Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, United States.
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, United States.
Vaccine. 2022 Mar 15;40(12):1888-1895. doi: 10.1016/j.vaccine.2022.01.038. Epub 2022 Jan 26.
Among US adults, the highest rates of hesitancy to receive the COVID-19 vaccine are among young adults aged 18 to 25. Vaccine hesitancy is particularly concerning among young adults in college, where social interactions on densely populated campuses can lead to substantial community spread. Given that many colleges have opted not to mandate vaccines, identification of modifiable predictors of vaccine hesitancy - such as perceived social norms - is key to informing interventions to promote vaccine uptake. To address this need, we examined predictors of and explicit reasons for vaccine hesitancy among 989 students aged 18 to 25 recruited from four geographically diverse US universities in the spring of 2021. At the time of the survey, 57.3% had been vaccinated, 13.7% intended to be vaccinated as soon as possible, and 29.0% were vaccine hesitant. Common reasons for hesitancy were wanting to see how it affected others first (75.2%), not believing it was necessary (30.0%), and other reasons (17.4%), which were examined via content analysis and revealed prominent safety concerns. Despite these varied explicit reasons, logistic regressions revealed that, when controlling for demographics and pandemic-related experiences, perceived descriptive and injunctive social norms for vaccine uptake were each significant predictors of vaccine hesitancy (ORs = 0.35 and 0.78, respectively). When both norms were entered into the same model, only perceived descriptive norms uniquely predicted vaccine hesitancy (OR = 0.37; 95% CI: 0.29 - 0.46). Findings suggest perceived social norms are strongly associated with vaccine-related behavior among young adult college students. Correcting normative misperceptions may be a promising approach to increase vaccine uptake and slow the spread of COVID-19 among young adults.
在美国成年人中,最不愿意接种 COVID-19 疫苗的是 18 至 25 岁的年轻人。年轻人在大学校园里的社交互动可能导致社区传播,因此他们对接种疫苗犹豫不决的情况尤其令人担忧。鉴于许多大学选择不强制接种疫苗,确定可改变的疫苗犹豫预测因素(如感知到的社会规范)是为促进疫苗接种而提供信息干预措施的关键。为了解决这一需求,我们调查了来自美国四个地理位置不同的大学的 989 名 18 至 25 岁的学生对疫苗犹豫不决的预测因素和明确原因。在调查时,57.3%的人已经接种了疫苗,13.7%的人打算尽快接种疫苗,29.0%的人对接种疫苗犹豫不决。犹豫不决的常见原因是想先看看它对其他人的影响(75.2%)、认为没有必要(30.0%)和其他原因(17.4%),这些原因通过内容分析进行了检查,并揭示了突出的安全问题。尽管有这些不同的明确原因,但逻辑回归显示,在控制人口统计学和与大流行相关的经验因素后,感知到的疫苗接种描述性和指令性社会规范都是疫苗犹豫的重要预测因素(比值比分别为 0.35 和 0.78)。当将这两个规范同时纳入同一个模型时,只有感知到的描述性规范可以独特地预测疫苗犹豫(比值比为 0.37;95%置信区间:0.29-0.46)。研究结果表明,感知到的社会规范与年轻成年大学生的疫苗相关行为密切相关。纠正规范的误解可能是增加疫苗接种率并减缓 COVID-19 在年轻人中的传播的一种有前途的方法。
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