Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets - a discrete choice experiment in four European countries, 2013
Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets - a discrete choice experiment in four European countries, 2013
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DOI：
10.2807/1560-7917.es.2016.21.22.30247
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发表时间：
2016-06-02
期刊：
影响因子：
19
通讯作者：
de Bekker-Grob, E. W.
中科院分区：
文献类型：
--
作者：
Determann, D.;Korfage, I. J.;de Bekker-Grob, E. W.
本研究旨在量化和比较欧洲不同国家公民对通过呼吸道飞沫传播的病原体引起的大流行期间疫苗接种计划特征的偏好。四个欧盟成员国（荷兰、波兰、西班牙和瑞典，n = 2,068）的互联网小组成员根据年龄、性别、教育水平和地区具有全国代表性，完成了在线离散选择实验。这些来自欧洲不同地理区域的国家之所以被选中，是因为它们拥有高质量的互联网小组，也因为题为“疫情管理中的有效沟通：为欧洲开发基于证据的工具”(ECOM) 的项目成员之间的合作。使用面板潜在类别回归模型分析数据。在严重的大流行情况下，疫苗有效性是决定所有国家疫苗接种偏好的最重要特征，其次是疫苗接种建议机构。在瑞典，家人和/或朋友的建议以及医生的建议强烈影响疫苗偏好，而波兰和西班牙则相反，（国际）卫生当局的建议更具决定性。无论大流行情况或疫苗接种计划的特点如何，预计的疫苗接种率在瑞典最低，在波兰最高。为了在未来大流行期间提高疫苗接种率，主管当局应与该国其他重要利益攸关方保持一致，并以协调的方式进行沟通。
This study aims to quantify and compare preferences of citizens from different European countries for vaccination programme characteristics during pandemics, caused by pathogens which are transmitted through respiratory droplets. Internet panel members, nationally representative based on age, sex, educational level and region, of four European Union Member States (Netherlands, Poland, Spain, and Sweden, n = 2,068) completed an online discrete choice experiment. These countries, from different geographical areas of Europe, were chosen because of the availability of high-quality Internet panels and because of the cooperation between members of the project entitled Effective Communication in Outbreak Management: development of an evidence-based tool for Europe (ECOM). Data were analysed using panel latent class regression models. In the case of a severe pandemic scenario, vaccine effectiveness was the most important characteristic determining vaccination preference in all countries, followed by the body that advises on vaccination. In Sweden, the advice of family and/or friends and the advice of physicians strongly affected vaccine preferences, in contrast to Poland and Spain, where the advice of (international) health authorities was more decisive. Irrespective of pandemic scenario or vaccination programme characteristics, the predicted vaccination uptakes were lowest in Sweden, and highest in Poland. To increase vaccination uptake during future pandemics, the responsible authorities should align with other important stakeholders in the country and communicate in a coordinated manner.