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COVID-19 疫苗接种:一项纵向转移理论研究,旨在确定预测意向和行为的因素。

Vaccination Against COVID-19: A Longitudinal Trans-Theoretical Study to Determine Factors that Predict Intentions and Behavior.

机构信息

School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.

School of Behavioral Sciences, The Academic College of Tel Aviv-Yafo, Tel Aviv, Israel.

出版信息

Ann Behav Med. 2022 Apr 2;56(4):357-367. doi: 10.1093/abm/kaab101.

DOI:10.1093/abm/kaab101
PMID:34864833
Abstract

BACKGROUND

Despite the clear benefits of vaccination, their uptake against common infectious diseases is suboptimal. In December 2020, vaccines against COVID-19 became available.

PURPOSE

To determine factors that predict who will take the COVID-19 vaccine based on a conceptual model.

METHODS

An online survey was administered twice: prior to public vaccination, and after vaccinations were available. Participants were 309 Israelis with initial data and 240 at follow-up. Baseline questionnaires measured intentions to be vaccinated and hypothesized predictors clustered in four categories: background, COVID-19, vaccination, and social factors. Self-reported vaccination uptake was measured at follow-up.

RESULTS

Sixty-two percent of the sample reported having been vaccinated. Intentions were strongly associated with vaccination uptake and mediated the effects of other predictors on behavior. Eighty-six percent of the variance in vaccination intentions was explained by attitudes toward COVID-19 vaccination, regret for having declined vaccination, trust in vaccination, vaccination barriers, past flu vaccination, perceived social norms, and COVID-19 representations.

CONCLUSIONS

Beliefs related directly to the COVID-19 vaccine explained most of the variance in intentions to vaccinate, which in turn predicted vaccination uptake.

摘要

背景

尽管疫苗接种有明显的益处,但常见传染病的接种率仍不理想。2020 年 12 月,针对 COVID-19 的疫苗开始供应。

目的

根据一个概念模型,确定预测谁将接种 COVID-19 疫苗的因素。

方法

进行了两次在线调查:在公众接种疫苗之前和接种疫苗可用之后。参与者为 309 名有初始数据的以色列人和 240 名随访者。基线问卷测量了接种疫苗的意愿和假设的预测因素,这些因素分为四类:背景、COVID-19、疫苗接种和社会因素。在随访时测量了自我报告的疫苗接种率。

结果

样本中有 62%的人报告已经接种了疫苗。意愿与疫苗接种率密切相关,并在其他预测因素对行为的影响中起中介作用。COVID-19 疫苗接种态度、对拒绝接种疫苗的后悔、对疫苗接种的信任、疫苗接种障碍、过去的流感疫苗接种、感知到的社会规范和 COVID-19 表现解释了接种意愿 86%的差异。

结论

与 COVID-19 疫苗直接相关的信念解释了接种意愿的大部分差异,而接种意愿反过来又预测了疫苗接种率。

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