Department of Pediatrics, University of Minnesota Medical School, 717 Delaware St SE, 55414, Minneapolis, MN, USA.
Center for Scientific Review, National Institutes of Health, Bethesda, MD, USA.
J Behav Med. 2023 Apr;46(1-2):9-14. doi: 10.1007/s10865-022-00298-2. Epub 2022 May 30.
Extensive media coverage and potential controversy about COVID-19 vaccination during the pandemic may have affected people's general attitudes towards vaccination. We sought to describe key psychological antecedents related to vaccination and assess how these vary temporally in relationship to the pandemic and availability of COVID-19 vaccination. As part of an ongoing online study, we recruited a national (U.S.) sample of young gay, bisexual and other men who have sex with men (N = 1,227) between October 2019 and June 2021, and assessed the "4Cs" (antecedents of vaccination; range = 1-5). Overall, men had high levels of confidence (trust in vaccines; M = 4.13), calculation (deliberation; M = 3.97) and collective responsibility (protecting others; M = 4.05) and low levels of complacency (not perceiving disease risk; M = 1.72). In multivariable analyses, confidence and collective responsibility varied relative to the pandemic phase/vaccine availability, reflecting greater hesitancy during later stages of the pandemic. Antecedents also varied by demographic characteristics. Findings suggest negative effects of the COVID-19 pandemic on key antecedents of general vaccination and identify potential targets for interventions.
广泛的媒体报道和大流行期间 COVID-19 疫苗接种的潜在争议可能影响了人们对疫苗接种的总体态度。我们试图描述与疫苗接种相关的关键心理前提，并评估这些前提在大流行期间和 COVID-19 疫苗接种的可获得性方面的时间变化。作为一项正在进行的在线研究的一部分，我们招募了 2019 年 10 月至 2021 年 6 月期间来自美国各地的年轻男同性恋、双性恋和其他与男性发生性关系的男性（N=1227）的全国性样本，并评估了“4C”（疫苗接种的前提；范围为 1-5）。总体而言，男性对疫苗具有高度的信心（对疫苗的信任；M=4.13）、计算能力（慎重考虑；M=3.97）和集体责任感（保护他人；M=4.05），而自满程度较低（不认为有疾病风险；M=1.72）。在多变量分析中，信心和集体责任感因大流行阶段/疫苗可获得性而有所不同，反映出大流行后期的犹豫情绪更大。前提也因人口统计学特征而异。研究结果表明，COVID-19 大流行对一般疫苗接种的关键前提产生了负面影响，并确定了干预的潜在目标。
