Department of Geography and Sustainable Development, University of Miami, Coral Gables, FL, USA; Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Department of Political Science, University of Miami, Coral Gables, FL, USA.
Soc Sci Med. 2022 Aug;306:115112. doi: 10.1016/j.socscimed.2022.115112. Epub 2022 Jun 6.
Vaccine hesitancy and refusal continue to hamper COVID-19 control efforts. Throughout the pandemic, scientists and journalists have attributed lagging COVID-19 vaccination rates to a shifting set of factors including demography, experiences during the height of the pandemic, political views, and beliefs in conspiracy theories and misinformation, among others. However, these factors have rarely been tested comprehensively, in tandem, or alongside other potentially underlying psychological factors, thus limiting our understanding of COVID-19 vaccine hesitancy. This cross-sectional study assesses a diverse set of correlates of COVID-19 vaccine hesitancy identified in previous studies using US survey data (N = 2055) collected in July-August 2021. The survey contained modules designed to assess various sociopolitical domains and anti- and pro-social personality characteristics hypothesized to shape vaccine hesitancy. Using logistic and multinomial regression, we found that the strongest correlate of vaccine hesitancy was belief in misinformation about the COVID-19 vaccines, though we surmise that this common explanation may be endogenous to vaccine hesitancy. Political beliefs explained more variation in vaccine hesitancy-and in particular, vaccine refusal-after belief in COVID-19 vaccine misinformation was excluded from the analysis. Our findings help reconcile numerous disparate findings across the literature with implications for health education and future research.
疫苗犹豫和拒绝继续阻碍 COVID-19 控制工作。在整个大流行期间，科学家和记者将滞后的 COVID-19 疫苗接种率归因于一系列不断变化的因素，包括人口统计学、大流行高峰期的经历、政治观点以及对阴谋论和错误信息的信仰等。然而，这些因素很少得到全面、同步或与其他潜在的潜在心理因素一起测试，从而限制了我们对 COVID-19 疫苗犹豫的理解。这项横断面研究使用美国调查数据（N=2055）评估了先前研究中确定的 COVID-19 疫苗犹豫的一组不同的相关性，这些数据于 2021 年 7 月至 8 月收集。该调查包含旨在评估各种社会政治领域和反社会及亲社会人格特征的模块，这些特征被假设为塑造疫苗犹豫。使用逻辑回归和多项回归，我们发现疫苗犹豫的最强相关性是对 COVID-19 疫苗错误信息的信仰，尽管我们推测这种常见的解释可能是疫苗犹豫的内在因素。政治信仰在排除 COVID-19 疫苗错误信息的分析后，解释了更多的疫苗犹豫和疫苗拒绝的变化。我们的研究结果有助于调和文献中的许多不同发现，并对健康教育和未来研究具有重要意义。
