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J Epidemiol Community Health. 2016 Feb;70(2):162-7. doi: 10.1136/jech-2015-205777. Epub 2015 Sep 30.

Social contacts, vaccination decisions and influenza in Japan.

Author information

1
Graduate School of Economics and Management, Tohoku University, Sendai, Japan.
2
Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan.
3
Department of Psychology, Rutgers University, Piscataway, New Jersey, USA.
4
School of Public Health, Yale University, New Haven, Connecticut, USA.
5
School of Public Health, Yale University, New Haven, Connecticut, USA Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
6
Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan Department of Clinical Research, National Mie Hospital, Tsu, Japan.
7
Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan Kawasaki City Institute for Public Health, Kawasaki, Japan.

Abstract

BACKGROUND:

Contact patterns and vaccination decisions are fundamental to transmission dynamics of infectious diseases. We report on age-specific contact patterns in Japan and their effect on influenza vaccination behaviour.

METHODS:

Japanese adults (N=3146) were surveyed in Spring 2011 to assess the number of their social contacts within a 24 h period, defined as face-to-face conversations within 2 m, and gain insight into their influenza-related behaviour. We analysed the duration and location of contacts according to age. Additionally, we analysed the probability of vaccination and influenza infection in relation to the number of contacts controlling for individual's characteristics.

RESULTS:

The mean and median reported numbers of daily contacts were 15.3 and 12.0, respectively. School-aged children and young adults reported the greatest number of daily contacts, and individuals had the most contacts with those in the same age group. The age-specific contact patterns were different between men and women, and differed between weekdays and weekends. Children had fewer contacts between the same age groups during weekends than during weekdays, due to reduced contacts at school. The probability of vaccination increased with the number of contacts, controlling for age and household size. Influenza infection among unvaccinated individuals was higher than for those vaccinated, and increased with the number of contacts.

CONCLUSIONS:

Contact patterns in Japan are age and gender specific. These contact patterns, as well as their interplay with vaccination decisions and infection risks, can help inform the parameterisation of mathematical models of disease transmission and the design of public health policies, to control disease transmission.

KEYWORDS:

COMMUNICABLE DISEASES; Disease modeling; INFLUENZA; PUBLIC HEALTH POLICY

PMID:
26424846
PMCID:
PMC4752620
DOI:
10.1136/jech-2015-205777
[Indexed for MEDLINE]
Free PMC Article
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