The influence of political ideology and trust on willingness to vaccinate.

The influence of political ideology and trust on willingness to vaccinate.
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政治意识形态和信任对疫苗接种意愿的影响。

DOI:
10.1371/journal.pone.0191728
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发表时间:
2018
期刊:
影响因子:
3.7
通讯作者:
Justwan F
Justwan F
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Baumgaertner B;Carlisle JE;Justwan F

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鉴于一些父母越来越拒绝为儿童接种疫苗,公共卫生战略的重点是以“知识缺乏”的方式增加知识和提高认识。然而,关于疫苗接种的决定不仅仅是基于对风险,成本和收益的了解。关于接种疫苗的个人决策涉及许多其他因素,包括与情感,文化,宗教和社会政治背景有关的因素。在本文中,我们使用美国具有全国代表性的互联网调查来调查社会政治特征,以评估人们对疫苗接种的态度。特别是,我们考虑政治意识形态和信任如何影响对流感,百日咳和麻疹疫苗接种的意见。我们的研究结果表明,意识形态对疫苗态度有直接影响。特别是,保守的受访者比其他人更不可能表达支持疫苗接种的信念。此外,意识形态对免疫倾向也有间接影响。意识形态变量预测了一个指标,捕捉政府医疗专家的信任,这反过来又有助于解释个人层面的变化与疫苗选择的态度。
In light of the increasing refusal of some parents to vaccinate children, public health strategies have focused on increasing knowledge and awareness based on a “knowledge-deficit” approach. However, decisions about vaccination are based on more than mere knowledge of risks, costs, and benefits. Individual decision making about vaccinating involves many other factors including those related to emotion, culture, religion, and socio-political context. In this paper, we use a nationally representative internet survey in the U.S. to investigate socio-political characteristics to assess attitudes about vaccination. In particular, we consider how political ideology and trust affect opinions about vaccinations for flu, pertussis, and measles. Our findings demonstrate that ideology has a direct effect on vaccine attitudes. In particular, conservative respondents are less likely to express pro-vaccination beliefs than other individuals. Furthermore, ideology also has an indirect effect on immunization propensity. The ideology variable predicts an indicator capturing trust in government medical experts, which in turn helps to explain individual-level variation with regards to attitudes about vaccine choice.
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