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Modeling Dimensions of Choice in Accepting the Smallpox Vaccine

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Objective: To model the dimensionality of understanding refusal to be vaccinated against smallpox. Method: The Smallpox Vaccination Choice Questionnaire was administered to a convenience sample of students. Through a series of factor analyses, responses were subjected to a statistical evaluation of the underlying factor structure of potential influences on choice. Results: The analyses suggest 5 dimensions: knowledge, perceptions of risk and worry, psychological distress, general beliefs about vaccines, and age. Conclusion: This model will be used to help identify targets of intervention to increase acceptance of the vaccine and satisfaction with choice.

Keywords: bioterrorism; medical decision making; risk perception; smallpox; vaccination

Document Type: Research Article


Affiliations: 1: Assistant Professor, Department of Psychiatry, Biomathematics and Bioinformatics, Washington, DC. 2: Assistant Professor, Department of Biostatistics, Biomathematics and Bioinformatics, Washington, DC. 3: Associate Professor, Department of Oncology, Georgetown University Medical Center, Washington, DC. 4: Professor, Department of Psychiatry, Georgetown University Medical Center, Washington, DC.

Publication date: September 1, 2006

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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