Determinants of COVID-19 vaccine acceptance in the US
Determinants of COVID-19 vaccine acceptance in the US
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DOI：
10.1016/j.eclinm.2020.100495
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发表时间：
2020-09-01
影响因子：
15.1
通讯作者：
Omer, Saad B.
中科院分区：
文献类型：
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作者：
Malik, Amyn A.;McFadden, SarahAnn M.;Omer, Saad B.
背景：COVID-19大流行继续对美国产生不利影响，在全球病例和死亡总数中处于领先地位。由于COVID-19疫苗正在开发中，公共卫生官员和政策制定者需要创建战略性疫苗接受信息，以有效控制大流行并防止数千人死亡。方法：我们于2020年5月利用在线平台对美国成年人口进行了调查，以了解对COVID-19大流行的风险认知，COVID-19疫苗的接受程度，和对信息来源的信任结果：在672名受访者中，有450人（67%）表示，如果建议接种COVID-19疫苗，他们会接受。男性（72%）与女性相比，老年人（>= 55岁; 78%）与年轻人相比，亚洲人（81%）与其他种族和民族相比，大学和/或研究生学位持有者（75%）与大学学位以下的人相比更有可能接受疫苗。当将报告的流感疫苗接种率与报告的COVID-19疫苗接受率进行比较时：1）未完成高中学业的参与者的流感疫苗接种率非常低（10%），而同一组中有60%的人表示他们会接受COVID-19疫苗; 2）与就业或退休人员相比，失业参与者报告的流感疫苗接种率和COVID-19疫苗接受率较低; 3）美国黑人报告的流感疫苗接种率和COVID-19疫苗接受率低于我们研究中报告的所有其他种族群体。最后，我们发现了地理差异，卫生与公众服务部（DHHS）第2区（纽约）和第5区（芝加哥）报告的COVID-19疫苗接受率低于50%。解释：尽管我们的研究发现COVID-19疫苗的接受率为67%，但疫苗接受率存在明显的人口和地理差异。在COVID-19疫苗引入美国之前，公共卫生官员和政策制定者必须优先向所有美国人，特别是那些最脆弱的人，传达有效的COVID-19疫苗接受信息。(C)2020年，任作家。爱思唯尔有限公司出版
Background: The COVID-19 pandemic continues to adversely affect the U.S., which leads globally in total cases and deaths. As COVID-19 vaccines are under development, public health officials and policymakers need to create strategic vaccine-acceptance messaging to effectively control the pandemic and prevent thousands of additional deaths.Methods: Using an online platform, we surveyed the U.S. adult population in May 2020 to understand risk perceptions about the COVID-19 pandemic, acceptance of a COVID-19 vaccine, and trust in sources of information. These factors were compared across basic demographics.Findings: Of the 672 participants surveyed, 450 (67%) said they would accept a COVID-19 vaccine if it is recommended for them. Males (72%) compared to females, older adults (>= 55 years; 78%) compared to younger adults, Asians (81%) compared to other racial and ethnic groups, and college and/or graduate degree holders (75%) compared to people with less than a college degree were more likely to accept the vaccine. When comparing reported influenza vaccine uptake to reported acceptance of the COVID-19 vaccine: 1) participants who did not complete high school had a very low influenza vaccine uptake (10%), while 60% of the same group said they would accept the COVID-19 vaccine; 2) unemployed participants reported lower influenza uptake and lower COVID-19 vaccine acceptance when compared to those employed or retired; and, 3) Black Americans reported lower influenza vaccine uptake and lower COVID-19 vaccine acceptance than all other racial groups reported in our study. Lastly, we identified geographic differences with Department of Health and Human Services (DHHS) regions 2 (New York) and 5 (Chicago) reporting less than 50 percent COVID-19 vaccine acceptance.Interpretation: Although our study found a 67% acceptance of a COVID-19 vaccine, there were noticeable demographic and geographical disparities in vaccine acceptance. Before a COVID-19 vaccine is introduced to the U.S., public health officials and policymakers must prioritize effective COVID-19 vaccine-acceptance messaging for all Americans, especially those who are most vulnerable. (C) 2020 The Authors. Published by Elsevier Ltd.