COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear.
COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear.
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DOI：
10.1111/cts.13077
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
McElfish PA
中科院分区：
文献类型：
--
作者：
Willis DE;Andersen JA;Bryant-Moore K;Selig JP;Long CR;Felix HC;Curran GM;McElfish PA
了解和尽量减少2019冠状病毒病（COVID-19）疫苗犹豫对于人口健康和尽量减少卫生不公平至关重要，而这一点在大流行中继续得到明显缓解。我们调查了2020年7月/8月在线调查的阿肯色州成年人样本（n = 1205）中有关疫苗犹豫的问题。我们使用双变量分析和全信息最大似然（FIML）逻辑回归模型来研究社会人口统计学、COVID-19健康素养、对COVID-19感染的恐惧、对疫苗的普遍信任以及COVID-19疫苗犹豫之间的关系。五分之一（21.21.86%）的人报告对接种COVID-19疫苗犹豫不决。对COVID-19疫苗犹豫的患病率在黑人/非洲裔美国人（50.00%）、家庭收入低于2.5万美元的受访者（30.68%）、一些大学生（32.17%）、对COVID-19感染几乎没有恐惧（62.50%）以及对疫苗的总体信任度较低（55.84%）中最高。黑人/非裔美国人对COVID-19疫苗犹豫不决的几率比白色人高2.42（p < 0.001），具有大学/技术学位的受访者比具有4年制学位的受访者高1.67（p < 0.05），不担心感染COVID-19的受访者比在很大程度上担心感染的受访者高5.48（p < 0.001），对疫苗信任度低的受访者高11.32（p < 0.001）。COVID-19疫苗犹豫的社会人口学差异引发了人们对疫苗实施可能扩大COVID-19相关感染的现有健康差距的担忧，特别是在黑人/非裔美国人中。对感染的恐惧和对疫苗的普遍不信任与疫苗犹豫显著相关。
Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID‐19 health literacy, fear of COVID‐19 infection, general trust in vaccines, and COVID‐19 vaccine hesitancy using bivariate analysis and a full information maximum likelihood (FIML) logistic regression model. One in five people (21,21.86%) reported hesitancy to take a COVID‐19 vaccine. Prevalence of COVID‐19 vaccine hesitancy was highest among Black/African Americans (50.00%), respondents with household income less than $25K (30.68%), some college (32.17%), little to no fear of infection from COVID‐19 (62.50%), and low trust in vaccines in general (55.84%). Odds of COVID‐19 vaccine hesitancy were 2.42 greater for Black/African American respondents compared to White respondents (p < 0.001), 1.67 greater for respondents with some college/technical degree compared to respondents with a 4‐year degree (p < 0.05), 5.48 greater for respondents with no fear of COVID‐19 infection compared to those who fear infection to a great extent (p < 0.001), and 11.32 greater for respondents with low trust in vaccines (p < 0.001). Sociodemographic differences in COVID‐19 vaccine hesitancy raise concerns about the potential of vaccine implementation to widen existing health disparities in COVID‐19 related infections, particularly among Black/African Americans. Fear of infection and general mistrust in vaccines are significantly associated with vaccine hesitancy.
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影响因子：
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