Qi Li, Yang Li, Ge Jie, Yu Lan, Li Xiaomei
School of Nursing, Health Science Centre, Xi'an Jiaotong University, Xi'an 710049, China.
School of Nursing, Qiqihar Medical University, Qiqihar 161006, China.
Vaccines (Basel). 2021 Nov 6;9(11):1288. doi: 10.3390/vaccines9111288.
The COVID-19 vaccination behavior of people living with HIV (PLWH) was examined via a cross-sectional web-based survey of PLWH aged 18 years and older. The survey was conducted from l May to 20 June 2021. The survey included social demographic information; vaccination behavior (B); and questions related to perceived usefulness (PU), perceived risk (PR), subjective norms (SNs), perceived behavior control (PBC), and behavior intention (BI). The associations between the questionnaire variables and COVID-19 vaccination behavior were assessed by calculating the descriptive data, correlation analysis, and structural equation modeling. In total, 43.71% of the 350 eligible respondents had received a COVID-19 vaccine. The differences in COVID-19 vaccination behavior according to age, gender, religious belief, marital status, income, education level, and occupation were not obvious ( > 0.05). PU had a significantly negative effect on PR ( < 0.05). PR had a significantly negative effect on BI ( < 0.05). SNs had a significantly positive effect on BI ( < 0.05). BI had a significantly positive effect on B ( < 0.05). PR fully mediated the effects of PU on BI, BI fully mediated the effects of PR on B, and BI fully mediated the effects of SNs on B ( < 0.05). Health policymakers and medical workers should provide more information about the risks of vaccine application to improve the vaccination behavior of PLWH.
通过对18岁及以上艾滋病毒感染者（PLWH）进行的基于网络的横断面调查，研究了PLWH的新冠疫苗接种行为。该调查于2021年5月1日至6月20日进行。调查内容包括社会人口统计学信息、疫苗接种行为（B）；以及与感知有用性（PU）、感知风险（PR）、主观规范（SNs）、感知行为控制（PBC）和行为意图（BI）相关的问题。通过计算描述性数据、相关性分析和结构方程模型，评估问卷变量与新冠疫苗接种行为之间的关联。在350名符合条件的受访者中，共有43.71%的人接种了新冠疫苗。根据年龄、性别、宗教信仰、婚姻状况、收入、教育水平和职业划分的新冠疫苗接种行为差异不明显（P>0.05）。PU对PR有显著的负向影响（P<0.05）。PR对BI有显著的负向影响（P<0.05）。SNs对BI有显著的正向影响（P<0.05）。BI对B有显著的正向影响（P<0.05）。PR完全介导了PU对BI的影响，BI完全介导了PR对B的影响，并且BI完全介导了SNs对B的影响（P<0.05）。卫生政策制定者和医护人员应提供更多关于疫苗应用风险的信息，以改善PLWH的疫苗接种行为。
