Will they, or Won't they? Examining patients' vaccine intention for flu and COVID-19 using the Health Belief Model.

Will they, or Won't they? Examining patients' vaccine intention for flu and COVID-19 using the Health Belief Model.
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DOI:
10.1016/j.sapharm.2020.12.012
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发表时间:
2021-09
期刊:
Research in social & administrative pharmacy : RSAP
影响因子:
--
通讯作者:
Law AV
Law AV
中科院分区:
其他
文献类型:
--
作者:
Mercadante AR;Law AV

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流感和COVID-19的孪生发病率使药剂师在告知和管理疫苗接种方面处于高影响力的地位。鉴于美国此前对疫苗的犹豫以及当前COVID-19对人口的高度影响,必须了解和解决推动接种疫苗的观念和意图的因素。该研究的目的是1)确定COVID-19大流行对流感疫苗接种、患者对疫苗接种的看法、疫苗接种意向和健康行为的影响,以及2)通过健康信念模型确定疫苗接种意向。对符合条件的受访者进行了一项IRB批准的前瞻性Qualtrics调查:美国境内18岁或以上的非妊娠小组受访者,他们可以独立用英语完成整个问卷。数据分析包括描述性统计、5C和CoBQ工具的心理测量学分析、比较人口统计学组和疫苗意向项目与调查得分的单因素方差分析、以及HBM与一个附加域(决策决定因素,DMD)的映射和路径分析。525名受访者于2020年10月23日至29日完成了调查。18-49岁的受访者,收入低于20,000美元或未公开的收入,并且没有任何人直接受到COVID-19的影响,表明COVID-19对健康行为产生了重大的负面影响,并且疫苗接受度显着降低。5C和CoBQ显示出中等强度的可靠性。HBM的映射揭示了除种族/民族外的所有修正因素与个体感知之间的显着相关性。在个体感知中,感知益处(-0.114)和感知障碍(0.307)显著预测DMD并直接影响疫苗意向。DMD不是疫苗接种意愿的显著中介变量。疫苗接种信息应侧重于简单但平衡的利益和风险观点,针对50岁以下和生活在低收入家庭的人群,以激励流感和COVID-19疫苗的接种。
The twindemic of influenza and COVID-19 places pharmacists in a position of high-impact to inform and manage vaccination uptake. Given prior vaccine hesitancy in the US and the current high impact of COVID-19 on the population, it is imperative to understand and address factors that drive perceptions and intention to get vaccinated. The objectives of the study were to 1) determine impact of the COVID-19 pandemic on influenza vaccine uptake, on patient perceptions of vaccinations, vaccine intention, and health behaviors and 2) determine vaccine intention through the Health Belief Model. An IRB-approved prospective Qualtrics-based survey was administered online to eligible respondents: non-pregnant panel respondents 18 years or older within the United States who could independently complete the entire questionnaire in English. Data analyses included descriptive statistics, psychometric analyses of the 5C and CoBQ tools, one-way ANOVA to compare demographic groups and vaccine intention items with survey scores, and mapping and path analysis of the HBM with one added domain (Decision Making Determinant, DMD). 525 respondents completed the survey from October 23–29, 2020. Respondents aged 18–49, making less than $20,000 or an undisclosed income, and not having anyone close to them directly affected by COVID-19 showed a significant, negative impact of COVID-19 on health behavior and a significantly lower vaccine acceptance. The 5C and CoBQ showed moderately strong reliability. Mapping for the HBM revealed significant correlations between all modifying factors with Individual Perceptions except for Race/Ethnicity. Of the Individual Perceptions, Perceived Benefits (-.114) and Perceived Barriers (.307) significantly predicted DMD and directly impacted Vaccine Intention. DMD was not a significant mediator of Vaccination Intention. Vaccination messaging should focus on a simple yet balanced view of benefits and risks, targeting those under age 50 and living in low-income households, to motivate uptake of influenza and COVID-19 vaccines.
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疾病的风险和在美国接种疫苗的意愿:一项基于人群的调查。
DOI: 10.1371/journal.pmed.1003354
发表时间: 2020-10
期刊: PLoS medicine
影响因子: 15.8
作者:
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DOI: 10.1371/journal.pone.0208601
发表时间: 2018-12-07
期刊: PLOS ONE
影响因子: 3.7
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发表时间: 2021-03
影响因子: 7.7
作者:
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通讯作者: Mojtahedi Z