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文化适应、对医疗保健系统的信任以及对新冠疫苗接种的态度:挪威波兰移民、波兰境内波兰人以及挪威境内挪威人的比较研究

Acculturation, trust to health care system, and attitudes to COVID-19 vaccination: A comparative study between Polish immigrants in Norway, Polish in Poland, and Norwegians in Norway.

作者信息

Lajunen Timo, Wróbel Beata

机构信息

Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

出版信息

Curr Res Ecol Soc Psychol. 2022;3:100047. doi: 10.1016/j.cresp.2022.100047. Epub 2022 May 7.

DOI:10.1016/j.cresp.2022.100047
PMID:35574266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9077802/
Abstract

Fast deployment of safe and efficient COVID-19 vaccines has changed the course of the pandemic in many countries reducing COVID-19 death rates and allowing countries to abandon strict measures such as social distancing and restrictions to public events. The vaccination strategy, however, is based on the expected high vaccination rate in the population. Several studies have indicated vaccination hesitancy to be higher in ethnic minority communities, which can lead to unnecessary suffering and loss of lives, worsening pre-existing health inequalities and marginalization of ethnic minority groups. The aim of the present study was to investigate the relationships between acculturation to Norwegian culture, trust in health authorities, and attitude to COVID-19 vaccine among Polish immigrants in Norway. An internet-based survey including questions about attitude to COVID-19 vaccination and trust in the health care system was filled by 150 Polish immigrants in Norway, 256 Polish living in Poland, and 264 Norwegians living in Norway. In addition, the Polish immigrants also answered questions about acculturation to Norway. The results showed that the Polish immigrants in Norway had less positive attitudes to COVID-19 vaccination than the Norwegians, while they did not differ from Polish living in Poland. The Polish immigrants also indicated lower trust in the Norwegian health care system than the Norwegians. In regression analysis, the trust in the values of the health care system was the most important predictor of COVID-19 vaccination attitudes in all three samples. A path model showed that trust in the values of the health care system mediated the effects of acculturation to Norway on COVID-19 vaccination attitudes among Polish immigrants. These results underline the importance of taking ethnic minorities and immigrants into account in the health care system to reduce COVID-19 vaccination hesitancy.

摘要

快速部署安全有效的新冠疫苗改变了许多国家的疫情发展态势,降低了新冠死亡率,并使各国得以摒弃社交距离和公共活动限制等严格措施。然而,疫苗接种策略是基于预期的高人群接种率。多项研究表明,少数族裔社区对疫苗接种的犹豫程度更高,这可能导致不必要的痛苦和生命损失,加剧现有的健康不平等状况,并使少数族裔群体边缘化。本研究的目的是调查挪威波兰移民对挪威文化的适应程度、对卫生当局的信任以及对新冠疫苗的态度之间的关系。150名在挪威的波兰移民、256名居住在波兰的波兰人以及264名居住在挪威的挪威人参与了一项基于网络的调查,其中包括有关对新冠疫苗接种的态度和对医疗保健系统的信任的问题。此外,波兰移民还回答了有关融入挪威的问题。结果显示,在挪威的波兰移民对新冠疫苗接种的态度不如挪威人积极,而与居住在波兰的波兰人没有差异。波兰移民对挪威医疗保健系统的信任程度也低于挪威人。回归分析表明,在所有三个样本中,对医疗保健系统价值观的信任是新冠疫苗接种态度的最重要预测因素。路径模型显示,对医疗保健系统价值观的信任在波兰移民对挪威文化的适应程度对新冠疫苗接种态度的影响中起中介作用。这些结果强调了在医疗保健系统中考虑少数族裔和移民以减少新冠疫苗接种犹豫的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/9077802/01d9a9442d37/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/9077802/01d9a9442d37/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e4b/9077802/01d9a9442d37/gr1_lrg.jpg

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