) vaccination rates, we conducted an online survey of 1569 respondents drawn from a nationally representative sample of United States (U.S.) adults age 18, and older. Because prior research suggests that vaccination rates are especially low among some U.S. population subgroups, we oversampled participants from minority ethnic/racial groups and those living under the Federal Poverty Level. Our results show that A(H1N1) vaccine uptake is associated with sociodemographic factors, A(H1N1)-related beliefs and seasonal vaccination. That is, A(H1N1) vaccination is strongly associated with age, urbanicity, perceiving the A(H1N1) vaccine as safe and seasonal flu vaccine uptake. Perceptions of safety and season flu vaccination show the strongest associations with A(H1N1) uptake. The reasons people gave to decline vaccination varied by respondents' sociodemographic group. For example, Black participants were the most likely ethnic/racial group to reported having tried to get the vaccine but found it unavailable. Together, these findings suggest some clear pointers towards strategic public health communication efforts calling for communication campaigns towards audiences segmented by social class, race/ethnicity and beliefs, often what advertisers call "psychodemographics". (C) 2011 Elsevier Ltd. All rights reserved.