对机构的信任影响了疫苗接种活动的结果
David Leblang1, Michael D Smith2, Dennis Wesselbaum3
1Department of Politics and Batten School of Public Policy, University of Virginia, Charlottesville, VA 22904-4893, USA.
概括
对机构的信任提高了全球疫苗接种率和运动速度. 这种效应在低收入国家显著,指导公共卫生战略.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 社会科学 社会科学 社会科学
背景情况:
- 对机构的信任是影响社会结果的关键因素.
- 关于机构信任对实际疫苗接种活动绩效的影响的研究有限.
- 现有的研究往往侧重于信念和意图,而不是真实世界的疫苗接种数据.
研究的目的:
- 调查对机构的信任与疫苗接种活动结果之间的关系.
- 确定机构信任是否影响疫苗接种率和速度.
- 探索不同经济发展水平之间这种关系的变化.
主要方法:
- 利用了来自114个国家的代表性,个人级别的数据.
- 综合疫苗接种政策和率数据与机构信任指标.
- 使用Gompertz曲线分析来估计疫苗接种运动的增长率.
- 进行了国家一级的回归,并分析了世界银行开发小组间的异质性.
主要成果:
- 对机构的更高信任与全球疫苗接种率的增加显著相关 (p<0.01).
- 机构信任也显著提高了全球疫苗接种运动的速度 (p<0.01).
- 信任的积极影响在低收入和中等收入国家是明显的,但在高收入国家没有统计学意义.
结论:
- 调查结果强调了机构信任在成功的疫苗接种运动中的关键作用.
- 在沟通战略中强调建立信任的重要性,特别是在低收入和中等收入国家.
- 通知国家政府和国际组织设计有效的疫苗接种计划.
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