Integrating health behavior theories to predict American's intention to receive a COVID-19 vaccine.

Integrating health behavior theories to predict American's intention to receive a COVID-19 vaccine.
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DOI:
10.1016/j.pec.2021.02.031
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发表时间:
2021-08
影响因子:
3.5
通讯作者:
Liu S
Liu S
中科院分区:
医学2区
文献类型:
--
作者:
Chu H;Liu S

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本研究整合了三种主要的健康行为理论,包括扩展平行过程模型、健康信念模型和计划行为理论,旨在确定影响美国人接种COVID-19疫苗意愿的社会心理因素。对美国样本(N = 934)进行了一项在线调查,评估了与COVID-19相关的风险认知和恐惧、对COVID-19疫苗的信念和态度、自我效能、社会和心理背景以及人口统计学特征对人们接种COVID-19疫苗意愿的影响。大多数受访者打算接种疫苗。然而,他们往往低估了感染COVID-19的风险。疾病暴露通过恐惧的中介导致更高的摄取意图。安全性问题对接种意愿有负向影响,而感知的社区利益与接种意愿呈正相关。对疫苗的积极态度和最近的疫苗接种史与疫苗接种意向呈正相关。这项研究证明了HBT结构在预测人们接种COVID-19疫苗的意图方面的有效性。研究结果表明,在促进COVID-19疫苗接种的干预措施中,培养对疫苗安全性的信心和反对对个体易感性的过度乐观非常重要。
Integrating constructs from three prominent health behavior theories including the extended parallel process model, the health belief model, and the theory of planned behavior, this study seeks to identify sociopsychological factors that influenced American’s intention to receive a COVID-19 vaccine. An online survey was delivered to a U.S. sample (N = 934), assessing the influences of risk perception and fear associated with COVID-19, beliefs about and attitudes toward COVID-19 vaccines, self-efficacy, social and psychological contexts, and demographic characteristics on people’s intention to get COVID-19 vaccines. Most respondents intended to get vaccinated. However, they tended to underestimate their risks of contracting COVID-19. Disease exposure led to higher uptake intent via the mediation of fear. Safety concerns negatively influenced vaccination intention, while perceived community benefits were positively associated with vaccination intention. Positive attitudes toward vaccines and recent vaccine history were positively linked to vaccination intent. This study attests the effectiveness of HBT constructs in predicting people’s intention to receive a COVID-19 vaccine. The results point to the importance of fostering confidence in vaccine safety and countering overoptimism of individual susceptibility to the disease in interventions promoting COVID-19 vaccines uptake.
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