Exploratory study of the global intent to accept COVID-19 vaccinations.
Exploratory study of the global intent to accept COVID-19 vaccinations.
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DOI：
10.1038/s43856-021-00027-x
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Larson, Heidi J
中科院分区：
文献类型：
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作者：
de Figueiredo, Alexandre;Larson, Heidi J
随着世界开始推出多种COVID-19疫苗，大流行退出战略取决于这些疫苗的广泛接受。在这项研究中，我们进行了一项大规模的全球探索性研究，以检查COVID-19疫苗接受程度，并探讨接受程度的社会人口决定因素。在2020年10月31日至2020年12月15日期间，通过具有全国代表性的调查设计，对32个国家的26,759人进行了调查。贝叶斯方法用于估计COVID-19疫苗接种接受度，并探索接受度的社会人口决定因素，以及自我报告的健康状况与对政府处理大流行和接受度的信心之间的联系。在黎巴嫩、法国、克罗地亚和塞尔维亚，接受COVID-19疫苗的意愿很低，波兰和巴基斯坦的接受程度存在人口层面的两极分化。所有国家的平均水平是，男性、65岁以上、受教育程度高，并且相信政府正在很好地应对疫情，这些都与越来越多的人表示接受有关，但也存在各国的具体差异。在巴西和美国，人们认为政府对疫情处理得很好，这与较低的疫苗接种意图有关。在英国，我们发现，2020年12月批准的首支COVID-19疫苗似乎并未对英国的疫苗接受度产生影响，尽管随着疫苗的推广持续到2021年，英国的接受程度超过了在推广前进行的大规模调查中所表明的意图。确定可能调节新型COVID-19疫苗吸收的因素可以为有效的免疫规划和政策提供信息。不同社会人口群体表示接受疫苗的意愿不同，可能有助于深入了解低信心的具体原因，并可能建议和告知有针对性的宣传政策，以增强信心。这项研究的目的是了解世界各国接受COVID-19疫苗的人的百分比，以及了解哪些人群或多或少可能接受疫苗。我们分析了对32个国家进行的关于人们接种COVID-19疫苗意愿的调查的反应，发现黎巴嫩、法国、克罗地亚和塞尔维亚接受COVID-19疫苗的意愿相对较低。我们还发现，在所考虑的所有国家中，男性、年龄较大或受教育程度较高与表示愿意接受COVID-19疫苗的可能性增加有关。通过了解为什么不同群体对COVID-19疫苗有不同的看法，我们可能能够更好地了解具体问题，并帮助医疗保健政策制定者设计更有效的风险沟通策略。de Figueiredo等人开展了一项全球探索性研究，根据对32个国家的调查估计COVID-19疫苗接种接受程度及其决定因素。除了一些例外，他们发现与疫苗接受度增加相关的因素是男性、年龄在65岁以上、受过高等教育，以及相信他们的政府正在很好地应对这场大流行。
As the world begins the rollout of multiple COVID-19 vaccines, pandemic exit strategies hinge on widespread acceptance of these vaccines. In this study, we perform a large-scale global exploratory study to examine the levels of COVID-19 vaccine acceptance and explore sociodemographic determinants of acceptance. Between October 31, 2020 and December 15, 2020, 26,759 individuals were surveyed across 32 countries via nationally representative survey designs. Bayesian methods are used to estimate COVID-19 vaccination acceptance and explore the sociodemographic determinants of uptake, as well as the link between self-reported health and faith in the government’s handling of the pandemic and acceptance. Here we show that intent to accept a COVID-19 vaccine is low in Lebanon, France, Croatia, and Serbia and there is population-level polarisation in acceptance in Poland and Pakistan. Averaged across all countries, being male, over 65, having a high level of education, and believing that the government is handling the pandemic well are associated with increased stated acceptance, but there are country-specific deviations. A belief that the government is handling the pandemic well in Brazil and the United States is associated with lower vaccination intent. In the United Kingdom, we find that approval of the first COVID-19 vaccine in December 2020 did not appear to have an impact on the UK’s vaccine acceptance, though as rollout has continued into 2021, the UK’s uptake exceeds stated intent in large-scale surveys conducted before rollout. Identifying factors that may modulate uptake of novel COVID-19 vaccines can inform effective immunisation programmes and policies. Differential stated intent to accept vaccines between socio-demographic groups may yield insights into the specific causes of low confidence and may suggest and inform targeted communication policies to boost confidence. The aim of this study was to understand what percentage of people would accept a COVID-19 vaccine in various countries across the world, and to understand what groups of people would be more or less likely to accept the vaccine. We analysed the response to surveys about people’s intention to get a COVID-19 vaccine performed in 32 countries, and find that intent to accept a COVID-19 vaccine is comparatively low in Lebanon, France, Croatia, and Serbia. We also find that across all countries considered, being male, older, or having a high level of education is associated with increased likelihood to state a willingness to accept a COVID-19 vaccine. By understanding why different groups have differing opinions about the COVID-19 vaccine, we may be able to better understand specific concerns and assist healthcare policymakers to design more effective risk-communication strategies. de Figueiredo et al. perform a global exploratory study to estimate COVID-19 vaccination acceptance and its determinants based on a survey across 32 countries. With some exceptions, they find that factors associated with increased vaccine acceptance are male sex, age over 65, being highly educated, and a belief that their government is handling the pandemic well.