Author ContributionsCGS and FKB contributed equally to the article; they conceptualized and designed the study and planned the pre-registration. CGS processed the data and conducted the analyses. FKB with LMG and NCO conducted the literature review and drafted the manuscript, with significant input from CGS, NS, MSW, CHJL, PM, JB, DO, TLM, CAH, IMD, and RVJ. NS and LMG prepared the figures.
Background: Despite continuing vaccine controversies, little is known about the trajectory of change in vaccine confidence over time. The current study examined whether there are subpopulations among the New Zealand public with diverging trajectories of confidence in the safety of childhood vaccinations from 2013 to 2017. Methods: Using longitudinal survey data from the New Zealand Attitudes and Values Study, latent class growth models identified subpopulations with distinct rates and directions of change in vaccine confidence from 2013 to 2017 (N= 12,423; 11,912; 12,009; 10,254). The demographic profiles of these subpopulations were examined. Findings: Most New Zealanders' (60%) maintained strong vaccine confidence throughout the years (i.e. vaccine believers), but 30% expressed decreasing confidence over time (i.e. vaccine skeptics). Around 10% were former skeptics who had low vaccine confidence in 2013 but showed increasing confidence thereafter. Men, Europeans/Others, those more educated and living in more affluent regions were more likely to be vaccine believers. Relative to former skeptics, women, older individuals and those with lower education were more likely to be vaccine skeptics. Interpretation: Attitudes toward the safety of childhood vaccinations are becoming increasingly polarized in New Zealand. Roughly 30% of the population are becoming more concerned about vaccine safety over time, 10% are becoming more confident, whereas 60% show consistent high vaccine confidence. It is vital to further investigate the key contributors to decreasing confidence among vaccine skeptics and implement target interventions. Funding: Templeton Religion Trust Grant (TRT0196) for data collection;
In this study, we asked participants to "describe their sexual orientation" in an open-ended measure of self-generated sexual orientation. The question was included as part of the New Zealand Attitudes and Values Study (N = 18,261) 2013/2014 wave, a national probability survey conducted shortly after the first legal same-sex marriages in New Zealand. We present a two-level classification scheme to address questions about the prevalence of, and demographic differences between, sexual orientations. At the most detailed level of the coding scheme, 49 unique categories were generated by participant responses. Of those who responded with the following, significantly more were women: bisexual (2.1 % of women, compared to 1.5 % of men), bicurious (0.7 % of women, 0.4 % of men), and asexual (0.4 % of women and less than 0.1 % of men). However, significantly fewer women than men reported being lesbian or gay (1.8 % of women, compared to 3.5 % of men). Those openly identifying as bicurious, bisexual, or lesbian/gay were significantly younger than those with a heterosexual orientation. This study shows diversity in the terms used in self-generated sexual orientations, and provides up-to-date gender, age, and prevalence estimates for the New Zealand population. Finally, results reveal that a substantial minority of participants may not have understood the question about sexual orientation.
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