Likely correlation between sources of information and acceptability of A/H1N1 swine-origin influenza virus vaccine in Marseille, France.
Likely correlation between sources of information and acceptability of A/H1N1 swine-origin influenza virus vaccine in Marseille, France.
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DOI：
10.1371/journal.pone.0011292
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发表时间：
2010-06-25
期刊：
影响因子：
3.7
通讯作者：
Raoult D
中科院分区：
文献类型：
--
作者：
Nougairède A;Lagier JC;Ninove L;Sartor C;Badiaga S;Botelho E;Brouqui P;Zandotti C;De Lamballerie X;La Scola B;Drancourt M;Gould EA;Charrel RN;Raoult D
在法国，尽管政府建议并对疫苗计划进行投资，但仍不愿接受针对A/H1N1大流行性流感病毒的疫苗接种。我们调查了不同人群接受甲型H1N1疫苗接种的意愿：(I)在一家法国医院，3315名员工接受了由内部医务人员或流动MD团队接种的疫苗；(Ii)在收容250名无家可归者的收容所接种。谷歌被用来评估有关流感发病率的查询量。我们分析了谷歌、法国主要报纸的网站和PubMed提供的疫苗接种信息。两项信任调查被用来评估公众对不同职业的人的可信度的看法。护理人员明显比合格的医务人员更不愿意接受免疫接种。当MD直接推荐时，接受度显著提高。在直接观察到严重感染的轶事病例之后，辅助医疗人员的接受度提高了。与谷歌和法国报纸网站相比，科学文献更支持接种疫苗。在报纸网站的案例中，信息与它们公认的政治声誉相关，尽管它们可能会声称独立于政治偏见。信托基金的调查显示，与被认为更值得信任的医生和药剂师相比，政客们非常不受信任。疫苗接种率低可能反映出未能传达有关接种疫苗益处的高质量医疗信息和建议。我们认为，媒体和互联网引起了普通民众的关注，从而导致了这一问题，没有让全科医生参与控制方案可能是一个错误。GPS受到公众的高度评价，可以提供面对面的专业建议和信息。卫生部自上而下的疫苗计划管理策略和信息可能加剧了这一问题，因为普通民众并不总是信任政客。
In France, there was a reluctance to accept vaccination against the A/H1N1 pandemic influenza virus despite government recommendation and investment in the vaccine programme. We examined the willingness of different populations to accept A/H1N1vaccination (i) in a French hospital among 3315 employees immunized either by in-house medical personnel or mobile teams of MDs and (ii) in a shelter housing 250 homeless persons. Google was used to assess the volume of enquiries concerning incidence of influenza. We analyzed the information on vaccination provided by Google, the website of the major French newspapers, and PubMed. Two trust Surveys were used to assess public opinion on the trustworthiness of people in different professions. Paramedics were significantly more reluctant to accept immunisation than qualified medical staff. Acceptance was significantly increased when recommended directly by MDs. Anecdotal cases of directly observed severe infections were followed by enhanced acceptance of paramedical staff. Scientific literature was significantly more in favour of vaccination than Google and French newspaper websites. In the case of the newspaper websites, information correlated with their recognised political reputations, although they would presumably claim independence from political bias. The Trust Surveys showed that politicians were highly distrusted in contrast with doctors and pharmacists who were considered much more trustworthy. The low uptake of the vaccine could reflect failure to convey high quality medical information and advice relating to the benefits of being vaccinated. We believe that the media and internet contributed to this problem by raising concerns within the general population and that failure to involve GPs in the control programme may have been a mistake. GPs are highly regarded by the public and can provide face-to-face professional advice and information. The top-down strategy of vaccine programme management and information delivered by the Ministry of Health could have aggravated the problem, because the general population does not always trust politicians.
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