Mistrust surrounding vaccination recommendations by the Japanese government: results from a national survey of working-age individuals.
Mistrust surrounding vaccination recommendations by the Japanese government: results from a national survey of working-age individuals.
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DOI：
10.1186/s12889-015-1772-8
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发表时间：
2015-04-26
影响因子：
4.5
通讯作者：
Smith DR
中科院分区：
文献类型：
--
作者：
Wada K;Smith DR
考虑到公众对疫苗安全性和有效性的态度众所周知会影响疫苗接种活动的成功，增加对社会人口特征的了解可能有助于改善未来的沟通策略并提高疫苗接种率。这项研究调查了对政府疫苗建议的不信任与日本工作年龄个体的社会人口特征之间的关联。对 3140 名 20 至 69 岁日本人进行了一项基于网络的疫苗接种态度横断面调查。使用多元逻辑回归分析来检查疫苗接种态度与社会人口特征之间的统计关联，包括参与者最可信的信息资源、人口因素和一般健康状况。共有 893 人（28.4%）表示对日本政府的疫苗接种建议普遍不信任。不信任政府官方消息来源的受访者更有可能考虑朋友、互联网和书籍（男女皆宜）；家庭成员和报纸（仅限女性）；和电视（仅限男性），作为疫苗接种相关信息最值得信赖的资源。男性健康状况相对较差与对疫苗接种建议普遍不信任有关（调整后优势比 (aOR)：1.37，95% 置信区间 (95% CI)：1.07-1.69）。总体健康状况恶化的趋势也与女性受访者对疫苗接种建议的信任度下降有关，如下所示： 报告健康状况相对良好的女性（aOR：1.24，95% CI：1.02-1.47）；健康状况相对较差（aOR：1.55，95% CI：1.22-1.90）；和健康状况不佳（aOR：2.10，95% CI：1.41-2.63）（趋势p < 0.05）。总体而言，这项研究表明，日本亟需解决重建公众对疫苗接种安全信任的沟通策略。此类协议必须考虑该国劳动年龄人口最有可能利用的信息来源，以及他们的总体健康状况，尤其是女性。
Considering that public attitudes on vaccine safety and effectiveness are known to influence the success of vaccination campaigns, an increased understanding of socio-demographic characteristics might help improve future communication strategies and lead to greater rates of vaccination uptake. This study investigated associations between mistrust for governmental vaccine recommendations and the socio-demographic characteristics of working-age individuals in Japan. A web-based, cross-sectional survey of vaccination attitudes was conducted among 3140 Japanese people aged 20 to 69 years. Multiple logistic regression analysis was used to examine statistical associations between vaccination attitudes and socio-demographic characteristics, including the participant’s most trusted information resources, demographic factors and general health conditions. A total of 893 (28.4%) individuals reported a general mistrust towards the Japanese government’s recommendations for vaccination. Respondents who did not trust official government sources were more likely to consider friends, the internet and books (for both genders); family members and newspapers (among women only); and television (among men only), as the most trusted resources for vaccination-related information. Relatively poor health in men was associated with a general mistrust of vaccination recommendations (adjusted Odds Ratio (aOR): 1.37, 95% Confidence Interval (95% CI): 1.07-1.69). A trend towards worsening general health was also associated with decreasing trust in vaccination recommendations by female respondents as follows: those reporting relatively good health (aOR: 1.24, 95% CI: 1.02-1.47); relatively poor health (aOR: 1.55, 95% CI: 1.22-1.90); and poor health (aOR: 2.10, 95% CI: 1.41-2.63) (p for trend < 0.05). Overall, this study suggests that communication strategies for rebuilding public trust in vaccination safety need to be urgently addressed in Japan. Such protocols must consider the information sources that working-age populations are most likely to utilize in this country, as well as their general health conditions, especially among females.
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