Sociodemographic and psychological correlates of COVID-19 vaccine hesitancy and resistance in the young adult population in Italy.
Sociodemographic and psychological correlates of COVID-19 vaccine hesitancy and resistance in the young adult population in Italy.
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DOI：
10.1016/j.vaccine.2022.03.018
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发表时间：
2022-04-06
期刊：
影响因子：
5.5
通讯作者：
Rousseau C
中科院分区：
文献类型：
--
作者：
Moscardino U;Musso P;Inguglia C;Ceccon C;Miconi D;Rousseau C
先前的研究表明，与年龄较大的人群相比，年轻人对COVID-19疫苗接种更犹豫不决/更有抵抗力，尽管这种趋势背后的因素仍在争论中。本研究旨在确定意大利在全国范围内开展COVID-19疫苗接种运动期间年轻人（18-40岁）疫苗犹豫和耐药性的社会人口学和心理相关因素。意大利是继中国之后第一个遭受大流行袭击的国家，并遭受了大量死亡。这是一项在意大利通过iso认证的国际调查公司（respondi.com）进行的基于网络的横断面研究。该研究于2021年6月收集了1200名参与者的数据。25%的样本存在疫苗犹豫/耐药性。在多项式logistic回归（N = 1159）中，年龄在30-40岁之间、居住在意大利北部、受教育程度和收入水平较低、失业以及不认识任何被诊断为COVID-19的朋友/亲戚与犹豫不决或抵抗的可能性较高相关。在多变量方差分析（N = 1177）中，与接受疫苗的年轻人相比，疫苗犹豫和抵抗的年轻人从朋友和家庭获得的社会支持明显减少。抵抗者报告的阴谋论水平和对疫苗的消极态度明显高于接受者和犹豫者。此外，与接受的人相比，抗拒的人对国家的依恋程度和对公正政府的看法明显较低，犹豫不决的年轻人得分介于两者之间。我们的研究结果支持了这样一种观点，即犹豫不决（与抗拒）的年轻人表现出更微妙、更不极端的心理特征。公共卫生信息应利用社交媒体，提供有关COVID-19疫苗安全性的可获取、透明和适合年龄的信息。此外，有必要作出政策努力，改善社会支持系统的可用性，以加强这一特定人群之间的联系并促进对机构的信任。
Previous research has shown that young adults are more hesitant/resistant to COVID-19 vaccine uptake than older age groups, although the factors underlying this tendency are still under debate. The current study aimed to identify the sociodemographic and psychological correlates of vaccine hesitancy and resistance among young adults (18–40 years) during the nationwide COVID-19 vaccination campaign in Italy, the first country after China being hit by the pandemic and which suffered a large number of fatalities. This is a cross-sectional, web-based study conducted in Italy using an ISO-certified international survey company (respondi.com). Data were collected on 1200 participants in June 2021. Vaccine hesitancy/resistance was found for 25% of the sample. In multinomial logistic regression (N = 1159), being aged 30–40 years, residing in northern Italy, having lower educational and income level, being unemployed, and not knowing any friends/relatives diagnosed with COVID-19 were associated with higher odds of hesitancy or resistance. In multivariate analysis of variance (N = 1177), both vaccine hesitant and resistant young adults perceived significantly less social support from friends and family than vaccine accepting ones. Resistant individuals reported significantly higher levels of conspiracy theories and negative attitudes toward vaccines than their accepting and hesitant counterparts. Moreover, resistant individuals reported significantly lower levels of attachment to country and perceptions of a just government compared to accepting ones, with hesitant young adults scoring in between. Our findings support the idea that young adults with a hesitant (vs. resistant) attitude show a more nuanced and less extreme psychological profile. Public health messaging should capitalize on social media to provide accessible, transparent, and age-appropriate information concerning COVID-19 vaccine safety. Moreover, policy efforts improving the availability of social support systems are warranted to strengthen connectedness and foster trust in institutions amongst this particular segment of the population.
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