The effect of trust and proximity on vaccine propensity
The effect of trust and proximity on vaccine propensity
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DOI：
10.1371/journal.pone.0220658
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发表时间：
2019-08-28
期刊：
影响因子：
3.7
通讯作者：
Kizer, Jordan
中科院分区：
文献类型：
--
作者：
Justwan, Florian;Baumgaertner, Bert;Kizer, Jordan
本文的主要目的是研究（1）对政府医疗专家的信任和（2）接近最近的疾病爆发对疫苗倾向的影响。更具体地说，我们探讨了这些变量如何影响人们对麻疹的态度。使用2017年1月/2月收集的原始调查数据，我们获得了三个主要的实证结果。首先，与我们的预期相反，一个人的接近最近的麻疹疫情对疫苗接种的态度没有独立的影响。其次，证实了以前的研究领域，我们发现，在机构，如疾病预防控制中心的信任有一个积极的影响，我们的因变量。第三，政府医疗专家的亲近度与信任度之间存在显著的互动关系。虽然距离上一次麻疹爆发没有影响接种态度的受访者与中等或高水平的信任，变量施加了负面影响的主题，在政府医疗专家的信心不大。换句话说：与居住在受影响地区附近的低信任受访者相比，居住在最近麻疹爆发地较远的低信任受访者对这种特定疾病的疫苗接种持不太有利的观点。这意味着对CDC和类似机构持怀疑态度的公民在某种程度上将他们的疫苗接种决策建立在特定疾病是否发生在其社区附近的基础上。
The main goal of this paper is to study the effects of (1) trust in government medical experts and (2) proximity to a recent disease outbreak on vaccine propensity. More specifically, we explore how these variables affect attitudes with regards to measles. Using original survey data, collected in January/February 2017, we obtain three main empirical findings. First, contrary to our expectations, an individual's proximity to a recent measles outbreak has no independent effect on vaccination attitudes. Second, corroborating previous studies in the field, we find that trust in institutions such as the CDC has a positive effect on our dependent variable. Third, there is a significant interactive relationship between proximity and trust in governmental medical experts. While distance from a previous measles outbreak has no effect on vaccination attitudes for respondents with medium or high levels of trust, the variable exerts a negative effect for subjects with little confidence in government medical experts. In other words: low-trust individuals who live farther away from a recent measles outbreak harbor less favorable views about vaccination for this particular disease than low-trust respondents who live close to an affected area. This implies that citizens who are skeptical of the CDC and similar institutions base their vaccination decision-making to some degree on whether or not a given disease occurs in close vicinity to their community.