Wang Yongyi, Zhang Xinping
School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Psychol. 2021 Dec 8;12:783401. doi: 10.3389/fpsyg.2021.783401. eCollection 2021.
Pediatric COVID-19 vaccine hesitancy hinders the establishment of immune barrier in children. Psychological flexibility may be a key contributing factor to pediatric COVID-19 vaccine hesitancy, and self-efficacy and coping style play an important role in the relationship, but the underlying mechanisms remain unknown. A cross-sectional study was conducted on parents from June 2021 to July 2021. A total of 382 parents were recruited for an online-investigation. Serial mediation models were used to examine whether self-efficacy and coping style mediated in the psychological flexibility-pediatric COVID-19 vaccine hesitancy linkage. Psychological flexibility was negatively related to pediatric COVID-19 vaccine hesitancy ( = -0.198, < 0.001). Coping styles rather than self-efficacy played a mediating role independently (95% CI: -0.263 to -0.058). Serial mediation analyses indicated that self-efficacy and coping style co-play a serial mediating role in the association of psychological flexibility and pediatric COVID-19 vaccine hesitancy (95% CI: -0.037 to -0.001). The present study showed that high psychological flexibility, high self-efficacy, and positive coping style were conducive to the lower pediatric COVID-19 vaccine hesitancy.
儿童对新冠疫苗的犹豫阻碍了儿童免疫屏障的建立。心理灵活性可能是导致儿童对新冠疫苗犹豫的一个关键因素，自我效能感和应对方式在这种关系中起着重要作用，但其潜在机制尚不清楚。2021年6月至2021年7月对家长进行了一项横断面研究。共招募了382名家长进行在线调查。采用系列中介模型来检验自我效能感和应对方式是否在心理灵活性与儿童对新冠疫苗犹豫的联系中起中介作用。心理灵活性与儿童对新冠疫苗的犹豫呈负相关（ = -0.198， < 0.001）。应对方式而非自我效能感独立起中介作用（95%置信区间：-0.263至-0.058）。系列中介分析表明，自我效能感和应对方式在心理灵活性与儿童对新冠疫苗犹豫的关联中共同起系列中介作用（95%置信区间：-0.037至-0.001）。本研究表明，高心理灵活性、高自我效能感和积极的应对方式有助于降低儿童对新冠疫苗的犹豫。
