Dramatic change in public attitudes towards vaccination during the 2009 influenza A(H1N1) pandemic in France
Dramatic change in public attitudes towards vaccination during the 2009 influenza A(H1N1) pandemic in France
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DOI：
10.2807/1560-7917.es2013.18.44.20623
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发表时间：
2013-10-31
期刊：
影响因子：
19
通讯作者：
Beck, F.
中科院分区：
文献类型：
--
作者：
Peretti-Watel, P.;Verger, P.;Beck, F.
我们调查了2009年甲型H1N1流感大流行对法国大都市18至75岁人群接种疫苗态度的潜在影响。我们使用了2000年、2005年和2010年对代表性样本进行的三次全国电话调查的数据（分别为n= 12，256、n= 23，931、n= 8，573）。在法国，对疫苗接种的总体不利态度从2000年的8.5%和2005年的9.6%急剧上升至2010年的38.2%。2010年，在对疫苗接种持反对态度的受访者中，50%的人特别提到他们反对甲型H1N1流感疫苗。与这些态度相关的社会人口概况也发生了很大变化。特别是，2010年，在受教育程度较低的人群中，对疫苗接种的总体不利态度明显更加频繁。这些态度也与疫苗接种行为相关。例如，一般不赞成接种疫苗的父母更有可能报告他们至少有一个孩子没有接种麻疹-腮腺炎-风疹疫苗。由于这种态度的转变可能会对未来的疫苗接种覆盖率产生重大影响，卫生当局应紧急解决疫苗信心缺口问题。
We investigated the potential impact of the 2009 influenza A(H1N1) pandemic on attitudes towards vaccination among people aged 18 to 75 years and living in metropolitan France. We used data from three national telephone surveys conducted on representative samples in 2000, 2005 and 2010 (n=12,256, n=23,931, n=8,573 respectively). In France, unfavourable attitudes towards vaccination in general dramatically increased from 8.5% in 2000 and 9.6% in 2005 to 38.2% in 2010. In 2010, among respondents who held unfavourable attitudes towards vaccination, 50% mentioned specifically their opposition to the influenza A(H1N1) vaccine. The sociodemographic profile associated with these attitudes also changed greatly. In particular, unfavourable attitudes towards vaccination in general became significantly more frequent among less educated people in 2010. These attitudes were also correlated with vaccination behaviours. For example, parents who were unfavourable towards vaccination in general were more likely to report that they had at least one child who did not get the measles-mumps-rubella vaccine. As this shift in attitude may have a significant impact on future vaccination coverage, health authorities should urgently address the vaccine confidence gap.