Brandt Eric J, Rosenberg Julia, Waselewski Marika E, Amaro Xochitl, Wasag Jacob, Chang Tammy
Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan; Division of Cardiovascular Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
Section of General Pediatrics, Department of Pediatrics, Yale University School of Medicine, New Haven, Connecticut.
J Adolesc Health. 2021 May;68(5):869-872. doi: 10.1016/j.jadohealth.2021.02.013. Epub 2021 Apr 3.
This study aimed to understand the potential barriers and facilitators to COVID-19 vaccination among youth.
Open-ended questions regarding COVID-19 vaccination were posed to a national cohort of 14- to 24-year-olds (October 30, 2020). Responses were coded through qualitative thematic analysis. Multivariable logistic regression tested the association of demographic characteristics with vaccination unwillingness.
Among 911 respondents (response rate = 79.4%), 75.9% reported willingness to receive a COVID-19 vaccine, 42.7% had unconditional willingness, and 33.3% were conditionally willing, of which the majority (80.7%) were willing if experts deemed vaccination safe and recommended. Preferred vaccine information sources were medical organizations (42.3%; CDC, WHO) and health care professionals (31.7%). Frequent concerns with vaccination included side effects (36.2%) and efficacy (20.1%). Race predicted vaccination unwillingness (Black: odds ratio = 3.31; and Asian: odds ratio = .46, compared with white, p < .001).
Most youth in our national sample were willing to receive a COVID-19 vaccine when they believe it is safe and recommended. Public health experts and organizations must generate youth-centered materials that directly address their vaccination concerns.
本研究旨在了解青少年接种新冠疫苗的潜在障碍和促进因素。
向一个全国性的14至24岁队列（2020年10月30日）提出了关于新冠疫苗接种的开放式问题。通过定性主题分析对回答进行编码。多变量逻辑回归检验了人口统计学特征与接种意愿的关联。
在911名受访者中（回复率 = 79.4%），75.9%的人表示愿意接种新冠疫苗，42.7%的人无条件愿意，33.3%的人有条件愿意，其中大多数人（80.7%）在专家认为疫苗安全并推荐的情况下愿意接种。首选的疫苗信息来源是医学组织（42.3%；疾病控制与预防中心、世界卫生组织）和医疗保健专业人员（31.7%）。对疫苗接种的常见担忧包括副作用（36.2%）和有效性（20.1%）。种族可预测接种意愿（黑人：比值比 = 3.31；亚洲人：比值比 = 0.46，与白人相比，p <.001）。
在我们的全国样本中，大多数青少年在认为疫苗安全且被推荐时愿意接种新冠疫苗。公共卫生专家和组织必须制作以青少年为中心的材料，直接解决他们对接种疫苗的担忧。
