Factors associated with knowledges and attitudes about measles and rubella immunization in a non-health care occupational setting in Japan

Factors associated with adults’ actions to confirm their own rubella immune status in Japan’s drive toward rubella elimination: Cross-sectional online survey of non-healthcare workers in their 20s to 40s

“…The first of the three major factors we found to be associated with the targeted population having taken voluntary action to check their rubella immune status was having knowledge about testing for confirmation of immunity status, about the rubella outbreak in 2013 among men in their 20s to 40s, and about CRS. It has been reported that knowledge about vaccine-preventable disease is closely associated with uptake of the influenza [ 15 , 16 ], measles-rubella containing [ 22 , 23 ], hepatitis A [ 24 ], and pertussis [ 25 ] vaccines. In the present study, knowledge that testing can confirm immune status showed a strong association with taking voluntary action among both men and women (men: AOR 4.29, 95%CI 6.06-11.93; women AOR 2.89, 95% CI 2.00-4.18).…”

“…We did not find an association between highest education level and taking action to confirm rubella immune status. There have been studies that have found an association between education level and vaccine intake—in the Bahamas [ 19 ], Lebanon [ 20 ], and United States [ 21 ]—and those that have found no such association—in Canada [ 30 ] and Japan [ 22 ]. The high literacy rate, easy access to written information, and high education level among all generations in Japan suggests that promotion activities can make good use of written information.…”