Major motives in non-acceptance of A/H1N1 flu vaccination: The weight of rational assessment

Trust and the demand for autonomy may explain the low rates of immunizations among nurses

“…It is not possible to compare the results of may have lost trust in the public health authorities during the A(H1N1) influenza pandemic, and this trust needs to be regenerated before high levels of vaccination can be achieved among HCWs. There is evidence that levels of trust in health authorities decreased after the A(H1N1) influenza scare 30 and other studies have also identified trust to be an important factor in acceptance of vaccines such as the acceptance of the Human Papilloma Virus (HPV) vaccine among mothers of 8-14 y old girls. 31 In our qualitative study 29 there were nurses that expressed strong feelings against the demand to be vaccinated generally, and especially against A(H1N1).…”

“…29 In a survey of HCW and medical students in a German university hospital during an influenza vaccination campaign, 16.4% of the 1,645 respondents reported that the A(H1N1) pandemic had influenced their attitudes toward vaccinations in general. 32 Velan et al 30 identified distrust as a key element in the attitudes of their survey respondents. They suggested that the increased loss of trust in health authorities worldwide could explain the low rates of A(H1N1) influenza vaccination coverage.…”

“…Though this was among the general population, it is an indication of the community's response to the vaccines, and Arab nurses are a part of the Arab community and seem to behave in accordance with it. 30,38 The major limitations of this study are the small sample, low response rate and non-diverse group of nurses. However, MCHC nurses are a very important group of HCW as vaccinations are their routine job and they have daily contact with unvaccinated infants.…”

“…Velan et al 30 also found that education was not associated with receiving the A(H1N1) influenza vaccine in lay persons although older people were more inclined to be vaccinated for A(H1N1). The attitudes studied in this questionnaire are not dependent on age or education and therefore were not found to be factors predicting vaccinations.…”

Using the social structure of markets as a framework for analyzing vaccination debates: The case of emergency polio vaccination

“…These include: evaluation of risk, expression of trust versus distrust, uncertainty, hesitancy and evaluation of available information related to infectious diseases and vaccines. [7][8][9][10][11][12] In addition, in most vaccination debates, one can identify three major players: the authoritative agency that promotes the provaccination agenda, the alternative agency that promotes the anti-vaccination agenda, and the general public which is the target of the various vaccination campaigns. Both, the authoritative and alternative agencies invest efforts to communicate their message to the general public in order to encourage acceptance of their respective agendas.…”