Taylor Eric, Atkins Katherine E, Medlock Jan, Li Meng, Chapman Gretchen B, Galvani Alison P
Yale School of Public Health, New Haven, CT, USA (ET, KEA, APG)
Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK (KEA)
Med Decis Making. 2016 Oct;36(7):844-53. doi: 10.1177/0272989X15591007. Epub 2015 Jun 17.
Uptake of vaccination against seasonal influenza is suboptimal in most countries, and campaigns to promote vaccination may be weakened by clustering of opinions and decisions not to vaccinate. This clustering can occur at myriad interacting levels: within households, social circles, and schools. Given that influenza is more likely to be transmitted to a household contact than any other contact, clustering of vaccination decisions is arguably most problematic at the household level. We conducted an international survey study to determine whether household members across different cultures offered direct advice to each other regarding influenza vaccination and whether this advice was associated with vaccination decisions. The survey revealed that household members across the world advise one another to vaccinate, although to varying degrees, and that advice correlates with an increase in vaccination uptake. In addition, respondents in Japan, China, and the United States were less likely to offer advice to older adults than to the young, despite older adults' being the target age group for vaccination in both Far Eastern countries. Furthermore, advice was not primarily directed to household members within the age groups advised to vaccinate by national health policies. In Japan, advice was offered more to ages outside of the policy guidelines than inside. Harnessing the influence of household members may offer a novel strategy to improve vaccination coverage across cultures worldwide.
在大多数国家，季节性流感疫苗的接种率都不理想，而推广疫苗接种的活动可能会因观点的聚集以及不接种疫苗的决定而受到削弱。这种聚集可能发生在无数相互作用的层面：家庭内部、社交圈子和学校。鉴于流感比其他任何接触方式都更有可能传播给家庭接触者，疫苗接种决定的聚集在家庭层面可能是最成问题的。我们进行了一项国际调查研究，以确定不同文化背景的家庭成员是否会就流感疫苗接种向彼此提供直接建议，以及这种建议是否与疫苗接种决定有关。调查显示，世界各地的家庭成员都会相互建议接种疫苗，尽管程度不同，而且这种建议与疫苗接种率的提高相关。此外，日本、中国和美国的受访者向老年人提供建议的可能性低于向年轻人提供建议的可能性，尽管在这两个远东国家，老年人都是疫苗接种的目标年龄组。此外，建议并非主要针对国家卫生政策建议接种疫苗的年龄组内的家庭成员。在日本，向政策指导方针范围之外的年龄组提供建议的情况比在范围之内的更多。利用家庭成员的影响力可能会提供一种新的策略，以提高全球不同文化背景下的疫苗接种覆盖率。
