Australian Research Centre in Sex, Health and Society, La Trobe University, Australia.
Australian Research Centre in Sex, Health and Society, La Trobe University, Australia.
Patient Educ Couns. 2019 Jan;102(1):172-179. doi: 10.1016/j.pec.2018.08.027. Epub 2018 Aug 23.
Distrust in vaccination is a public health concern. In responding to vaccination distrust, the psychosocial context it occurs in needs to be accounted for. But this psychosocial context is insufficiently understood. We examined how Australians' attitudes to childhood vaccination relate to broader psychosocial characteristics pertaining to two key areas: health and government.
4370 Australians were surveyed and divided into five vaccine attitude groups. Logistic univariable and multivariable regression analyses were used to compare differences in psychosocial characteristics between these groups.
Multivariate analysis showed that, compared to groups with positive vaccine attitudes, groups with negative attitudes were more informed, engaged and independent health consumers, with greater adherence to complementary medicine, but lower belief in holistic health. They had higher distrust in the mainstream healthcare system, higher conspiracist ideation, and were more likely to vote for minor political parties. They were more likely to be male, religious, have children, and self-report better health.
This research revealed HOW profiles of psychosocial characteristics differed between each of the five attitudes to childhood vaccines.
These findings are useful for tailoring communications about vaccination-related concerns. They also show that more granular classification and measurement of vaccine attitudes may be useful.
对疫苗的不信任是一个公共卫生问题。在应对疫苗不信任时,需要考虑到其发生的社会心理背景。但这一社会心理背景尚未得到充分理解。我们考察了澳大利亚人对儿童疫苗接种的态度与两个关键领域(健康和政府)相关的更广泛的社会心理特征之间的关系。
对 4370 名澳大利亚人进行了调查,并将他们分为五个疫苗态度群体。使用逻辑单变量和多变量回归分析比较了这些群体之间社会心理特征的差异。
多变量分析表明,与对疫苗持积极态度的群体相比,对疫苗持消极态度的群体更了解、更积极参与、更独立的健康消费者,对补充医学的依从性更高,但对整体健康的信仰度更低。他们对主流医疗体系的信任度更低,阴谋论思想更严重,更有可能投票给小党派。他们更有可能是男性、宗教信仰者、有孩子,并自我报告健康状况更好。
这项研究揭示了五种儿童疫苗态度之间的社会心理特征差异。
这些发现有助于针对与疫苗接种相关的问题进行有针对性的沟通。它们还表明,更细致的疫苗态度分类和测量可能是有用的。