Medical Data Center, Ningbo City First Hospital, Ningbo, Zhejiang Province, China.
School of Medicine, Ningbo University, Ningbo, Zhejiang Province, China.
Public Health. 2022 Oct;211:88-96. doi: 10.1016/j.puhe.2022.07.010. Epub 2022 Aug 11.
Population compliance greatly influences the effectiveness of vaccination and non-pharmaceutical interventions (NPIs) for the curtaining of COVID-19 transmission. We aimed to determine the conceptual framework of potential factors that influence compliance.
This was a cross-sectional study.
Questionnaires were used to survey population attitudes toward vaccination and NPIs in China. Confirmatory factor analysis of the survey data by structural equation model was used to define the pros and cons factors of attitudes. The strength and direction of each factor's effect on population attitudes were illustrated by Bayesian network analysis.
A total of 1700 respondents aged 18-70 years were surveyed with a panel of 34 questionnaires. Of these questionnaires, the confirmatory factor and structural equation model analysis identified five categories contributing to positive attitudes, including response efficiency, willingness and behavior, trust, cues to action, and knowledge, as well as four categories contributing to negative attitudes, including autonomy, perceived barriers, threat, and mental status. Bayesian networks revealed that cues to action produced a driving force for positive attitudes, followed by willingness and behavior, trust, response efficiency, and knowledge, whereas perceived barriers produced a driving force for negative attitudes, followed by autonomy and threat.
This study established a concise and representative list of questionnaires that could be applied to investigate the conceptual framework of potential pros and cons factors of attitudes toward vaccination and NPIs for COVID-19 prevention. The factors with driving forces should be addressed with a priority to effectively improve population compliance.
人群的依从性极大地影响了疫苗接种和非药物干预（NPI）在防控 COVID-19 传播方面的效果。我们旨在确定影响依从性的潜在因素的概念框架。
这是一项横断面研究。
使用问卷调查了中国人群对疫苗接种和 NPI 的态度。通过结构方程模型对调查数据进行验证性因子分析，以确定态度的正反两方面因素。贝叶斯网络分析说明了每个因素对人群态度影响的强度和方向。
共调查了 1700 名 18-70 岁的受访者，使用了 34 个问卷的面板。在这些问卷中，验证性因子和结构方程模型分析确定了五个有助于积极态度的类别，包括反应效率、意愿和行为、信任、行动线索和知识，以及四个有助于消极态度的类别，包括自主性、感知障碍、威胁和心理状态。贝叶斯网络揭示了行动线索产生了积极态度的驱动力，其次是意愿和行为、信任、反应效率和知识，而感知障碍产生了消极态度的驱动力，其次是自主性和威胁。
本研究建立了一个简洁而有代表性的问卷清单，可用于调查疫苗接种和 NPI 预防 COVID-19 方面的潜在正反两方面因素的态度概念框架。应优先考虑具有驱动力的因素，以有效提高人群的依从性。
