社会资本与瑞典人接种 2009 年甲型 H1N1 流感疫苗
Social capital and immunisation against the 2009 A(H1N1) pandemic in Sweden.
机构信息
Department of Political Science, University of Gothenburg, Göteborg, Sweden.
出版信息
Scand J Public Health. 2013 Dec;41(8):853-9. doi: 10.1177/1403494813494975. Epub 2013 Jul 10.
AIM
To investigate the connection between social capital indicators and immunisation.
METHOD
The national Society Opinion & Media (SOM) survey is an annual cross-sectional postal survey. In 2009, a random sample of persons aged 16-85 was drawn from the Swedish national register and yielded a 59% participation rate. The number of respondents analysed was 2130. A multiple logistic regression model was used to investigate the connection between the explanatory variables institutional trust and generalised trust and the outcome variable immunisation intent. The analyses included sex, age, education, self-rated health, and personal and societal concern about the 2009 A(H1N1) pandemic.
RESULTS
For institutional trust in health care, the odds ratios for intention to vaccinate against the A(H1N1) pandemic were significantly higher in the Medium trust and High trust categories as compared to the Low trust reference category. For generalised trust, the odds ratio for vaccination intention was significantly higher in the High trust category as compared to the Low trust reference category.
CONCLUSIONS
Two important social capital indicators - institutional trust in health care and generalised trust - seem to be independently associated with intention to accept vaccination against the 2009 A(H1N1) pandemic. The effect holds also when controlling for plausible confounders, such as education, self-rated health, and personal and societal concern about the 2009 A(H1N1) pandemic.
目的
探讨社会资本指标与免疫接种之间的关系。
方法
全国社会舆论与媒体(SOM)调查是一项年度横断面邮政调查。2009 年,从瑞典国家登记册中抽取了年龄在 16-85 岁之间的随机样本,参与率为 59%。分析的受访者人数为 2130 人。采用多逻辑回归模型,调查解释变量制度信任和广义信任与免疫接种意向这一结果变量之间的关系。分析中包括了性别、年龄、教育、自评健康状况以及个人和社会对 2009 年 A(H1N1)大流行的关注。
结果
对于医疗保健机构的信任,与低信任参考类别相比,中信任和高信任类别对接种 A(H1N1)大流行疫苗的意向的优势比显著更高。对于广义信任,与低信任参考类别相比,高信任类别对疫苗接种意向的优势比显著更高。
结论
两个重要的社会资本指标——医疗保健机构的信任和广义信任——似乎与接受接种 2009 年 A(H1N1)大流行疫苗的意愿独立相关。在控制教育、自评健康状况以及个人和社会对 2009 年 A(H1N1)大流行的关注等可能的混杂因素后,这种效应仍然存在。