Slotte Pamela, Karlsson Linda C, Soveri Anna
Faculty of Arts, Psychology and Theology, Åbo Akademi University, Tehtaankatu 2, FI-20500 Turku, Finland; Centre of Excellence in Law, Identity and the European Narratives, Siltavuorenpenger 1A, FI-00014 University of Helsinki, Finland.
Department of Clinical Medicine, FI-20014 University of Turku, Turku, Finland.
Vaccine. 2022 Dec 5;40(51):7378-7388. doi: 10.1016/j.vaccine.2022.05.069. Epub 2022 Jun 7.
Investigating attitudes towards mandatory vaccination and sanctions for vaccination refusal in an area with insufficient vaccination coverage may help health authorities to assess which strategies for increasing vaccination coverage are appropriate. This study examines attitudes to vaccine mandates and asks questions regarding what kinds of sanctions could legitimately result from vaccination refusal. It seeks to find out if people's attitudes towards mandates and towards sanctions for vaccination refusal are related to their attitudes to vaccines and the degree of trust they feel towards health care professionals and health care authorities. The study also discusses how the observed attitudes towards mandates may be related to perceptions of autonomy, responsibility, and equitability.
Data collection was carried out in Finland through an online survey in a region with suboptimal vaccine uptake. Statistical analysis was conducted on a sample of 1101 respondents, using confirmatory factor analysis and structural regression analysis.
Persons hold different views on mandates and sanctions. Importantly, the persons who support vaccination mandates and sanctions for vaccination refusal are to a great degree the same people who have positive attitudes to vaccines and high trust in health care professionals and health authorities.
Trust is a key factor which has a bearing on people's attitudes towards mandates and sanctions for noncompliance. A focus on the reasons for lack of trust, and on how to enhance trust, is a more feasible long-term way (than mandates) to promote large- scale compliance with childhood vaccine programmes in the studied country context.
在疫苗接种覆盖率不足的地区调查对强制接种疫苗的态度以及对拒绝接种疫苗的制裁措施，可能有助于卫生当局评估哪些提高疫苗接种覆盖率的策略是合适的。本研究考察对疫苗强制令的态度，并询问关于因拒绝接种疫苗可能合理导致何种制裁措施的问题。它旨在了解人们对强制令和对拒绝接种疫苗的制裁措施的态度是否与他们对疫苗的态度以及他们对医疗保健专业人员和卫生当局的信任程度有关。该研究还讨论了观察到的对强制令的态度可能如何与自主性、责任和平等性的认知相关。
在芬兰一个疫苗接种率未达最佳水平的地区通过在线调查进行数据收集。对1101名受访者的样本进行统计分析，采用验证性因素分析和结构回归分析。
人们对强制令和制裁措施持有不同观点。重要的是，支持疫苗强制令和对拒绝接种疫苗进行制裁的人在很大程度上是那些对疫苗持积极态度且对医疗保健专业人员和卫生当局高度信任的人。
信任是影响人们对不遵守规定的强制令和制裁措施态度的关键因素。在所研究的国家背景下，关注缺乏信任的原因以及如何增强信任，是促进大规模遵守儿童疫苗接种计划的一种比强制令更可行的长期方法。
