Relationship between Citizens' Health Engagement and Intention to Take the COVID-19 Vaccine in Italy: A Mediation Analysis.

Relationship between Citizens' Health Engagement and Intention to Take the COVID-19 Vaccine in Italy: A Mediation Analysis.
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DOI:
10.3390/vaccines8040576
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发表时间:
2020-10-01
期刊:
影响因子:
7.8
通讯作者:
Barello S
Barello S
中科院分区:
医学3区
文献类型:
--
作者:
Graffigna G;Palamenghi L;Boccia S;Barello S

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未来针对冠状病毒SARS-CoV-2的疫苗接种的实际有效性可能会受到疫苗犹豫不决的挑战,这是一种相当常见和已知的现象,其心理预测因素仍在很大程度上存在争议。我们的研究旨在了解成年公民的健康参与、感知的新冠肺炎易感性和严重性以及与疫苗相关的一般态度如何影响接种新冠肺炎疫苗的意愿。为此,我们在意大利公民的样本上实施了路径模型,以测试卫生参与对接种SARS-CoV-2疫苗的意愿的影响,以及这种关系是直接的还是通过对疫苗的总体态度和风险认知来调节的。此外,我们还对模型的结构不变性和弱不变性进行了跨性别和三个年龄组的检验。结果表明,健康参与与接种疫苗的意向呈正相关,这种关系部分地受到对疫苗的总体态度的影响。该模型在不同性别之间似乎不变,在不同年龄段之间部分不变,这表明感知易感性的作用存在一些差异。这些发现证实了旨在维持未来疫苗接种计划的教育活动的实施,其中也包括促进健康参与。
The actual effectiveness of the still-to-come vaccination against the coronavirus SARS-CoV-2 might be challenged by vaccine hesitancy, a rather common and known phenomenon whose psychological predictors are, nevertheless, still largely debated. Our study aims at understanding how adult citizens’ health engagement, perceived COVID-19 susceptibility and severity, and general vaccine-related attitudes affect the willingness to vaccinate against COVID-19. To that end, on a sample of Italian citizens, we implemented a path model to test the impact of health engagement on the willingness to vaccinate against SARS-CoV-2, and whether this relationship is direct or mediated by the general attitude towards vaccines and the risk perception. Moreover, we tested the configural and weak invariance of the model across gender and three age groups. Results show that health engagement is positively related to the intention to vaccinate and that this relationship is partially mediated by the general attitude towards vaccines. The model appears invariant across genders and partially invariant across age groups, showing some differences in the role of perceived susceptibility. These findings vouch for the implementation of educational campaigns aimed at sustaining future vaccination programs that also include health engagement promotion.
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