Overcoming COVID-19 Vaccine Hesitancy: Insights from an Online Population-Based Survey in the United States.
Overcoming COVID-19 Vaccine Hesitancy: Insights from an Online Population-Based Survey in the United States.
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DOI：
10.3390/vaccines9101100
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发表时间：
2021-09-28
期刊：
影响因子：
7.8
通讯作者：
Amos CI
中科院分区：
文献类型：
--
作者：
Badr H;Zhang X;Oluyomi A;Woodard LD;Adepoju OE;Raza SA;Amos CI
本研究旨在基于健康信念模型（HBM）和计划行为理论（TPB）确定COVID-19疫苗犹豫的个人水平决定因素。以英文和西班牙文分发了一份在线人口调查。数据来自1208名美国成年人（52%为女性; 38.7%为少数民族），其中43.5%报告了疫苗犹豫。多变量分析显示，失业者更有可能（OR = 1.78，95% CI：1.16-2.73，p = 0.009）和已婚（OR = 0.57，95%CI：0.39-0.81，p = 0.002）和高收入人群（OR = 0.52，95%CI 0.32-0.84，p = 0.008）不太可能犹豫不决。对COVID-19易感性更高的个体（OR = 0.82，95%CI：0.71-0.94，p = 0.006），认为接种方便（OR = 0.86，95%CI：0.74-1.00，p = 0.047），且对来自政府的行动提示更重视（OR = 0.84，95%CI：0.74-0.95，p = 0.005）、公共卫生（OR = 0.70，95%CI：0.59-0.82，p < 0.001）和医疗保健专家（OR = 0.59，95%CI：0.50-0.69，p < 0.001）也不太可能犹豫不决。研究结果表明，HBM和TPB构建体可能有助于为改善COVID-19疫苗吸收的策略提供信息。具体而言，根据对COVID-19易感性的看法制定呼吁，方便接种疫苗，并通过统一的行动线索重建信任，可能有助于克服疫苗犹豫。
This study sought to identify individual-level determinants of COVID-19 vaccine hesitancy based on the Health Belief Model (HBM) and Theory of Planned Behavior (TPB). An online population-based survey was distributed in English and Spanish. Data were derived from 1208 U.S. adults (52% female; 38.7% minorities), 43.5% of whom reported vaccine hesitancy. Multivariable analysis revealed that unemployed individuals were more likely (OR = 1.78, 95% CI: 1.16–2.73, p = 0.009) and married (OR = 0.57, 95% CI: 0.39–0.81, p = 0.002) and higher income individuals (OR = 0.52, 95% CI 0.32–0.84, p = 0.008) were less likely to be hesitant. Individuals with greater perceived susceptibility to COVID-19 (OR = 0.82, 95% CI: 0.71–0.94, p = 0.006), who perceived vaccination as being convenient (OR = 0.86, 95% CI: 0.74–1.00, p = 0.047), and who afforded greater importance to cues to action from government (OR = 0.84, 95% CI: 0.74–0.95, p = 0.005), public health (OR = 0.70, 95% CI: 0.59–0.82, p < 0.001), and healthcare experts (OR = 0.59, 95% CI: 0.50–0.69, p < 0.001) were also less likely to be hesitant. Findings suggest that HBM and TPB constructs may be useful in informing strategies to improve COVID-19 vaccine uptake. Specifically, framing appeals based on perceptions of COVID-19 susceptibility, making vaccination convenient, and rebuilding trust through unified cues to action may help to overcome vaccine hesitancy.
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影响因子：
5.9
作者：
Khubchandani J;Sharma S;Price JH;Wiblishauser MJ;Sharma M;Webb FJ
通讯作者：
Webb FJ
消息框架，感知的易感性以及在非洲裔美国父母中为儿童接种HPV的意图。
影响因子：
3.9
作者：
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通讯作者：
Tracy K
DOI：
10.1016/j.socscimed.2020.113638
发表时间：
2021-03
期刊：
Social science & medicine (1982)
影响因子：
--
作者：
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通讯作者：
Motta M
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
56.9
作者：
Britton, Tom;Ball, Frank;Trapman, Pieter
通讯作者：
Trapman, Pieter