Johns Hopkins University, 3505 N. Charles St, Baltimore, MD 21218, United States.
Johns Hopkins Bloomberg School of Public Health, 120 South Hays Rd.m, Baltimore, MD 21014, United States.
Vaccine. 2022 Jan 21;40(2):325-333. doi: 10.1016/j.vaccine.2021.11.064. Epub 2021 Dec 10.
The purpose of this study is to examine factors affecting the intent to vaccinate during the 2009 H1N1 pandemic and to leverage the results to inform public health policy decisions aimed at increasing vaccine uptake during the COVID-19 pandemic. Using the National 2009 H1N1 Flu Survey data and state-level administrative data, we employ logistic regression and mediation models to estimate the association between vaccine uptake and state level public health spending, political ideology, and H1N1 case and death rates as well as a set of individual and household characteristics. We find that higher public health spending can significantly increase the intent to vaccinate, mainly through raising concerns about the pandemic and promoting vaccine relevant doctor patient interactions. We conclude that physicians, especially primary care physicians, should play more important roles in the ongoing vaccination efforts against the COVID-19 virus.
本研究旨在探讨 2009 年 H1N1 大流行期间影响接种意愿的因素，并利用研究结果为旨在提高 COVID-19 大流行期间疫苗接种率的公共卫生政策决策提供信息。本研究使用国家 2009 年 H1N1 流感调查数据和州级行政数据，采用逻辑回归和中介模型来估计疫苗接种率与州级公共卫生支出、政治意识形态、H1N1 病例和死亡率以及一系列个人和家庭特征之间的关联。我们发现，较高的公共卫生支出可以显著提高接种意愿，主要是通过提高对大流行的关注和促进疫苗相关的医患互动。我们的结论是，医生，尤其是初级保健医生，应该在当前针对 COVID-19 病毒的疫苗接种工作中发挥更重要的作用。
