背景:疫苗接种是个人保持健康的最佳工具之一。个人是,然而,经常通过数字和社交媒体暴露于错误信息,因此,可能会错过发展有关疫苗的科学知识和对相关利益相关者的信任的机会。这对疫苗信心具有破坏性影响。了解疫苗的信心在北达科他州尤为重要,疫苗接种率低于全国平均水平。
目的:本研究的目的是检查疫苗信心和它的三个潜在来源之间的关联。即,信任,疫苗知识,和疫苗信息来源,并调查三种疫苗信任来源的相对强度,同时考虑协变量。
方法:北达科他州大学(n=914)的学生(n=517,56.6%)和教职员工(n=397,43.4%)完成了在线调查。Logistic回归估计了对医生信任之间关联的优势比(OR)和95%置信区间(CI)。家人/朋友,政府卫生机构,慈善组织,和宗教组织,疫苗知识,疫苗信息来源以及疫苗信心,考虑性别,种族,婚姻状况,年龄,宗教,政治意识形态,教育,和健康状况。
结果:参与者的平均年龄为29.43岁(SD=13.48)。大多数是女性(71.6%)和白人(91.5%)。对医生的高度信任(OR=3.29,p<0.001,95CI1.89,5.73)政府卫生机构(OR=2.95,p<0.001,95CI2.13,4.08)和疫苗知识(OR=1.28,p<0.001,95CI1.18,1.38)具有较高的疫苗信心几率。使用互联网政府来源作为疫苗信息的主要来源(OR=1.73,p<0.05,95CI1.22,2.44)在引入所有独立变量之前显示出更高的疫苗可信度,但在引入它们后,它变得无关紧要。对政府卫生机构的信任与疫苗信心显示出最强的关联。
结论:需要多个利益相关者来确保经过验证,可访问,和准确的信息,以提高农村疫苗的信心,保守地区。
BACKGROUND: Vaccination is one of the greatest tools for individuals to stay healthy. Individuals are, however, often exposed to misinformation via digital and social
media, and thus, may miss the opportunity to develop scientific knowledge about vaccines and trust in relevant stakeholders. This has a damaging impact on vaccine confidence. Understanding vaccine confidence is particularly important in North Dakota, where vaccination rates are lower than national averages.
OBJECTIVE: The objectives of this research are to examine the association between vaccine confidence and three potential sources of it, namely, trust, vaccine knowledge, and vaccine information sources and to investigate the relative strength of three vaccine confidence sources, while accounting for covariates.
METHODS: Students (n = 517, 56.6%) and staff and faculty (n = 397, 43.4%) at the University of North Dakota (n = 914) completed an online survey. Logistic regressions estimated odds ratios (OR) and 95% confidence intervals (CI) for associations among trust in doctors, family/friends, government health agencies, charitable organizations, and religious organizations, vaccine knowledge, vaccine information sources as well as vaccine confidence, accounting for gender, race, marital status, age, religion, political ideology, education, and health status.
RESULTS: The mean age of participants was 29.43 years (SD = 13.48). Most were females (71.6%) and white (91.5%). Great trust in doctors (OR = 3.29, p < 0.001, 95%CI 1.89, 5.73) government health agencies (OR = 2.95, p < 0.001, 95%CI 2.13, 4.08) and vaccine knowledge (OR = 1.28, p < 0.001, 95%CI 1.18, 1.38) had higher odds of vaccine confidence. Using Internet Government source as the primary source of vaccine information (OR = 1.73, p < 0.05, 95%CI 1.22, 2.44) showed higher odds of vaccine confidence before all independent variables were introduced, but it became non-significant after they were introduced. Trust in government health agencies showed strongest associations with vaccine confidence.
CONCLUSIONS: Multiple stakeholders are necessary to ensure verified, accessible, and accurate information in order to advance vaccine confidence in rural, conservative areas.