Time trends, factors associated with, and reasons for COVID-19 vaccine hesitancy: A massive online survey of US adults from January-May 2021.
Time trends, factors associated with, and reasons for COVID-19 vaccine hesitancy: A massive online survey of US adults from January-May 2021.
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DOI：
10.1371/journal.pone.0260731
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Mejia R
中科院分区：
文献类型：
--
作者：
King WC;Rubinstein M;Reinhart A;Mejia R
新冠肺炎疫苗迟疑已成为提高美国疫苗接种率的主要障碍。评估美国疫苗推出期间新冠肺炎疫苗意向的时间趋势，找出与2021年5月新冠肺炎疫苗犹豫相关的关键因素和自我报告的原因。2021年1月6日至5月31日，脸书以多种语言向美国成年脸书用户提供了一项新冠肺炎调查，共产生5088,772条合格回复。数据按月汇总。调查权重将样本与美国人口的年龄、性别和州概况相匹配。人口统计、地理因素、政治/新冠肺炎环境、健康状况、信仰和行为。如果今天有人给你提供预防新冠肺炎的疫苗，你会选择接种疫苗吗？犹豫不决被定义为有反应，可能或肯定不会选择接种疫苗(而不是很可能或肯定会，或已经接种)。新冠肺炎疫苗接种迟疑率从1月份的25.4%(95%CI，25.3，25.5)下降到5月份的16.6%(95%CI，16.4，16.7)，其中黑人、太平洋岛民或西班牙裔种族/民族和≤高中教育程度的参与者的降幅相对较大。5月份疫苗接种迟迟不愿接种的独立危险因素(N=525,644)包括年龄较小、非亚裔种族、大专以上学历、居住在较农村的县、居住在2020年大选中特朗普得票率较高的县、不担心新冠肺炎、外出工作、从不故意避免与他人接触、以及过去一年没有接种过流感疫苗。不同种族/民族的犹豫不决的差异因年龄而异(例如，35岁的黑人成年人比白人成年人更犹豫不决，但45岁的成年人≥较少犹豫不决)。犹豫不决的年龄差异因种族/民族而异。几乎一半对疫苗犹豫不决的受访者报告了对副作用的恐惧(49.2%[95%可信区间，48.7，49.7])和不信任新冠肺炎疫苗(48.4%[95%可信区间，48.0，48.9])；超过三分之一的受访者报告不信任政府，不需要疫苗，并等待是否安全。原因因疫苗意向的程度和种族/民族而不同。新冠肺炎疫苗的犹豫不决因人口统计数据、地理位置、信仰和行为而异，这表明需要一系列信息和政策选项来针对高犹豫不决的群体。
COVID-19 vaccine hesitancy has become a leading barrier to increasing the US vaccination rate. To evaluate time trends in COVID-19 vaccine intent during the US vaccine rollout, and identify key factors related to and self-reported reasons for COVID-19 vaccine hesitancy in May 2021. A COVID-19 survey was offered to US adult Facebook users in several languages yielding 5,088,772 qualifying responses from January 6 to May 31, 2021. Data was aggregated by month. Survey weights matched the sample to the age, gender, and state profile of the US population. Demographics, geographic factors, political/COVID-19 environment, health status, beliefs, and behaviors. “If a vaccine to prevent COVID-19 were offered to you today, would you choose to get vaccinated.” Hesitant was defined as responding probably or definitely would not choose to get vaccinated (versus probably or definitely would, or already vaccinated). COVID-19 vaccine hesitancy decreased by one-third from 25.4% (95%CI, 25.3, 25.5) in January to 16.6% (95% CI, 16.4, 16.7) in May, with relatively large decreases among participants with Black, Pacific Islander or Hispanic race/ethnicity and ≤high school education. Independent risk factors for vaccine hesitancy in May (N = 525,644) included younger age, non-Asian race, < 4 year college degree, living in a more rural county, living in a county with higher Trump vote share in the 2020 election, lack of worry about COVID-19, working outside the home, never intentionally avoiding contact with others, and no past-year flu vaccine. Differences in hesitancy by race/ethnicity varied by age (e.g., Black adults more hesitant than White adults <35 years old, but less hesitant among adults ≥45 years old). Differences in hesitancy by age varied by race/ethnicity. Almost half of vaccine hesitant respondents reported fear of side effects (49.2% [95%CI, 48.7, 49.7]) and not trusting the COVID-19 vaccine (48.4% [95%CI, 48.0, 48.9]); over one-third reported not trusting the government, not needing the vaccine, and waiting to see if safe. Reasons differed by degree of vaccine intent and by race/ethnicity. COVID-19 vaccine hesitancy varied by demographics, geography, beliefs, and behaviors, indicating a need for a range of messaging and policy options to target high-hesitancy groups.
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影响因子：
9
作者：
Head KJ;Kasting ML;Sturm LA;Hartsock JA;Zimet GD
通讯作者：
Zimet GD
影响因子：
39.2
作者：
Fisher, Kimberly A.;Bloomstone, Sarah J.;Mazor, Kathleen M.
通讯作者：
Mazor, Kathleen M.
影响因子：
1.8
作者：
Freedman, David A.
通讯作者：
Freedman, David A.
影响因子：
2.8
作者：
King WC;Rubinstein M;Reinhart A;Mejia R
通讯作者：
Mejia R
结构性种族主义，社会危险因素和共同-19-对黑人美国人的危险融合。
DOI：
10.1056/nejmp2023616
发表时间：
2020-09-17
期刊：
The New England journal of medicine
影响因子：
--
作者：
Egede LE;Walker RJ
通讯作者：
Walker RJ