ArticleBMC public health2015
Mistrust surrounding vaccination recommendations by the Japanese government: results from a national survey of working-age individuals.
Article in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Media Exposure and Its Association With Vaccine Attitudes, Intentions, and Hesitancy: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Measuring trust in vaccination: A systematic review.Human vaccines & immunotherapeutics · 2018Pooled it
- How People in Eight European Countries Felt About the Safety, Effectiveness, and Necessity of COVID-19 Vaccination: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2025Article
- Psychological mechanisms and interventions directed at vaccination attitudes.Frontiers in sociology · 2023Review
- Association of Vaccine Confidence and Hesitancy in Three Phases of COVID-19 Vaccine Approval and Introduction in Japan.Vaccines · 2022Article
- The way forward to achieve high COVID-19 vaccination and revaccination coverage in a city amid a period of tranquility.Frontiers in public health · 2022Article
- Gender differences in the determinants of willingness to get the COVID-19 vaccine among the working-age population in Japan.Human vaccines & immunotherapeutics · 2021Article
- Better Patient Experience is Associated with Better Vaccine Uptake in Older Adults: Multicentered Cross-sectional Study.Journal of general internal medicine · 2020Article
- Exploring Influenza Vaccine Uptake and Its Determinants among University Students: A Cross-Sectional Study.Vaccines · 2020Article
- Organizational climate with gender equity and burnout among university academics in Japan.Industrial health · 2016Article
- Association Between Varicella-Zoster Virus Vaccination and Patient Experience in Elderly Japanese Outpatients: A Case-Control Study.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConsidering that public attitudes on vaccine safety and effectiveness are known to influence the success of vaccination campaigns, an increased understanding of socio-demographic characteristics might help improve future communication strategies and lead to greater rates of vaccination uptake. This study investigated associations between mistrust for governmental vaccine recommendations and the socio-demographic characteristics of working-age individuals in Japan.
methodsA web-based, cross-sectional survey of vaccination attitudes was conducted among 3140 Japanese people aged 20 to 69 years. Multiple logistic regression analysis was used to examine statistical associations between vaccination attitudes and socio-demographic characteristics, including the participant's most trusted information resources, demographic factors and general health conditions.
resultsA total of 893 (28.4%) individuals reported a general mistrust towards the Japanese government's recommendations for vaccination. Respondents who did not trust official government sources were more likely to consider friends, the internet and books (for both genders); family members and newspapers (among women only); and television (among men only), as the most trusted resources for vaccination-related information. Relatively poor health in men was associated with a general mistrust of vaccination recommendations (adjusted Odds Ratio (aOR): 1.37, 95% Confidence Interval (95% CI): 1.07-1.69). A trend towards worsening general health was also associated with decreasing trust in vaccination recommendations by female respondents as follows: those reporting relatively good health (aOR: 1.24, 95% CI: 1.02-1.47); relatively poor health (aOR: 1.55, 95% CI: 1.22-1.90); and poor health (aOR: 2.10, 95% CI: 1.41-2.63) (p for trend < 0.05).
conclusionsOverall, this study suggests that communication strategies for rebuilding public trust in vaccination safety need to be urgently addressed in Japan. Such protocols must consider the information sources that working-age populations are most likely to utilize in this country, as well as their general health conditions, especially among females.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.