COVID-19 vaccine intentions in the United States, a social-ecological framework.
COVID-19 vaccine intentions in the United States, a social-ecological framework.
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DOI：
10.1016/j.vaccine.2021.02.058
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发表时间：
2021-04-15
期刊：
影响因子：
5.5
通讯作者：
Kong X
中科院分区：
文献类型：
--
作者：
Latkin C;Dayton LA;Yi G;Konstantopoulos A;Park J;Maulsby C;Kong X
COVID-19疫苗犹豫是缓解大流行的主要障碍。由于疫苗犹豫发生在沿着多个维度，我们使用社会生态框架来指导COVID-19疫苗意图的检查。我们利用于二零二零年七月在美国进行的一项网上调查，研究了一旦获得COVID-19疫苗后的购买意向。592名受访者提供了数据，包括人口统计学指标、疫苗接种史、社会规范、感知风险以及对COVID-19信息来源的信任度。使用双变量和多变量多项式模型对有意接种COVID-19疫苗的受访者与无意接种或对COVID-19疫苗接种持矛盾态度的受访者进行比较。只有59.1%的样本报告他们打算获得COVID-19疫苗。在多变量多项式模型中，与接种疫苗的受访者相比，不打算接种疫苗的受访者对CDC作为COVID-19信息来源的信任程度显着降低（aOR = 0.29，CI = 0.17 - 0.50），报告COVID-19预防行为的社会规范较低（aOR = 0.67，CI 0.51 - 0.88），在COVID-19怀疑论方面得分较高（aOR = 1.44，CI = 1.28 - 1.61），确定为政治上更保守（aOR = 1.23，CI = 1.05 - 1.45），在前一年获得流感疫苗的可能性较小（aOR = 0.21，CI = 0.11 - 0.39），不太可能是女性（aOR = 0.51，CI = 0.29 - 0.87），与白色相比，黑人的可能性更大（aOR = 10.70，CI = 4.09 - 28.1）。与打算接种COVID-19疫苗的人相比，在对接种COVID-19疫苗持矛盾态度的人中观察到了高度相似的模式。这项研究的结果为COVID-19疫苗推广活动提供了几种途径，包括社交网络传播策略和跨党派消息传递，以促进疫苗信任。疫苗接种意图的种族和性别差异也表明需要根据性别和种族调整运动。
COVID-19 vaccine hesitancy is a major obstacle for pandemic mitigation. As vaccine hesitancy occurs along multiple dimensions, we used a social-ecological framework to guide the examination of COVID-19 vaccine intentions. Using an online survey in the US conducted in July 2020, we examined intentions to obtain a COVID-19 vaccine, once available. 592 respondents provided data, including measures of demographics, vaccine history, social norms, perceived risk, and trust in sources of COVID-19 information. Bivariate and multivariate multinomial models were used to compare respondents who intended to be vaccinated against COVID-19 to respondents who did not intend or were ambivalent about COVID-19 vaccination. Only 59.1% of the sample reported that they intended to obtain a COVID-19 vaccine. In the multivariate multinomial model, those respondents who did not intend to be vaccinated, as compared to those who did, had significantly lower levels of trust in the CDC as a source of COVID-19 information (aOR = 0.29, CI = 0.17–0.50), reported lower social norms of COVID-19 preventive behaviors (aOR = 0.67, CI 0.51–0.88), scored higher on COVID-19 Skepticism (aOR = 1.44, CI = 1.28–1.61), identified as more politically conservative (aOR = 1.23, CI = 1.05–1.45), were less likely to have obtained a flu vaccine in the prior year (aOR = 0.21, CI = 0.11–0.39), were less likely to be female (aOR = 0.51, CI = 0.29–0.87), and were much more likely to be Black compared to White (aOR = 10.70, CI = 4.09–28.1). A highly similar pattern was observed among those who were ambivalent about receiving a COVID-19 vaccine compared to those who intended to receive one. The results of this study suggest several avenues for COVID-19 vaccine promotion campaigns, including social network diffusion strategies and cross-partisan messaging, to promote vaccine trust. The racial and gender differences in vaccine intentions also suggest the need to tailor campaigns based on gender and race.
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DOI：
10.1177/1090198111415105
发表时间：
2012-04
期刊：
Health education & behavior : the official publication of the Society for Public Health Education
影响因子：
--
作者：
Kumar S;Quinn SC;Kim KH;Musa D;Hilyard KM;Freimuth VS
通讯作者：
Freimuth VS
DOI：
10.1080/08964289.2015.1034645
发表时间：
2015
期刊：
Behavioral medicine (Washington, D.C.)
影响因子：
--
作者：
Latkin CA;Knowlton AR
通讯作者：
Knowlton AR
影响因子：
6
作者：
Bochatay, Naike;Bajwa, Nadia M.;Nendaz, Mathieu R.
通讯作者：
Nendaz, Mathieu R.
影响因子：
4.8
作者：
Guay, Maryse;Gosselin, Virginie;Gagneur, Arnaud
通讯作者：
Gagneur, Arnaud
影响因子：
4.6
作者：
Kahan, Dan M.
通讯作者：
Kahan, Dan M.