Hesitancy in the time of coronavirus: Temporal, spatial, and sociodemographic variations in COVID-19 vaccine hesitancy.

Hesitancy in the time of coronavirus: Temporal, spatial, and sociodemographic variations in COVID-19 vaccine hesitancy.
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DOI:
10.1016/j.ssmph.2021.100896
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发表时间:
2021-09
期刊:
SSM - population health
影响因子:
--
通讯作者:
Li GM
Li GM
中科院分区:
其他
文献类型:
--
作者:
Liu R;Li GM

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本研究利用2021年1月至3月对443,680名受访者进行的全国代表性调查数据,考察了美国COVID-19疫苗犹豫的时间、空间和社会人口统计学差异。使用描述性分析和多层次混合效应回归模型,我们发现各州之间持续存在党派分歧和显着的种族差异,由于信心和谨慎,黑人比白人更容易产生疫苗犹豫。随着时间的推移,黑人的疫苗犹豫率急剧下降,但各州之间的差异很小,这表明了有效解决疫苗接种不平等问题的新方向。结果还显示出细微的性别差异,女性更容易因谨慎而犹豫不决,而男性更容易因自满而犹豫不决。此外,我们发现种族、性别和教育之间存在重要的交叉点,需要努力充分解决最脆弱和处境不利群体的关切。COVID-19疫苗犹豫(VH)涉及信心,谨慎和自满等因素。由于自信和谨慎,黑人比白人更容易患上VH。随着时间的推移,黑人的VH急剧下降,但各州之间的差异很小。教育对VH的影响在西班牙裔美国人中非常小。女性更容易发展VH由于谨慎和男性更容易有VH由于自满。
Leveraging nationally representative survey data on 443,680 respondents from January to March 2021, this study examines the temporal, spatial, and sociodemographic variations in COVID-19 vaccine hesitancy in the U.S. Findings reveal multidimensional determinants of vaccination intentions involving confidence, complacency, and circumspection factors. Using descriptive analyses and multilevel mixed-effects regression models, we find persistent partisan divide across states and significant racial disparities, with Blacks more likely to develop vaccine hesitancy due to confidence and circumspection than Whites. Vaccine hesitancy among Blacks declines dramatically across time but varies little across states, indicating new directions to effectively address inequalities in vaccination. Results also show nuanced gender differences, with women more likely to develop hesitancy due to circumspection and men more likely to have hesitancy due to complacency. Moreover, we find important intersection between race, gender, and education that calls for efforts to adequately address the concerns of the most vulnerable and disadvantaged groups. COVID-19 vaccine hesitancy (VH) involves factors like confidence, circumspection, and complacency. Blacks are more likely to develop VH due to confidence and circumspection than Whites. VH among Blacks declines dramatically across time but varies little across states. The effect of education on VH is very small among Hispanics. Women are more likely to develop VH due to circumspection and men more likely to have VH due to complacency.
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