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癌症患者对疫苗的热情与犹豫以及网络研讨会的影响

Vaccine Enthusiasm and Hesitancy in Cancer Patients and the Impact of a Webinar.

作者信息

Kelkar Amar H, Blake Jodian A, Cherabuddi Kartikeya, Cornett Hailee, McKee Bobbie L, Cogle Christopher R

机构信息

Division of Hematology and Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL 32610, USA.

Office of Community Outreach, Engagement & Equity, UF Health Cancer Center, Gainesville, FL 32610, USA.

出版信息

Healthcare (Basel). 2021 Mar 19;9(3):351. doi: 10.3390/healthcare9030351.

Abstract

(1) Background: Vaccine hesitancy and rejection are major threats to controlling coronavirus disease 2019 (COVID-19). There is a paucity of information about the attitudes of cancer patients towards vaccinations and the role of clinical oncologists in influencing vaccination acceptance. (2) Methods: Cancer patients and caregivers were invited to participate in a webinar and two surveys (pre- and post-webinar) assessing intention and thought processes associated with receiving COVID-19 vaccines. (3) Results: Two hundred and sixty-four participants participated in the webinar and registered to take at least one survey. Participants reported receiving most of their COVID-19 vaccine information from their doctor, clinic, or hospital. Before the webinar, 71% of participants reported the intention to receive a COVID-19 vaccine, 24% were unsure, and 5% had no intention of receiving a vaccine. The strongest predictors of vaccine enthusiasm were (a) planning to encourage the vaccination of family, friends, co-workers, and community, and (b) physician recommendation. The chief reason for vaccine hesitancy was a fear of side effects. After the webinar, 82.5% reported the intention to receive a vaccine, 15.4% were still unsure, and 2% stated that they had no intention of receiving a vaccine. The webinar shifted the attitude towards vaccine enthusiasm, despite an already vaccine-enthusiastic population. Communicating about vaccines using positive framing is associated with greater vaccine enthusiasm. (4) Conclusions: Patient education programs co-hosted by multiple stakeholders and delivered by oncologists can increase cancer patient enthusiasm for COVID-19 vaccination.

摘要

(1)背景:疫苗犹豫和抵制是控制2019冠状病毒病(COVID-19)的主要威胁。关于癌症患者对疫苗接种的态度以及临床肿瘤学家在影响疫苗接种接受度方面的作用,相关信息匮乏。(2)方法:邀请癌症患者及其护理人员参加一次网络研讨会以及两项调查(网络研讨会前和网络研讨会后),以评估与接种COVID-19疫苗相关的意愿和思维过程。(3)结果:264名参与者参加了网络研讨会并登记至少参加一项调查。参与者报告称,他们获得的大部分COVID-19疫苗信息来自医生、诊所或医院。在网络研讨会前,71%的参与者表示有接种COVID-19疫苗的意愿,24%不确定,5%无意接种疫苗。疫苗热情的最强预测因素是:(a)计划鼓励家人、朋友、同事和社区接种疫苗,以及(b)医生的建议。疫苗犹豫的主要原因是担心副作用。网络研讨会后,82.5%的人表示有接种疫苗的意愿,15.4%仍然不确定,2%表示无意接种疫苗。尽管人群中已经存在对疫苗的热情,但网络研讨会仍改变了人们对疫苗热情的态度。使用积极框架来传达疫苗信息与更高的疫苗热情相关。(4)结论:由多个利益相关者共同主办、由肿瘤学家开展的患者教育项目可以提高癌症患者对COVID-19疫苗接种的热情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad15/8003419/a8d3c406d98f/healthcare-09-00351-g001.jpg

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