Measuring vaccine hesitancy, confidence, trust and flu vaccine uptake: Results of a national survey of White and African American adults
Measuring vaccine hesitancy, confidence, trust and flu vaccine uptake: Results of a national survey of White and African American adults
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DOI：
10.1016/j.vaccine.2019.01.033
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发表时间：
2019-02-21
期刊：
影响因子：
5.5
通讯作者：
Freimuth, Vicki S.
中科院分区：
文献类型：
--
作者：
Quinn, Sandra Crouse;Jamison, Amelia M.;Freimuth, Vicki S.
简介：疫苗犹豫（VH）已成为疫苗延迟和拒绝的一个因素，但疫苗犹豫内的构建体的测量仍然是一个挑战。悬而未决的问题包括：VH应该作为一种态度还是一种行为来衡量？包括自信、自满和便利在内的关键结构的作用是什么？信任的作用是什么？措施应该是一般性的还是针对特定疫苗的？此外，大部分的研究都集中在父母接受疫苗为他们的child.Methods：在2015年3月，我们与捷孚凯集团签约进行全国代表性的调查与819非洲裔美国人和838白色，美国出生的成年人。措施包括一般疫苗犹豫和信心，信任，和流感疫苗的犹豫，信心和trust.Results的具体措施：因子分析产生了一个双因素的结构，一般疫苗犹豫和流感疫苗的具体犹豫。更大的犹豫，无论是在一般情况下，还是特定的流感疫苗，都与较低的疫苗吸收有关。在流感疫苗特异性模型中，更高的置信度与更高的疫苗摄取相关。信任仍然有别于疫苗的信心，在一般和流感疫苗的具体models.Conclusions：显然，有价值的利用一般疫苗犹豫和信心的措施，以及疫苗的具体措施。信任继续提供除了疫苗信心之外的其他见解，并且仍然是纳入未来研究的重要因素。我们的一套措施可以在其他人群中进行测试和验证，并应用于成人和儿童的其他疫苗。(C)2019由Elsevier Ltd.出版
Introduction: Vaccine hesitancy (VH) has emerged as a factor in vaccine delay and refusal yet the measurement of the constructs within vaccine hesitancy remains a challenge. Outstanding questions include; should VH be measured as an attitude or a behavior? What is the role of key constructs including confidence, complacency, and convenience? What is the role of trust? Should measures be general or vaccine specific? Furthermore, much of the research has centered on parental acceptance of vaccines for their children.Methods: In March of 2015, we contracted with the GfK Group to conduct a nationally representative survey with 819 African American and 838 White, US born adults. Measures include general vaccine hesitancy and confidence, trust, and influenza vaccine specific measures of hesitancy, confidence and trust.Results: Factor analysis yielded a bi-factor structure for both general vaccine hesitancy and flu vaccine specific hesitancy. Greater hesitancy, both in general and specific to the flu vaccine, was associated with lower vaccine uptake. In the flu vaccine specific model, greater confidence was associated with higher vaccine uptake. Trust remained distinct from vaccine confidence in both the general and flu vaccine specific models.Conclusions: Clearly, there is value in the utilization of general vaccine hesitancy and confidence measures, as well as vaccine specific measures. Trust continues to provide additional insights apart of vaccine confidence and remains an important factor for inclusion in future research. Our set of measures can be tested and validated with other populations and applied to other vaccines for adults and children. (C) 2019 Published by Elsevier Ltd.