Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review.
Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review.
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DOI：
10.1016/j.pmedr.2021.101673
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发表时间：
2022-03
影响因子：
2.8
通讯作者：
Liu Y
中科院分区：
文献类型：
--
作者：
Wang Y;Liu Y
增加妇女的疫苗接种可能会影响其家庭成员的COVID-19疫苗接种。患有疾病的人担心疫苗与当前药物的相容性。与COVID-19疫苗相关的潜在危害是最常见的报告问题。重要的是要限制社交媒体上阴谋/错误信息的传播。人们认为医疗保健提供者是一个值得信赖的来源，可能会影响他们的疫苗决策。疫苗犹豫是美国成功和最佳实施COVID-19免疫接种计划的挑战。本研究的目的是总结美国COVID-19疫苗接种意愿的多层次决定因素，为未来的干预机会提供信息。为此，我们根据PRISMA指南，通过检索2021年10月5日之前发表的PubMed发表的文章进行了快速系统综述。共纳入106篇文章。根据全国代表性研究，COVID-19整体接受率介于53. 6%至84. 4%之间。个人因素（人口统计学、健康史、行为和健康信念）、人际因素（有一位受COVID-19影响的亲密朋友/家庭成员）、医疗保健和社会因素（医疗保健提供者的建议、COVID-19相关信息的来源/凭据以及COVID-19相关阴谋论）都导致了美国对COVID-19疫苗的犹豫。这项研究表明，对COVID-19疫苗的接受程度受到各种因素的影响，特别是医疗服务提供者在提高公众接种疫苗意愿方面的作用。潜在的干预措施，以减轻人们对疫苗的担忧，并解决来自社交媒体的疫苗相关阴谋/错误信息，对于鼓励美国的疫苗接种也至关重要。
Increasing women’s vaccine uptake may influence vaccination against COVID-19 for their family members. People with medical conditions were worried about the compatibility of the vaccine with current medications. Potential harms associated with COVID-19 vaccines was the most commonly reported concern. It is important to limit the spread of conspiracy/misinformation on social media. People identified healthcare providers as a trustworthy source that may influence their vaccine decisions. Vaccine hesitancy is a challenge for the success and optimal implementation of COVID-19 immunization programs in the US. The objective of this study was to summarize multilevel determinants of COVID-19 vaccination intention in the US to inform future intervention opportunities. To this end, we conducted a rapid systematic review by searching published articles via PubMed published by October 5, 2021, following the PRISMA guidelines. One hundred and six articles were included. According to nationally representative studies, the overall COVID-19 acceptance rate ranges from 53.6% to 84.4%. Individual (demographics, health history, behaviors and health beliefs), interpersonal (having a close friend/family member impacted by COVID-19), healthcare and societal level factors (healthcare provider recommendations, source/credential of COVID-19 related information, and COVID-19 related conspiracy theories) all contributed to COVID-19 vaccine hesitancy in the US. This study demonstrates that the acceptance to COVID-19 vaccines is influenced by various factors, particularly the role of healthcare providers in enhancing public intent to vaccination. Potential interventions to mitigate people’s concerns over the vaccines and address vaccine-related conspiracy/misinformation from social media are also critical to encourage vaccine uptake in the US.
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