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美国成年人对 SARS-CoV-2 疫苗的犹豫:对健康满意度、获得医疗保健的机会和对 COVID-19 新闻关注度的作用。

SARS-CoV-2 Vaccine Hesitancy in a Sample of US Adults: Role of Perceived Satisfaction With Health, Access to Healthcare, and Attention to COVID-19 News.

机构信息

Department of Social and Behavioral Sciences, Temple University College of Public Health, Philadelphia, PA, United States.

Siminoff Research Group, Temple University College of Public Health, Philadelphia, PA, United States.

出版信息

Front Public Health. 2021 Apr 29;9:665724. doi: 10.3389/fpubh.2021.665724. eCollection 2021.

Abstract

Understanding which communities are most likely to be vaccine hesitant is necessary to increase vaccination rates to control the spread of SARS-CoV-2. This cross-sectional survey of adults ( = 501) from three cities in the United States (Miami, FL, New York City, NY, San Francisco, CA) assessed the role of satisfaction with health and healthcare access and consumption of COVID-19 news, previously un-studied variables related to vaccine hesitancy. Multilevel logistic regression tested the relationship between vaccine hesitancy and study variables. Thirteen percent indicated they would not get vaccinated. Black race (OR 2.6; 95% CI: 1.38-5.3), income (OR = 0.64; 95% CI: 0.50-0.83), inattention to COVID-19 news (OR = 1.6; 95% CI: 1.1-2.5), satisfaction with health (OR 0.72; 95% CI: 0.52-0.99), and healthcare access (OR = 1.7; 95% CI: 1.2-2.7) were associated with vaccine hesitancy. Public health officials should consider these variables when designing public health communication about the vaccine to ensure better uptake.

摘要

了解哪些社区最有可能对疫苗犹豫不决,对于提高疫苗接种率以控制 SARS-CoV-2 的传播是必要的。这项在美国三个城市(佛罗里达州迈阿密、纽约市和加利福尼亚州旧金山)进行的横断面调查研究了 501 名成年人,评估了与疫苗犹豫相关的两个先前未研究过的变量,即对健康和医疗保健获取的满意度以及对 COVID-19 新闻的消费。多水平逻辑回归测试了疫苗犹豫与研究变量之间的关系。13%的人表示他们不会接种疫苗。黑人种族(OR 2.6;95%CI:1.38-5.3)、收入(OR=0.64;95%CI:0.50-0.83)、对 COVID-19 新闻关注度低(OR=1.6;95%CI:1.1-2.5)、对健康的满意度(OR 0.72;95%CI:0.52-0.99)和医疗保健获取(OR=1.7;95%CI:1.2-2.7)与疫苗犹豫相关。公共卫生官员在设计有关疫苗的公共卫生宣传时,应考虑这些变量,以确保更好地接种疫苗。

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