Royal society of Canada COVID-19 report: Enhancing COVID-19 vaccine acceptance in Canada
Royal society of Canada COVID-19 report: Enhancing COVID-19 vaccine acceptance in Canada
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DOI：
10.1139/facets-2021-0037
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发表时间：
2021-07-22
期刊：
影响因子：
3.1
通讯作者：
Taddio, Anna
中科院分区：
文献类型：
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作者：
MacDonald, Noni E.;Comeau, Jeannette;Taddio, Anna
COVID-19疫苗的接受程度存在于一个连续体中，从强烈反对接种疫苗的少数人，到对接受或犹豫具有不同不确定性水平的"可移动中间"异质群体，再到表示愿意接种疫苗的大多数人。接受疫苗的意愿随时间而变化。COVID-19疫苗接种决策受到许多因素的影响，包括知识、态度和信仰;社交网络;沟通环境; COVID-19社区发病率;文化和宗教影响;获取便利性;以及卫生和社区服务和政策的组织。反映了疫苗接受的复杂性，加拿大皇家学会COVID-19疫苗接受性工作组制定了一个框架，其中包括影响疫苗接受性的四个主要因素领域（人、社区、卫生保健工作者;免疫知识;卫生保健和公共卫生系统，包括联邦/省/地区/土著因素）--每一个因素都影响着其他因素，所有因素都受到教育、感染控制、合作程度和关于COVID-19免疫的宣传的影响。工作组随后制定了37项相互关联的建议，以支持COVID疫苗的接受，这些建议分为四类责任：人与社会，2。医护人员，3。卫生保健系统和地方公共卫生单位，以及4。联邦/省/地区/土著。为了取得最佳成果，所有各方都必须参与，以确保共同发展和广泛的自主权。[图形]。
COVID-19 vaccine acceptance exists on a continuum from a minority who strongly oppose vaccination, to the "moveable middle" heterogeneous group with varying uncertainty levels about acceptance or hesitancy, to the majority who state willingness to be vaccinated. Intention for vaccine acceptance varies over time. COVID-19 vaccination decisions are influenced by many factors including knowledge, attitudes, and beliefs; social networks; communication environment; COVID-19 community rate; cultural and religious influences; ease of access; and the organization of health and community services and policies.Reflecting vaccine acceptance complexity, the Royal Society of Canada Working Group on COVID-19 Vaccine Acceptance developed a framework with four major factor domains that influence vaccine acceptance (people, communities, health care workers; immunization knowledge; health care and public health systems including federal/provincial/territorial/indigenous factors)-each influencing the others and all influenced by education, infection control, extent of collaborations, and communications about COVID-19 immunization. The Working Group then developed 37 interrelated recommendations to support COVID vaccine acceptance nested under four categories of responsibility: 1. People and Communities, 2. Health Care Workers, 3. Health Care System and Local Public Health Units, and 4. Federal/Provincial/Territorial/Indigenous. To optimize outcomes, all must be engaged to ensure co-development and broad ownership.[GRAPHICS].