Social and political determinants of vaccine hesitancy: Lessons learned from the H1N1 pandemic of 2009-2010.
Social and political determinants of vaccine hesitancy: Lessons learned from the H1N1 pandemic of 2009-2010.
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DOI：
10.1016/j.ajic.2015.06.031
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发表时间：
2015-11
影响因子：
4.9
通讯作者：
Schwirian KP
中科院分区：
文献类型：
--
作者：
Mesch GS;Schwirian KP
公众对疫苗接种计划的接受对疫苗可预防的疾病至关重要。然而，越来越多的人口部门对参与此类计划表示犹豫，导致疫苗可预防疾病的重新出现。在这项研究中，我们依赖重复假说来检验对政府和当地医院的信心与接种疫苗意愿之间的关联。对2009年10月进行的一项调查进行了二次分析，该调查使用了美国人口的大样本(N=0.968)。结果显示，36.1%的受访者表示愿意接种疫苗。对政府最信任的人最有可能接种疫苗(43.4%)，最不信任的人最不愿意接种(15.8%)。在对当地卫生系统有信心的人中，38.4%的人愿意接种疫苗，而在不自信的人中，只有23.5%的人愿意接种疫苗。在传染性暴发期间接种疫苗的决定涉及许多考虑因素。对政府应对传染病爆发的技术和组织能力的信任，以及对医疗组织的信任，预测会采取建议的保护措施。结果表明，在健康危机中，公众遵守疫苗接种计划需要建立社会和机构信任。疫苗接种犹豫是一个需要调查的社会问题。我们研究了社会机构的信心和接种H1N1流感疫苗的意愿。接种疫苗的犹豫不决与对当地医院的信心有关。疾病感知风险是疫苗迟迟不能接种的主要因素。
Public acceptance of vaccination programs is essential for vaccine preventable diseases. However, increasing sectors of the population have expressed hesitancy about participating in such programs, leading to the re-emergence of vaccine preventable diseases. In this study we rely on a recreancy hypothesis to test the association between confidence in the government and local hospitals and the willingness to take the vaccine. A secondary analysis of a survey that used a large sample of the U.S. population conducted in October 2009 was used (N = 968). The results indicate that 36.1% of the respondents expressed willingness to be vaccinated. Those with the greatest trust in the government were the most likely to be vaccinated (43.4%), and those least confident were the least willing (15.8%). From the ones reporting being confident in the local health system, 38.4% were willing to be vaccinated, and from those not confident, only 23.5% were willing to be vaccinated. The decision to get vaccinated in the midst of a contagious outbreak involves many considerations. Trust in the government's technical and organization skill to deal with the infectious outbreak along with trust in medical organizations predict the adoption of recommended protection measures. The results indicate that public compliance with vaccination plans in health crisis requires the development of social and institutional trust. Vaccination hesitancy is a social problem that requires investigation. We studied confidence in social institutions and willingness to take the H1N1 influenza vaccine. Vaccination hesitancy is associated with confidence in local hospitals. Disease perceived risk is a leading factor associated with vaccine hesitancy.
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影响因子：
4.8
作者：
FREUDENBURG, WR
通讯作者：
FREUDENBURG, WR
影响因子：
4.9
作者：
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通讯作者：
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作者：
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