Anti-vaccination and pro-CAM attitudes both reflect magical beliefs about health
Anti-vaccination and pro-CAM attitudes both reflect magical beliefs about health
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DOI：
10.1016/j.vaccine.2017.12.068
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发表时间：
2018-02-21
期刊：
影响因子：
5.5
通讯作者：
Unsworth, Carolyn
中科院分区：
文献类型：
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作者：
Bryden, Gabrielle M.;Browne, Matthew;Unsworth, Carolyn
我们研究了补充和替代医学（CAM）的使用和疫苗接种怀疑之间的关系;特别是一个人的更一般的健康相关的世界观是否可以解释这种关系。一项针对澳大利亚成年人（N = 2697）的横断面在线调查包括人口统计学、CAM和疫苗接种措施，以及整体和神奇健康信念量表（HHB、MHB）。HHB强调心灵和身体健康之间的联系，以及一般“健康”对特定疾病或疾病抵抗力的影响，而MHB则专门利用关于健康的本体论困惑和认知错误。CAM和反疫苗接种被发现主要是在态度水平（r = -0.437）。我们没有发现证据表明这是由于CAM从业者影响其客户造成的。应用路径分析方法，我们发现，个人的健康世界观（HHB和MHB）占CAM和疫苗接种态度之间的协方差的显着比例（43.1%）。MHB是迄今为止最强的预测CAM和接种疫苗的态度回归，包括人口预测。我们的结论是，疫苗接种怀疑主义反映了更广泛的健康世界观的一部分，这种世界观将科学知识打折，支持神奇的或迷信的思想。因此，在影响疫苗怀疑论者方面，反映这种世界观的有说服力的信息可能比基于事实的运动更有效。(C)2017爱思唯尔有限公司版权所有。
We examined the relationship between complementary and alternative medicine (CAM) use and vaccination scepticism; and specifically whether a person's more general health-related worldview might explain this relationship. A cross-sectional online survey of adult Australians (N = 2697) included demographic, CAM, and vaccination measures, as well as the holistic and magical health belief scales (HHB, MHB). HHB emphasises links between mind and body health, and the impact of general 'wellness' on specific ailments or resistance to disease, whilst MHB specifically taps ontological confusions and cognitive errors about health. CAM and anti-vaccination were found to be linked primarily at the attitudinal level (r = -0.437). We did not find evidence that this was due to CAM practitioners influencing their clients. Applying a path-analytic approach, we found that individuals' health worldview (HHB and MHB) accounted for a significant proportion (43.1%) of the covariance between CAM and vaccination attitudes. MHB was by far the strongest predictor of both CAM and vaccination attitudes in regressions including demographic predictors. We conclude that vaccination scepticism reflects part of a broader health worldview that discounts scientific knowledge in favour of magical or superstitious thinking. Therefore, persuasive messages reflecting this worldview may be more effective than fact-based campaigns in influencing vaccine sceptics. (C) 2017 Elsevier Ltd. All rights reserved.