Gertner Institute for Epidemiology and Health Policy Research, Tel-Hashomer, Israel.
Vaccine. 2011 Feb 1;29(6):1173-9. doi: 10.1016/j.vaccine.2010.12.006. Epub 2010 Dec 16.
Recent efforts of health authorities to promote vaccination against influenza A/H1N1 were met with low compliance rates in most industrialized countries. Here we analyzed the attitudes of the Israeli public towards A/H1N1 vaccination based on a telephone survey conducted several months after the peak of the outbreak. The findings attest to the low uptake of the A/H1N1 vaccine (17%) in Israel, and identify the socio-demographic characteristics associated with non-compliance. In addition, the survey reveals passiveness, fear and distrust as motives leading to non-compliance. Most importantly, the study identified the substantial weight of reflective assessment in the attitude of lay individuals towards the A/H1N1 vaccine. As many as 30% of the non-vaccinated responders provided reasoned arguments for rejecting the vaccine, based mainly on assessment of threat versus actual risk. These observations highlight the need to consider the opinion of the lay public when implementing new vaccination programs.
最近，卫生当局努力推广针对甲型 H1N1 流感的疫苗接种，但在大多数工业化国家，接种率都很低。在这里，我们根据疫情高峰过后几个月进行的电话调查，分析了以色列公众对甲型 H1N1 疫苗接种的态度。调查结果显示，以色列甲型 H1N1 疫苗的接种率（17%）很低，并确定了与不遵守规定相关的社会人口统计学特征。此外，调查还揭示了被动、恐惧和不信任是导致不遵守规定的动机。最重要的是，该研究发现，在普通民众对甲型 H1N1 疫苗的态度中，反思性评估具有重要作用。多达 30%的未接种疫苗的应答者提供了拒绝接种疫苗的合理理由，主要基于对威胁与实际风险的评估。这些观察结果强调，在实施新的疫苗接种计划时，需要考虑普通公众的意见。
