Attitudes toward vaccination and the H1N1 vaccine: poor people's unfounded fears or legitimate concerns of the elite?

Authors:
Aymery Constant, PhD, MPsych
Aymery Constant, PhD, MPsych
EHESP School of Public Health
lecturer
Health psychology and behaviours
Rennes | France

Soc Sci Med 2014 May 2;109:10-8. Epub 2014 Mar 2.

Institut National de Prévention et d'Education pour la Santé (INPES), 93203 St Denis Cedex, France; Cermes3 - Equipe Cesames (Centre de recherche Médecine, Sciences, Santé, Santé mentale, Société, Université Paris Descartes, Sorbonne Paris Cité, CNRS UMR 8211/Inserm U988/EHESS), Paris Cedex 06, France.

In 2009-2010, the H1N1 episode occurred in a general context of decreasing public confidence in vaccination. We assumed opposition to vaccination in general to be an 'unfounded fear', reflecting ignorance and perceived vulnerability among low-socioeconomic status (SES) people, and opposition to the H1N1 vaccine a 'legitimate concern' reflecting the elite's commitment to 'risk culture' in a 'risk society'. We indirectly tested these assumptions by investigating the socioeconomic profiles associated with opposition to vaccination in general and opposition to the H1N1 vaccine specifically. Our second aim was to determine whether or not opposition to the H1N1 vaccine fuelled opposition to vaccination in general. We used data from a telephone survey conducted in 2009-2010 among a random sample of French people aged 15-79 (N = 9480). Attitudes toward vaccination in general and toward the H1N1 vaccine specifically varied significantly between October 2009 and June 2010 with strong correlation being observed between these attitudes throughout the whole period. In multivariable analysis attitudes toward vaccination in general remained a significant predictor of attitudes to the H1N1 vaccine and vice versa, for distinct profiles as follows: males, older people, low-SES people for opposition to vaccination in general, versus females, people aged 35-49 and those with an intermediate SES for opposition to the H1N1 vaccine. Results also differed regarding indicators of social vulnerability, proximity to preventive medicine and vaccination history. The first profile supported the "unfounded fears expressed by low-SES people" hypothesis, while the second echoed previous work related to middle-classes' "healthism". Opposition to vaccination should not be reduced to irrational reactions reflecting ignorance or misinformation and further research is needed to acquire a greater understanding of the motives of opponents.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.socscimed.2014.02.035DOI Listing
May 2014
66 Reads
2.890 Impact Factor

Publication Analysis

Top Keywords

h1n1 vaccine
28
vaccination general
24
opposition vaccination
20
opposition h1n1
16
attitudes vaccination
12
opposition
9
vaccination
9
people aged
8
people opposition
8
reflecting ignorance
8
h1n1
8
general
7
vaccine
7
attitudes
5
people
5
indicators social
4
indirectly tested
4
vaccine fuelled
4
versus females
4
aim determine
4

Similar Publications