Effect of COVID-19 vaccine allocation strategies on vaccination refusal: A national survey.
Effect of COVID-19 vaccine allocation strategies on vaccination refusal: A national survey.
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DOI：
10.1080/13669877.2021.1936613
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发表时间：
2022
影响因子：
5.1
通讯作者：
Goldman DP
中科院分区：
文献类型：
--
作者：
de Bruin WB;Ulqinaku A;Goldman DP
目前，最紧迫的公共卫生挑战之一是鼓励人们接种COVID-19疫苗。由于供应有限，一些人不得不等待COVID-19疫苗。消费者研究表明，在最初分配所需商品时被忽视的人可能不再感兴趣。因此，我们在这里研究了人们对拟议疫苗分配策略的偏好，以及他们对被忽视的预期反应。在卫生保健工作者之后，大多数参与者更愿意优先为生活在群体环境中的高风险个体（49%）或与家庭（29%）接种疫苗。我们也发现了不情愿的证据。在随机分配疫苗分配策略后，最初会忽略他们，37%的参与者表示他们会拒绝接种疫苗。当疫苗分配策略优先考虑COVID-19较多地区的人群时，拒绝率上升至42%--许多地区都实施了相关政策。即使在那些没有自我认同为疫苗犹豫的参与者中，也有22%的人表示在这种情况下他们不想接种疫苗。Logistic回归证实，如果疫苗分配策略针对的是生活在COVID-19感染较多地区的人，那么拒绝接种疫苗的人数将最多。总而言之，一旦人们被疫苗分配忽视，他们可能不再想接种疫苗，即使他们原本并不对疫苗犹豫不决。优先考虑群体环境中的高感染地区和高风险个人的疫苗分配策略可能会加剧这些担忧。
Currently, one of the most pressing public health challenges is encouraging people to get vaccinated against COVID-19. Due to limited supplies, some people have had to wait for the COVID-19 vaccine. Consumer research has suggested that people who are overlooked in initial distribution of desired goods may no longer be interested. Here, we therefore examined people’s preferences for proposed vaccine allocation strategies, as well as their anticipated responses to being overlooked. After health-care workers, most participants preferred prioritizing vaccines for high-risk individuals living in group-settings (49%) or with families (29%). We also found evidence of reluctance if passed over. After random assignment to vaccine allocation strategies that would initially overlook them, 37% of participants indicated that they would refuse the vaccine. The refusal rate rose to 42% when the vaccine allocation strategy prioritized people in areas with more COVID-19 — policies that were implemented in many areas. Even among participants who did not self-identify as vaccine hesitant, 22% said they would not want to vaccine in that case. Logistic regressions confirmed that vaccine refusal would be largest if vaccine allocation strategies targeted people who live in areas with more COVID-19 infections. In sum, once people are overlooked by vaccine allocation, they may no longer want to get vaccinated, even if they were not originally vaccine hesitant. Vaccine allocation strategies that prioritize high-infection areas and high-risk individuals in group-settings may enhance these concerns.
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影响因子：
10.5
作者：
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通讯作者：
FARRELL, D
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