{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:57:38Z","timestamp":1784174258807,"version":"3.55.0"},"reference-count":37,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T00:00:00Z","timestamp":1681257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100014588","name":"Sanofi Pasteur","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014588","id-type":"DOI","asserted-by":"publisher"}]},{"name":"National Institute for Health Research (NIHR) Applied Research Collaboration (ARC) South London at King\u2019s College Hospital NHS Foundation Trust"},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]},{"name":"NIHR Global Health Research Unit on Health System Strengthening in Sub-Saharan Africa, King\u2019s College London","award":["GHRU 16\/136\/54"],"award-info":[{"award-number":["GHRU 16\/136\/54"]}]},{"name":"London Interdisciplinary Social Sciences Doctoral Training Program and Sanofi Pasteur"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Improved uptake of adult vaccinations could substantially reduce the burden of infectious disease worldwide, however very few countries achieve high coverage of recommended adult vaccinations. Vaccine hesitancy is an important driver of low vaccine uptake among adults but no measure currently exists to capture general vaccination attitudes in this population accurately and efficiently. We utilize data from two surveys of adult vaccine attitudes and uptake conducted in fifteen countries to evaluate the Vaccination Trust Indicator (VTI). The VTI is a six-item measure intended to capture general vaccine attitudes. We utilized multivariable logistic regression to examine the association between VTI scores and self-reported receipt of the seasonal influenza vaccine, receipt of a tetanus toxoid-containing vaccine and intent to receive the flu vaccine in the next season. In the five countries with self-reported vaccine receipt data, we found that a ten-point increase in VTI score was associated with a 50% increase in odds of influenza vaccine receipt (OR = 1.55, 95% CI = 1.48, 1.62) and 25% increase in the odds of tetanus vaccine receipt (OR = 1.26, 95% CI = 1.21, 1.30). Strong associations between VTI score and vaccine receipt were found in each country except China. A strong association between VTI score and intent to receive the influenza vaccine was found in all fifteen countries. The VTI is a promising tool for assessing adult immunization attitudes with clear and immediate uses for immunization programs globally.<\/jats:p>","DOI":"10.1371\/journal.pgph.0001820","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T17:26:34Z","timestamp":1681320394000},"page":"e0001820","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":14,"title":["Validation of the Vaccination Trust Indicator (VTI) in a multi-country survey of adult vaccination attitudes"],"prefix":"10.1371","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2729-0661","authenticated-orcid":true,"given":"Mallory K.","family":"Ellingson","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5383-3474","authenticated-orcid":true,"given":"Saad B.","family":"Omer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7560-8924","authenticated-orcid":true,"given":"Nick","family":"Sevdalis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angus","family":"Thomson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,4,12]]},"reference":[{"issue":"24","key":"pgph.0001820.ref001","first-page":"814","article-title":"Ten Great Public Health Achievements\u2014Worldwide, 2001\u20132010","volume":"60","author":"Centers for Disease Prevention and Control","year":"2011","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"10127","key":"pgph.0001820.ref002","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1016\/S0140-6736(17)33293-2","article-title":"Estimates of global seasonal influenza-associated respiratory mortality: a modelling study","volume":"391","author":"AD Iuliano","year":"2018","journal-title":"Lancet Lond Engl"},{"issue":"10181","key":"pgph.0001820.ref003","doi-asserted-by":"crossref","first-page":"1657","DOI":"10.1016\/S0140-6736(18)33131-3","article-title":"Tetanus.","volume":"393","author":"LM Yen","year":"2019","journal-title":"The Lancet"},{"key":"pgph.0001820.ref004","article-title":"OpenSAFELY: factors associated with COVID-19 death in 17 million patients","author":"EJ Williamson","year":"2020","journal-title":"Nature [Internet]."},{"key":"pgph.0001820.ref005","unstructured":"Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2017 [Internet]. 2019 [cited 2020 Jul 20]. 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