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探索疫苗犹豫的内在异质性:一项针对儿童疫苗犹豫人群的研究。

Exploring the Inherent Heterogeneity of Vaccine Hesitancy: A Study of a Childhood-Vaccine-Hesitant Population.

作者信息

Lamot Monika, Kirbiš Andrej, Vrdelja Mitja

机构信息

Department of Sociology, Faculty of Arts, University of Maribor, 2000 Maribor, Slovenia.

National Institute of Public Health, 1000 Ljubljana, Slovenia.

出版信息

Vaccines (Basel). 2024 Jul 25;12(8):839. doi: 10.3390/vaccines12080839.

Abstract

Vaccine hesitancy and its determinants have been previously widely researched. Vaccine hesitancy has been defined as a continuum of attitudes, ranging from accepting vaccines with doubts to rejecting them. The present study aims to explore the heterogeneity of a childhood-vaccine-hesitant group by using a person-oriented approach-latent profile analysis. A non-representative cross-sectional sample of vaccine-hesitant Slovenians (N = 421, M = 35.21, 82.9% women) was used to identify differences based on their reliance on personal research ("self" researching instead of relying on science), overconfidence in knowledge, endorsement of conspiracy theories, complementary and alternative medicine, and trust in the healthcare system. The analysis revealed three profiles of vaccine-hesitant individuals. The most hesitant profile-vaccine rejecting-expressed the greatest reliance on personal research, expressed the highest endorsement of conspiracy theories and complementary and alternative medicine, showed moderate overconfidence in their knowledge, and expressed the highest levels of distrust in the healthcare system. We further found differences in sociodemographic structure and that the identified profiles differed in their attitudes regarding MMR, HPV, and Seasonal Influenza vaccinations. The present study demonstrates the heterogeneity of the vaccine-hesitant community and offers insights into some of the traits, which are crucial for designing pro-vaccine campaigns.

摘要

疫苗犹豫及其决定因素此前已得到广泛研究。疫苗犹豫被定义为一种态度的连续体,范围从对疫苗心存疑虑地接受,到拒绝接种。本研究旨在通过采用以人为本的方法——潜在剖面分析,探索儿童疫苗犹豫群体的异质性。我们使用了一个非代表性的疫苗犹豫斯洛文尼亚人横断面样本(N = 421,M = 35.21,82.9%为女性),根据他们对个人研究的依赖程度(“自行”研究而非依赖科学)、对知识的过度自信、对阴谋论的认同、对补充和替代医学的认同,以及对医疗保健系统的信任来识别差异。分析揭示了疫苗犹豫个体的三种类型。最犹豫的类型——拒绝接种疫苗——表现出对个人研究的最大依赖,对阴谋论和补充与替代医学的认同程度最高,对自己的知识表现出适度的过度自信,并且对医疗保健系统表现出最高程度的不信任。我们还发现了社会人口结构上的差异,并且所识别出的类型在对麻疹、腮腺炎、风疹联合疫苗(MMR)、人乳头瘤病毒(HPV)和季节性流感疫苗的态度上也有所不同。本研究证明了疫苗犹豫群体的异质性,并为一些特征提供了见解,这些特征对于设计支持疫苗接种的活动至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/710e/11359708/9c2997f285a4/vaccines-12-00839-g001.jpg

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