ワクチン接種への躊躇をめぐる分極化は過去の感染症流行時と比べ12倍に拡大、研究が明らかに(Polarization around vaccine hesitancy was 12 times greater than past outbreaks, study finds)

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2025-08-29 ワシントン大学セントルイス校

ワシントン大学セントルイス校の研究チームは、COVID-19期のワクチン忌避に関する政治的分断が、過去の感染症流行時の約12倍に達したと報告した。1954年のポリオからCOVID-19まで13の流行期にわたる世論調査170件を分析した結果、感染リスク認識に関する分断も約5倍に増加していた。これは政治的対立が徐々に進行したのではなく、パンデミックによって突発的に拡大したことを示している。研究者らは、同じ疫学データを前にしても政治的立場で認識や行動が分かれる現象が、予防策やワクチン接種率に重大な影響を及ぼしていると警告。今後の公衆衛生戦略には、政治的不一致を緩和し、健康危機対応を政治から切り離すメッセージ設計が必要だと強調した。

<関連情報>

疾病流行時の政治的分極化:ポリオからCOVID-19までのアーカイブ調査データのメタ分析 Political Polarization During Disease Outbreaks: A Meta-Analysis of Archival Survey Data From Polio to COVID-19

Caitlin L. McMurtry PhD, SM, and Rachana Cheu MPH
American Journal of Public Health  Published:August 28, 2025
DOI:https://doi.org/10.2105/AJPH.2025.308226

Abstract

Objectives. To assess how political polarization during COVID-19 compares with that in past disease outbreaks in the United States.

Methods. Using random-effects meta-analyses and mixed-effects meta-regressions, we searched the Roper Center for Public Opinion Research and estimated the association between polarization during COVID-19 and during non–COVID-19 disease outbreaks.

Results. The study included 170 polls spanning 13 outbreaks over nearly 70 years. Polarization during COVID-19 was 5 and 12 times greater than in past disease outbreaks in terms of concern about infection and vaccine hesitancy, respectively. After we controlled for survey-level characteristics, COVID-19 was associated with 20.23 (95% confidence interval [CI] = 12.30, 28.17) and 25.89 (95% CI = 6.63, 45.16) additional percentage points of polarization regarding concern about infection and vaccine hesitancy, respectively—far higher than historical trends would predict.

Conclusions. In terms of concern about infection and vaccine hesitancy, polarization during COVID-19 was substantially higher than in any other disease outbreak in modern American history for which we have relevant data.

Public Health Implications. High levels of polarization do not appear endemic to disease outbreaks, suggesting such division may be preventable in the future. (Am J Public Health. Published online ahead of print August 28, 2025:e1–e13.

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