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Beliefs towards vaccination and trust in the scientific community in Italy
Affiliation:1. Department of Life Sciences and Public Health, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy;2. Alta Scuola di Economia e Management Sanitario (ALTEMS), Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy;3. Unit of Statistics, National Institute for Public Policies Analysis (INAPP), Corso d‘Italia 33, 00198 Rome, Italy;1. Italian Society of Hygiene, Preventive Medicine and Public Health (SItI), Italy;2. Italian Society of Paediatrics (SIP), Italy;3. Italian Federation of General Practitioners (FIMMG), Italy;4. Italian Federation of Primary Care Paeditaricians (FIMP), Italy;5. MeLCo – Medicina Legale Contemporanea, Italy;1. Duke University School of Medicine, Durham, NC, USA;2. Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;3. Department of Health Policy Planning and Management, Makerere University School of Public Health, Makerere University, Kampala, Uganda;4. Department of Maternal and Child Health, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA;1. Ariel University, Israel;2. Leibniz University, Hannover, Germany;3. IZA, Germany;1. Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK;2. Faculty of Science, Vrije University, Amsterdam, Netherlands;3. FISABIO-Public Health – Vaccine Research Department, Valencia, Spain;4. Institute of Health Metrics and Evaluation, University of Washington, Seattle, USA
Abstract:BackgroundIn 2017 the Italian government introduced compulsory vaccination for Italian school children for ten diseases, in response to an alarmingly decrease in coverage and measles outbreak. A hot social debate arose around the issue of the law. Studies on the opinion of Italians on this topic are rare, so we investigated the socio-cultural profile of Italians about beliefs towards vaccination.MethodsData were extracted from the Italian section of the European Social Survey (ESS), conducted by the Italian National Institute for Public Policies Analysis during 2017. The main outcome assessed was the opinion about the supposed harmfulness of vaccines. We analysed the association between the outcome and a selected group of socio-cultural characteristics, with a specific interest in examining the interaction between our main outcome and the perceived trust in the scientific community in regards to vaccines. A principal component analysis was then performed for determining the socio-cultural profile of respondents.ResultsAmong the 2,626 subjects interviewed face to face, 19% believed that vaccines were harmful and 10% did not have trust in the scientific community in regards to vaccines. Out of the respondents who believed in the harmfulness of vaccines, 29% neither had trust in the scientific community. Principal Component Analysis suggested that this group (Anti-vax/science sceptic) was characterised by low participation in political and cultural life, being male, older of age and politically oriented towards the right. People agreeing about harmfulness of vaccines are mostly males, have a lower education level, poor attendance in political and cultural life and are politically oriented to the right.ConclusionsThe ESS survey is unique in its capacity to deal with emerging themes of the social debates. Results paint a picture of the opinions of Italians on vaccines. This profile may be useful for policymakers to design targeted vaccination campaigns and to intervene more efficaciously in the public debate.
Keywords:vaccination  beliefs  trust  scientific community  survey  Italy
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