Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Mult Scler Relat Disord. 2021 Apr;49:102788. doi: 10.1016/j.msard.2021.102788. Epub 2021 Jan 22.
As vaccines for the coronavirus become available, it will be important to know the rate of COVID-19 vaccine acceptability in adults with multiple sclerosis (MS), given that vaccination will be a key strategy for preventing SARS-CoV-2 infections. Using a national sample of adults with MS in the United States obtained early in the COVID-19 pandemic, the current study aimed to: (1) assess willingness to get a COVID-19 vaccine when available; (2) determine demographic, MS, and psychosocial correlates of vaccine willingness; and (3) measure where people with MS get their COVID-19 information and their perceived trustworthiness of such sources, which may influence COVID-19 vaccine willingness.
Adults with MS (N = 486) living in the United States completed a cross-sectional online survey (between 10 April 2020 and 06 May 2020) about their willingness to receive a COVID-19 vaccination once available. Participants also completed measures to describe the sample and to assess factors potentially related to vaccine willingness, including demographics, MS-specific variables, psychological measures, COVID-19 information sources, and perceived trustworthiness of their information sources.
Approximately two-thirds of the participants (66.0%) reported a willingness to obtain a future COVID-19 vaccine, whereas 15.4%of the sample was unwilling. Greater willingness to receive the vaccine was associated with having a higher level of education and holding a higher perception of one's risk of catching COVID-19. Participants reported accessing COVID-19 information from many different sources. Approximately a third (31.6%) of the sample reported getting their information from healthcare providers. Healthcare providers and the National MS Society had the highest perceived trustworthiness for COVID-19 information. The perceived trustworthiness of information sources was highly associated with vaccine willingness.
Early in the pandemic, willingness to get a COVID-19 vaccine was not universal in this large sample or people living with MS. Vaccine willingness was associated with a few variables including education level, perceived risk for COVID-19 infection, and trust in COVID-19 information sources. These results have important implications for guiding healthcare providers and the MS community as COVID-19 vaccines become widely available.
随着冠状病毒疫苗的推出,了解患有多发性硬化症(MS)的成年人对 COVID-19 疫苗的接受率将非常重要,因为接种疫苗将是预防 SARS-CoV-2 感染的关键策略。本研究利用美国 COVID-19 大流行早期获得的全国性 MS 成年人样本,旨在:(1)评估在获得 COVID-19 疫苗时的接种意愿;(2)确定疫苗接种意愿的人口统计学、MS 和心理社会相关因素;(3)衡量 MS 患者从何处获得 COVID-19 信息及其对这些信息源的信任程度,这些因素可能会影响 COVID-19 疫苗的接种意愿。
居住在美国的 MS 成年人(N=486)在 2020 年 4 月 10 日至 5 月 6 日期间完成了一项关于他们在获得 COVID-19 疫苗后接种意愿的横断面在线调查。参与者还完成了描述样本的措施,以及评估可能与疫苗接种意愿相关的因素,包括人口统计学、MS 特定变量、心理测量、COVID-19 信息来源以及对信息来源的信任程度。
大约三分之二的参与者(66.0%)表示愿意接受未来的 COVID-19 疫苗接种,而样本中有 15.4%的人不愿意接种。更高的接种意愿与受教育程度更高和对感染 COVID-19 的风险更高的认知有关。参与者报告从许多不同的来源获取 COVID-19 信息。大约三分之一(31.6%)的样本报告从医疗保健提供者那里获取信息。医疗保健提供者和国家多发性硬化症协会(National MS Society)对 COVID-19 信息的信任度最高。信息来源的可信度与疫苗接种意愿高度相关。
在大流行早期,在这个大型样本或患有 MS 的人群中,接受 COVID-19 疫苗的意愿并不普遍。疫苗接种意愿与一些变量有关,包括教育水平、对 COVID-19 感染的风险认知以及对 COVID-19 信息来源的信任。这些结果对指导医疗保健提供者和 MS 社区在 COVID-19 疫苗广泛可用时具有重要意义。