COVID-19 Vaccine Hesitancy in Canada: Content Analysis of Tweets Using the Theoretical Domains Framework.

COVID-19 Vaccine Hesitancy in Canada: Content Analysis of Tweets Using the Theoretical Domains Framework.
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DOI:
10.2196/26874
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发表时间:
2021-04-13
影响因子:
7.4
通讯作者:
Monkman H
Monkman H
中科院分区:
医学2区
文献类型:
--
作者:
Griffith J;Marani H;Monkman H

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随着两种新冠病毒疫苗在加拿大获得批准,许多人感到如释重负,因为希望即将到来。然而,只有大约75%的加拿大人计划接种其中一种疫苗。这项研究的目的是确定加拿大人对接种COVID-19疫苗感到犹豫的原因。我们使用搜索词“疫苗”和“COVID”从加拿大的公共推特资料中筛选了3915条推文。符合纳入标准的推文(即关于COVID-19疫苗犹豫的推文)通过内容分析进行编码。然后将代码组织成主题,并使用理论领域框架进行解释。总的来说,605条推文被确定为关于COVID-19疫苗犹豫的推文。疫苗犹豫源于以下主题:对安全性的担忧,对推动COVID-19大流行或疫苗开发的政治或经济力量的怀疑,对疫苗,反疫苗或权威人士的混淆信息缺乏了解,以及疫苗公司缺乏法律责任。这项研究还调查了对医疗行业的不信任,不是由于犹豫,而是由于被医疗机构边缘化的社区的遗产。这些主题被分为以下五个理论领域:知识、对后果的信念、环境背景和资源、社会影响和情感。世界卫生组织指出,全球健康面临的最严重威胁之一是对疫苗的犹豫,因此全面了解这种犹豫背后的原因非常重要。通过使用行为科学框架,本研究通过实时分析推特中的公共话语,增加了与COVID-19疫苗有关的疫苗犹豫的新兴知识。卫生保健领导人和临床医生可以利用这些知识制定公共卫生干预措施,以回应那些对接种疫苗犹豫不决的人的关切。
With the approval of two COVID-19 vaccines in Canada, many people feel a sense of relief, as hope is on the horizon. However, only about 75% of people in Canada plan to receive one of the vaccines. The purpose of this study is to determine the reasons why people in Canada feel hesitant toward receiving a COVID-19 vaccine. We screened 3915 tweets from public Twitter profiles in Canada by using the search words “vaccine” and “COVID.” The tweets that met the inclusion criteria (ie, those about COVID-19 vaccine hesitancy) were coded via content analysis. Codes were then organized into themes and interpreted by using the Theoretical Domains Framework. Overall, 605 tweets were identified as those about COVID-19 vaccine hesitancy. Vaccine hesitancy stemmed from the following themes: concerns over safety, suspicion about political or economic forces driving the COVID-19 pandemic or vaccine development, a lack of knowledge about the vaccine, antivaccine or confusing messages from authority figures, and a lack of legal liability from vaccine companies. This study also examined mistrust toward the medical industry not due to hesitancy, but due to the legacy of communities marginalized by health care institutions. These themes were categorized into the following five Theoretical Domains Framework constructs: knowledge, beliefs about consequences, environmental context and resources, social influence, and emotion. With the World Health Organization stating that one of the worst threats to global health is vaccine hesitancy, it is important to have a comprehensive understanding of the reasons behind this reluctance. By using a behavioral science framework, this study adds to the emerging knowledge about vaccine hesitancy in relation to COVID-19 vaccines by analyzing public discourse in tweets in real time. Health care leaders and clinicians may use this knowledge to develop public health interventions that are responsive to the concerns of people who are hesitant to receive vaccines.
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