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Published VersionCC BY V4.0, Open Access
Journal article
The Decision to Vaccinate or Not during the H1N1 Pandemic: Selecting the Lesser of Two Evils?
PLoS One, Vol.8(3), pp.1-11
2013
PMID: 23505565
Abstract
Background:
With the release of the H1N1 vaccine, there was much controversy surrounding its use despite strong encouragements to be vaccinated in the media. Though studies have examined factors influencing people's decision to be vaccinated, few have focused on how general beliefs about the world or where an individual gathers information might influence that decision.
Methodology/Principal Findings:
A cross-sectional web-based survey (N = 817) was conducted during the H1N1 outbreak after the vaccine was available. Variables examined included sociodemographic information, health related behaviours, specific beliefs concerning the H1N1 virus and its vaccine, as well as general beliefs, such as fear of contamination, intolerance of uncertainty, emotional states, coping behaviour, and the source of information concerning the virus. Three converging statistical methods were used to examine the associations - analysis of variance, logistic regression, and recursive partition modelling. The most consistent and strongest association was that negative beliefs about the H1N1 vaccine (e.g. fear of its side effects) was related to the decision not to be vaccinated, whereas beliefs about the dangers of the H1N1 virus was related to the decision to be vaccinated. Most notably, having very strong negative beliefs about the vaccine was a more powerful predictor than even strong beliefs about the dangers of the H1N1 virus. Furthermore, obtaining information from the Internet, as compared to more traditional sources of information (e.g., TV, newspapers) was related to the decision not to be vaccinated.
Conclusions/Significance:
These results are consistent with the Health Belief Model. Importantly they suggest that during future pandemics public health officials should not only discuss the dangers of the pandemic but also (i) take additional steps to reassure the public about the safety of vaccines and (ii) monitor the information disseminated over the Internet rather than strictly relying on the more traditional mass media.
Details
- Title
- The Decision to Vaccinate or Not during the H1N1 Pandemic: Selecting the Lesser of Two Evils?
- Authors
- Andrea R. Ashbaugh (Corresponding Author) - Douglas Mental Health University InstituteChristophe F. Herbert - Douglas Mental Health University InstituteElena Saimon - Douglas Mental Health University InstituteNelson Azoulay - Douglas Mental Health University InstituteLening Olivera-Figueroa - VA Connecticut Healthcare SystemAlain Brunet - Douglas Mental Health University Institute
- Publication details
- PLoS One, Vol.8(3), pp.1-11
- Publisher
- Public Library of Science
- Date published
- 2013
- DOI
- 10.1371/journal.pone.0058852
- ISSN
- 1932-6203
- PMID
- 23505565
- Copyright note
- 2013 Ashbaugh et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- Organisation Unit
- Thompson Institute
- Language
- English
- Record Identifier
- 991105843802621
- Output Type
- Journal article
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11 Record Views
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web Of Science research areas
- Psychology, Clinical