{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T14:14:47Z","timestamp":1788012887297,"version":"build-2784847793"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Generally, vaccination uptake in Japan lags behind World Health Organization targets.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study aimed to understand how risk information and advice affect intention to receive vaccinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study had a within\u2010subjects design. An online survey based on the Health Belief Model was sent to 2501 Japanese individuals (\u226720 years) to assess the intention to be vaccinated for influenza and rubella after receiving minor and severe risk information and hypothetical advice about each vaccine. Regression analysis was used to measure changes in intentions to receive each vaccination after being provided with (1) risk information about each vaccine and (2) hypothetical encouragement and discouragement to be vaccinated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcomes<\/jats:title><jats:p>The main outcomes included changes in vaccination intentions from baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one percent (<jats:italic>N<\/jats:italic>\u2009=\u20091030) of those sent the survey completed it. At baseline, 43% and 65% of the respondents intended to have influenza and rubella vaccinations, respectively. Being provided with information about severe risks and susceptibility increased the intention to have the influenza vaccination among females in their 40s. Receiving inaccurate and discouraging information from one's mother significantly decreased the intention to have the rubella vaccination. Women 50 and older were more likely to intend not to have vaccination for rubella. Severe risk information decreased rubella vaccination intention in all age groups, except women in their 30s and 40s (<jats:italic>p<\/jats:italic>\u2009&lt;\u2009.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For both vaccinations, older individuals demonstrated vaccine hesitancy. This group requires tailored messaging to help them understand their vulnerability (to influenza) and their role in transmission (for rubella) to encourage uptake of essential vaccinations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Members of the Japanese public responded to our online questionnaire on vaccination risk.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13342","type":"journal-article","created":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T19:19:27Z","timestamp":1629919167000},"page":"2013-2022","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Evaluation of Japanese people's perception of risk information for making decisions to receive influenza and rubella vaccinations"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6231-4131","authenticated-orcid":false,"given":"Natsuko","family":"Yasuhara","sequence":"first","affiliation":[{"name":"Department of Public Health, Health Management and Policy Nara Medical University Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7567-0290","authenticated-orcid":false,"given":"Sawako","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Public Health, Health Management and Policy Nara Medical University Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miki","family":"Hamada","sequence":"additional","affiliation":[{"name":"Social and Public Management Research Division Mitsubishi Research Institute, Inc. Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keita","family":"Uehara","sequence":"additional","affiliation":[{"name":"Social and Public Management Research Division Mitsubishi Research Institute, Inc. Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoya","family":"Obana","sequence":"additional","affiliation":[{"name":"Social and Public Management Research Division Mitsubishi Research Institute, Inc. Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1981-9959","authenticated-orcid":false,"given":"Tomoaki","family":"Imamura","sequence":"additional","affiliation":[{"name":"Department of Public Health, Health Management and Policy Nara Medical University Nara Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,25]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"188","article-title":"Influenza vaccination status and antibody possession status in the 2018 Infectious Disease Epidemic Prediction Survey","volume":"40","author":"National Institute of Infectious Diseases (Japan)","year":"2019","journal-title":"IASR"},{"key":"e_1_2_9_3_1","first-page":"135","article-title":"Rubella vaccination status and antibody possession status in the 2018 Infectious Disease Epidemic Prediction Survey (provisional results)","volume":"40","author":"National Institute of Infectious Diseases (Japan)","year":"2019","journal-title":"IASR"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0059272"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-149"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-018-0841-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2008.05.005"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(00)00263-4"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.01.049"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0027-9684(15)30830-0"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170550"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2018.03.063"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2015.04.036"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2008.06.042"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483387918.n5"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511550461.003"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2807\/ese.17.13.20131-en"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-09327-8"},{"key":"e_1_2_9_19_1","first-page":"595","article-title":"History of Japanese vaccination system and vaccine gap (\u65e5\u672c\u306e\u4e88\u9632\u63a5\u7a2e\u5236\u5ea6\u306e\u5909\u9077\u3068\u30ef\u30af\u30c1\u30f3\u30ae\u30e3\u30c3\u30d7\u3002\u65e5\u672c\u76ae\u819a\u79d1\u5b66\u4f1a\u96d1\u8a8c)","volume":"12","author":"Miyairi R","year":"2017","journal-title":"J Dermatol"},{"key":"e_1_2_9_20_1","first-page":"45","volume-title":"Health Behavior and Health Education: Theory, Research, and Practice","author":"Champion VL","year":"2008"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-12.1.8"},{"key":"e_1_2_9_22_1","unstructured":"Ministry of Health Labour & Welfare (Japan).\u00a0Rubella Vaccination (\u539a\u751f\u52b4\u50cd\u7701. \u98a8\u75b9\u306b\u3064\u3044\u3066).\u00a02020. (Translator: Okamoto S).\u00a0https:\/\/www.mhlw.go.jp\/seisakunitsuite\/bunya\/kenkou_iryou\/kenkou\/kekkaku-kansenshou\/rubella\/"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-9010.86.5.1043"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136890"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyt060"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0027012"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.4161\/hv.25959"},{"key":"e_1_2_9_28_1","first-page":"67","volume-title":"Intercultural Communication: A Reader","author":"Yum JO","year":"2000"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.98.2.224"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2012.04.002"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-9280.1995.tb00327.x"}],"container-title":["Health Expectations"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.13342","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/hex.13342","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hex.13342","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T05:31:59Z","timestamp":1693200719000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hex.13342"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,25]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/hex.13342"],"URL":"https:\/\/doi.org\/10.1111\/hex.13342","archive":["Portico"],"relation":{},"ISSN":["1369-6513","1369-7625"],"issn-type":[{"value":"1369-6513","type":"print"},{"value":"1369-7625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,25]]},"assertion":[{"value":"2021-03-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-26","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}