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Contextual generalized trust and immunization against the 2009 A(H1N1) pandemic in the American states: A multilevel approach

Artikel i vetenskaplig tidskrift
Författare Björn Rönnerstrand
Publicerad i SSM - Population Health
Volym 2
Sidor 632-639
ISSN 2352-8273
Publiceringsår 2016
Publicerad vid Statsvetenskapliga institutionen
Sidor 632-639
Språk en
Länkar dx.doi.org/10.1016/j.ssmph.2016.08....
Ämnesord A(H1N1) pandemic, American states, Generalized trust, Immunization, Social capital
Ämneskategorier Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Miljömedicin och yrkesmedicin, Statsvetenskap

Sammanfattning

The aim of the study was to investigate the association between contextual generalized trust and individual-level 2009 A(H1N1) pandemic immunization acceptance. A second aim was to investigate whether knowledge about the A(H1N1) pandemic mediated the association between contextual generalized trust and A(H1N1) immunization acceptance. Data from the National 2009 H1N1 Flu Survey was used. To capture contextual generalized trust, data comes from an aggregation of surveys measuring generalized trust in the American states. To investigate the association between contextual generalized trust and immunization acceptance, while taking potential individual-level confounders into account, multilevel logistic regression was used. The investigation showed contextual generalized trust to be significantly associated with immunization acceptance. However, controlling for knowledge about the A(H1N1) pandemic did not substantially affect the association between contextual generalized trust and immunization acceptance. In conclusion, contextual state-level generalized trust was associated with A(H1N1) immunization, but knowledge about A(H1N1) was not mediating this association. © 2016 The Authors

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