Perceived medical care quality during COVID-19 illness links socioeconomic disadvantage to vaccine hesitancy.
Perceived medical care quality during COVID-19 illness links socioeconomic disadvantage to vaccine hesitancy.
复制标题
DOI：
10.1016/j.pmedr.2022.102020
复制
发表时间：
2022-12
影响因子：
2.8
通讯作者：
Thomason, Moriah E.
中科院分区：
文献类型：
--
作者：
Kjos, Nils;Hendrix, Cassandra L.;Thomason, Moriah E.
2021年3月，在纽约市，COVID-19幸存者表现出较低的疫苗犹豫。客观和感知的社会经济风险预示着更高的疫苗犹豫。疾病期间较差的医疗护理预示着COVID-19疫苗犹豫的增加。感知护理介导社会经济风险与疫苗犹豫之间的关联。最大限度地提高疫苗吸收率对于优化实施COVID-19免疫规划至关重要。在美国，社会经济地位（SES）指标与COVID-19疫苗摄取的变化有关。本研究调查了有COVID-19感染史的个体的COVID-19疫苗接种行为，其具体目标是了解疾病期间的经历是否解释了疫苗接种的社会经济不均衡。我们利用纽约市感染COVID-19的大量成年人样本（n = 1584）来研究这个问题，调查疾病期间的特定经历是否解释了社会经济地位与COVID-19疫苗犹豫之间的关联。这项研究的数据是在2021年2月和3月收集的。主成分分析用于创建三个复合变量，以衡量不同的COVID-19相关经历：感染相关的健康影响、与大流行相关的社会心理障碍和COVID-19疾病期间的医疗保健感知质量。在调整相关的社会人口学协变量后，感染相关的影响和社会心理障碍都与疫苗犹豫无关。然而，在COVID-19疾病期间获得更高质量护理的看法预测了COVID-19疫苗犹豫的减少。此外，中介分析显示，COVID-19疾病期间的感知护理质量介导了客观社会经济风险与COVID-19疫苗犹豫之间的关系。这些发现突出了患者报告的疾病期间护理质量作为一个新的目标，可能会增加社会经济弱势群体的疫苗接种率。
COVID-19 survivors showed low vaccine hesitancy in New York City in March 2021. Objective and perceived socioeconomic risk predicted higher vaccine hesitancy. Worse perceived medical care during illness predicted increased COVID-19 vaccine hesitancy. Perceived care mediated association between socioeconomic risk and vaccine hesitancy. Maximizing vaccine uptake is critical for the optimal implementation of COVID-19 immunization programs. Indicators of socioeconomic status (SES) have been associated with variations in COVID-19 vaccine uptake in the United States. The present study investigates COVID-19 vaccination behavior in individuals with history of COVID-19 infection, with the specific goal of understanding whether experiences during illness explain socioeconomic disproportionalities in vaccine uptake. We leveraged a large sample of adults (n = 1584) infected with COVID-19 in NYC to examine this question, investigating whether specific experiences during illness explained the association between socioeconomic status and COVID-19 vaccine hesitancy. Data from this study were collected during February and March 2021. Principal component analysis was used to create three composite variables that measure distinct COVID-19 related experiences: infection-related health impacts, pandemic-related psychosocial disruption, and perceived quality of medical care during COVID-19 illness. Neither infection-related impacts nor psychosocial disruption were related to vaccine hesitancy after adjusting for related sociodemographic covariates. However, perceptions of higher quality care received during COVID-19 illness predicted decreased COVID-19 vaccine hesitancy. Furthermore, mediation analysis revealed that perceived care quality during COVID-19 illness mediate the relationship between objective socioeconomic risk and COVID-19 vaccine hesitancy. These findings highlight patient-reported care quality during illness as a novel target that may increase vaccine uptake among socioeconomically vulnerable populations.
登录
查看更多内容
影响因子：
4.8
作者：
Khanijahani A;Iezadi S;Gholipour K;Azami-Aghdash S;Naghibi D
通讯作者：
Naghibi D
DOI：
10.15585/mmwr.mm7022e1
发表时间：
2021-06-04
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Barry V;Dasgupta S;Weller DL;Kriss JL;Cadwell BL;Rose C;Pingali C;Musial T;Sharpe JD;Flores SA;Greenlund KJ;Patel A;Stewart A;Qualters JR;Harris L;Barbour KE;Black CL
通讯作者：
Black CL
COVID-19-NEAKENDERS疫苗犹豫不决和接受。
DOI：
10.1016/j.lanwpc.2021.100241
发表时间：
2021-09
期刊：
The Lancet regional health. Western Pacific
影响因子：
--
作者：
Prickett KC;Habibi H;Carr PA
通讯作者：
Carr PA
影响因子：
4.4
作者：
Mattiuzzi C;Lippi G
通讯作者：
Lippi G
影响因子：
2.8
作者：
Gilbert RM;Mersky JP;Lee CP
通讯作者：
Lee CP