Preferences for COVID-19 vaccine distribution strategies in the US: A discrete choice survey.
Preferences for COVID-19 vaccine distribution strategies in the US: A discrete choice survey.
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DOI：
10.1371/journal.pone.0256394
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Geng EH
中科院分区：
文献类型：
--
作者：
Eshun-Wilson I;Mody A;Tram KH;Bradley C;Sheve A;Fox B;Thompson V;Geng EH
美国的COVID-19疫苗接种活动在为接受接种的人群接种疫苗方面取得了巨大成功，然而，进一步提高疫苗接种率将需要更多创新方法来接触那些仍然犹豫不决的人群。根据人们的需求制定疫苗接种战略可以进一步提高接种率。为了告知符合公众偏好的COVID-19疫苗分配策略，我们于2021年3月15日至3月22日在美国公众（N = 2，895）中进行了一项离散选择实验。我们应用抽样权重，使用混合logit模型评估平均偏好，并确定潜在的类偏好子群。平均而言，公众优先考虑轻松，更喜欢单剂疫苗接种到两剂疫苗（平均偏好：-0.29; 95%CI：-0.37至-0.20），接种一次而不是每年（平均偏好：-0.79; 95%CI：-0.89至-0.70），并减少疫苗接种点的等待时间。疫苗实施降低了总体疫苗接受度（平均偏好-0.20; 95%CI：-0.30至-0.10），随着疫苗犹豫的增加，对疫苗实施的抵抗力增加。潜在类别分析确定了四种不同的偏好表型：第一优先的固有“疫苗特性”（46.1%），其次是关注疫苗“服务提供”（8.8%），第三组希望获得疫苗安全性的“社会证明”，并且容易受到强制执行的影响。对疫苗和服务提供特点“漠不关心”、抵制执行者占31.9%。这项研究为COVID-19公共卫生应对确定了几个关键见解。首先，确定偏好群体对于确保疫苗接种服务满足不同人口亚群的需求至关重要。其次，通过简化服务和提供公众选择（在可行的情况下）使疫苗接种变得容易并促进自主权，可能会增加那些仍然谨慎的人的接受率。而且，第三种疫苗授权有可能提高易感群体的疫苗接种率，但同时可能会促进那些最犹豫的人对控制的厌恶和抵抗。
The COVID-19 vaccination campaign in the US has been immensely successful in vaccinating those who are receptive, further increases in vaccination rates however will require more innovative approaches to reach those who remain hesitant. Developing vaccination strategies that are modelled on what people want could further increase uptake. To inform COVID-19 vaccine distribution strategies that are aligned with public preferences we conducted a discrete choice experiment among the US public (N = 2,895) between March 15 to March 22, 2021. We applied sampling weights, evaluated mean preferences using mixed logit models, and identified latent class preference subgroups. On average, the public prioritized ease, preferring single to two dose vaccinations (mean preference: -0.29; 95%CI: -0.37 to -0.20), vaccinating once rather than annually (mean preference: -0.79; 95%CI: -0.89 to -0.70) and reducing waiting times at vaccination sites. Vaccine enforcement reduced overall vaccine acceptance (mean preference -0.20; 95%CI: -0.30 to -0.10), with a trend of increasing resistance to enforcement with increasing vaccine hesitancy. Latent class analysis identified four distinct preference phenotypes: the first prioritized inherent “vaccine features” (46.1%), the second were concerned about vaccine “service delivery” (8.8%), a third group desired “social proof” of vaccine safety and were susceptible to enforcement (13.2%), and the fourth group were “indifferent” to vaccine and service delivery features and resisted enforcement (31.9%). This study identifies several critical insights for the COVID-19 public health response. First, identifying preference segments is essential to ensure that vaccination services meet the needs of diverse population subgroups. Second, making vaccination easy and promoting autonomy by simplifying services and offering the public choices (where feasible) may increase uptake in those who remain deliberative. And, third vaccine mandates have the potential to increase vaccination rates in susceptible groups but may simultaneously promote control aversion and resistance in those who are most hesitant.
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DOI：
10.1016/s2468-2667(21)00012-8
发表时间：
2021-04
期刊：
The Lancet. Public health
影响因子：
--
作者：
Schwarzinger M;Watson V;Arwidson P;Alla F;Luchini S
通讯作者：
Luchini S
DOI：
10.1027/2151-2604/a000222
发表时间：
2015
期刊：
Zeitschrift fur Psychologie
影响因子：
--
作者：
Steindl C;Jonas E;Sittenthaler S;Traut-Mattausch E;Greenberg J
通讯作者：
Greenberg J
影响因子：
4.5
作者：
Johnson, F. Reed;Lancsar, Emily;Bridges, John F. P.
通讯作者：
Bridges, John F. P.
影响因子：
13.8
作者：
Kreps S;Prasad S;Brownstein JS;Hswen Y;Garibaldi BT;Zhang B;Kriner DL
通讯作者：
Kriner DL
DOI：
10.1024/0044-3514.37.1.9
发表时间：
2006-03-01
期刊：
ZEITSCHRIFT FUR SOZIALPSYCHOLOGIE
影响因子：
--
作者：
Miron, AM;Brehm, JW
通讯作者：
Brehm, JW