What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review.

What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review.
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DOI:
10.3390/ijerph18179342
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发表时间:
2021-09-04
影响因子:
--
通讯作者:
Butt ZA
Butt ZA
中科院分区:
综合性期刊3区
文献类型:
--
作者:
AlShurman BA;Khan AF;Mac C;Majeed M;Butt ZA

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背景:在 COVID-19 危机期间,由于不同的因素和原因,人们对疫苗的犹豫明显增加。因此,进行本次范围界定审查是为了确定 18-60 岁成年人中使用 COVID-19 疫苗的意愿的流行程度,并确定影响使用 COVID-19 疫苗意愿的人口、社会和背景因素。方法:本次范围界定审查是使用 Arksey 和 O’Malley 概述的范围界定审查方法框架进行的。在四个电子数据库上执行了检索策略:PubMed、Scopus、CINAHL 和 PsycINFO。 2019 年 11 月至 2020 年 12 月期间发表的所有同行评审文章均经过评审。提取数据是为了确定 COVID-19 疫苗使用意愿的流行率以及影响因素。结果:共有 48 篇相关文章被确定纳入综述。提出的结果分为七个主题:人口统计、社会因素、疫苗接种信念和态度、疫苗相关看法、健康相关看法、感知障碍和疫苗建议。年龄、性别、教育水平、种族/民族、疫苗安全性和有效性、流感疫苗接种史以及对 COVID-19 的自我保护是与使用 COVID-19 疫苗意愿相关的最重要因素。此外,大多数研究 (n = 34/48) 报告称,接种 COVID-19 疫苗的意愿相对较高,范围为 60% 至 93%。结论:本次范围界定审查能够创建与成年人口疫苗接种意愿相关的人口、社会和背景结构。这些因素可能在任何有针对性的疫苗接种计划中发挥重要作用,特别是 COVID-19 疫苗接种。因此,我们的审查建议重点制定战略,以促进接种 COVID-19 疫苗的意愿并克服疫苗犹豫和拒绝的情况。这些策略可能包括透明的沟通、社交媒体参与和启动教育计划。
Background: During the COVID-19 crisis, an apparent growth in vaccine hesitancy has been noticed due to different factors and reasons. Therefore, this scoping review was performed to determine the prevalence of intention to use COVID-19 vaccines among adults aged 18–60, and to identify the demographic, social, and contextual factors that influence the intention to use COVID-19 vaccines. Methods: This scoping review was conducted by using the methodological framework for scoping review outlined by Arksey and O’Malley. A search strategy was carried out on four electronic databases: PubMed, Scopus, CINAHL, and PsycINFO. All peer-reviewed articles published between November 2019 and December 2020 were reviewed. Data were extracted to identify the prevalence of, and factors that influence, the intention to use COVID-19 vaccines. Results: A total of 48 relevant articles were identified for inclusion in the review. Outcomes presented fell into seven themes: demographics, social factors, vaccination beliefs and attitudes, vaccine-related perceptions, health-related perceptions, perceived barriers, and vaccine recommendations. Age, gender, education level, race/ethnicity, vaccine safety and effectiveness, influenza vaccination history, and self-protection from COVID-19 were the most prominent factors associated with intention to use COVID-19 vaccines. Furthermore, the majority of studies (n = 34/48) reported a relatively high prevalence of intention to get vaccinated against COVID-19, with a range from 60% to 93%. Conclusion: This scoping review enables the creation of demographic, social, and contextual constructs associated with intention to vaccinate among the adult population. These factors are likely to play a major role in any targeted vaccination programs, particularly COVID-19 vaccination. Thus, our review suggests focusing on the development of strategies to promote the intention to get vaccinated against COVID-19 and to overcome vaccine hesitancy and refusal. These strategies could include transparent communication, social media engagement, and the initiation of education programs.
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