COVID-19 Vaccine Hesitancy and Acceptance in a Cohort of Diverse New Zealanders.

COVID-19 Vaccine Hesitancy and Acceptance in a Cohort of Diverse New Zealanders.
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COVID-19-NEAKENDERS疫苗犹豫不决和接受。

DOI:
10.1016/j.lanwpc.2021.100241
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发表时间:
2021-09
期刊:
The Lancet regional health. Western Pacific
影响因子:
--
通讯作者:
Carr PA
Carr PA
中科院分区:
其他
文献类型:
--
作者:
Prickett KC;Habibi H;Carr PA

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新西兰的免疫接种计划是抗击COVID-19的重要支柱,因此疫苗的高接种率至关重要。这项研究力求:(1)在计划推出之前,确定新西兰人的潜在疫苗接种率;(2)了解不可能/可能接种疫苗的原因;(3)探讨社会人口统计学差异在疫苗犹豫风险和原因方面的差异。数据于2021年3月通过网络调查收集(n = 1,284)。受访者是新西兰人的一个大的,预先存在的社会研究抽样框架的一部分,多样化的样本。估计多项式和logit回归,以检查疫苗犹豫的社会人口学预测因素和可能性/犹豫的原因。总体而言,70%的人报告说,一旦有疫苗,他们可能会接种疫苗(即,很可能或有点可能)。年轻和受教育程度低与更大的疫苗犹豫风险相关(即,非常不可能、有点可能或不确定)。女性比男性更有可能说他们不确定(相对风险比= 1.60)与可能或不可能,并确定对个人健康的担忧,如潜在的副作用,作为一个原因。男性对疫苗的信任以及COVID-19对他们和人口的夸大风险表示担忧。尽管大多数人打算在获得COVID-19疫苗后立即接种,但有相当一部分人更可能是年轻、女性和受教育程度较低的人,他们不确定或不太可能接种疫苗,主要是因为对未来未知副作用的看法。种族与疫苗犹豫没有统计学相关性,这表明旨在提高毛利人和太平洋岛屿人(最有可能感染COVID-19和发病的亚群)疫苗接受度的公共卫生工作应侧重于医疗保健获得方面的不平等,以提高接种率。
New Zealand's Immunisation Programme is an important pillar in the war against COVID-19, making high vaccine uptake essential. This study sought to: (1) identify potential vaccine uptake rates among New Zealanders prior to programme rollout; (2) understand reasons for unlikelihood/likelihood of vaccine uptake; and, (3) explore sociodemographic differences in risk of and reasons for vaccine hesitancy. Data were collected in March 2021 (n = 1,284) via a web-based survey. Respondents were a diverse sample of New Zealanders who were part of a large, pre-existing social research sampling frame. Multinomial and logit regressions were estimated to examine sociodemographic predictors of vaccine hesitancy and reasons for likelihood/hesitancy. Overall, 70% reported they would likely take the vaccine once available (i.e., very likely or somewhat likely). Being younger and less educated were correlated with greater vaccine hesitancy risk (i.e., very unlikely, somewhat likely, or unsure). Women were more likely than men to say they were unsure (Relative Risk Ratio = 1.60) vs. either likely or unlikely and to identify concerns regarding personal health, such as potential side effects, as a reason. Men identified concerns surrounding trust in vaccines and the perceived exaggerated risk of COVID-19 to them and the population. Although a majority intend to take the COVID-19 vaccine once available, a sizeable minority who were more likely to be young, female, and less educated, were unsure about or unlikely to get the vaccine, primarily due to perceptions of unknown future side effects. Ethnicity was not statistically associated with vaccine hesitancy, suggesting that public health efforts aimed at increasing vaccine acceptance among Māori and Pacific peoples—subgroups most at-risk of COVID-19 infection and morbidity—should focus on inequities in health care access to increase uptake.
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