疫苗信任框架:一种理解和量化对卫生系统和疫苗信任的工具的混合方法开发
Dan Hameiri Bowen1, Lara Casciola1, Wiam Aimade1
1ReD Associates, København, Denmark.
The Lancet. Global health
|August 22, 2025
概括
这项研究开发并验证了疫苗信任框架,以衡量低收入和中等收入国家对疫苗和卫生系统的信任. 该框架可以通过解决信任缺陷来帮助建立弹性疫苗需求.
科学领域:
- 全球健康
- 疫苗学
- 卫生系统研究
背景情况:
- 信任对于疫苗需求至关重要,但在低收入和中等收入国家 (LMIC) 缺乏明确的定义和验证的测量工具.
- 现有的信任指标往往与上下文无关或无法改善疫苗接种.
研究的目的:
- 开发和验证与环境相关的疫苗信任框架和测量工具.
- 作为推动弹性疫苗需求的战略,
主要方法:
- 一项涉及尼日利亚,肯尼亚和巴基斯坦民族学研究的探索性连续混合方法研究.
- 通过对肯尼亚和巴基斯坦护理人员的全国代表性调查,验证疫苗信任框架.
- 使用确认因素分析和后勤回归来评估心理特征和与疫苗接种行为的关联.
主要成果:
- 疫苗信任框架包括四个领域和15个维度,
- 肯尼亚和巴基斯坦7404名参与者的调查数据表明,信任影响了疫苗的行为和意图.
- 观察到的信任的区域差异与对当地卫生和疫苗系统的认知符合.
结论:
- 经过验证的疫苗信任框架为评估卫生系统和对LMIC疫苗的信任提供了一个基于背景的工具.
- 这种框架可以作为预测工具,援助干预设计,或作为监测研究中的测量工具.
- 目前正在进行进一步的研究,以评估其在设计和测量建立信任的干预措施中的有用性.
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