Enablers and barriers to COVID-19 vaccine uptake: An international study of perceptions and intentions.

Enablers and barriers to COVID-19 vaccine uptake: An international study of perceptions and intentions.
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DOI:
10.1016/j.vaccine.2021.07.056
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发表时间:
2021-08-23
期刊:
影响因子:
5.5
通讯作者:
Massey G
Massey G
中科院分区:
医学3区
文献类型:
--
作者:
Burke PF;Masters D;Massey G

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COVID-19疫苗的开发正以前所未有的速度进行,但需要高覆盖率才能取得成功。这项研究探讨了个人的心理信念,可能会作为推动者和接种疫苗的意图的障碍。使用健康信念模型作为我们的概念框架的指导,我们探讨了影响疫苗犹豫和健康信念的因素,关于疾病的风险和严重程度,沿着个人变量,如收入,年龄,宗教,利他主义和集体主义。使用新创建的措施,为各种前因的问卷提供了4303个可用的答案,来自澳大利亚,加拿大,英国,新西兰和美国。因子分析和结构方程模型表明,对疫苗批准的信任、疫苗保护他人的有效性和阴谋信念是接种疫苗意图的最重要驱动因素。老年人、求职者和最近接种过流感疫苗的人更有可能接种COVID-19疫苗。这些发现对改善针对个人的疫苗接种优点的沟通策略具有影响,特别是关注年轻人和扩大信息框架以包括利他主义考虑,并提高政府关于疫苗有效性和副作用的透明度。
The development of COVID-19 vaccines is occurring at unprecedented speeds, but require high coverage rates to be successful. This research examines individuals’ psychological beliefs that may act as enablers and barriers to vaccination intentions. Using the health beliefs model as a guide to our conceptual framework, we explore factors influencing vaccine hesitancy and health beliefs regarding risks and severity of the disease, along with individual variables such as income, age, religion, altruism, and collectivism. A questionnaire using newly created measures for various antecedents provided 4303 usable responses from Australia, Canada, England, New Zealand, and the United States. A factor analytic and structural equation model indicates that trust in vaccine approval, the perceived effectiveness of the vaccine for protecting others, and conspiracy beliefs are the most significant drivers of intentions to vaccinate. Older people, those seeking employment, and those who have received a recent influenza vaccine are more likely to be vaccinated against COVID-19. The findings have implications for improving communication strategies targeting individuals about the merits of vaccination, particularly focusing on younger individuals and expanded message framing to include altruistic considerations, and to improve government transparency regarding the effectiveness and side effects of vaccines.
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