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美国民众对 COVID-19 疫苗的接种意愿:社会人口因素与个人 COVID-19 经历的影响。

Intentions to receive COVID-19 vaccines in the united states: Sociodemographic factors and personal experiences with COVID-19.

机构信息

Baylor Scott & White, Baylor University Medical Center.

Baylor Scott & White Research Institute.

出版信息

Health Psychol. 2023 Aug;42(8):531-540. doi: 10.1037/hea0001225. Epub 2022 Sep 5.

Abstract

OBJECTIVES

Information regarding vaccination and the association with individuals' characteristics, experiences, and information sources is important for crafting public health campaigns to maximize uptake. Our objective was to investigate factors associated with intentions for COVID-19 vaccination among a sample of U.S. adults using a population-based cross-sectional survey.

METHOD

Data were collected via an online questionnaire administered nationwide from January 4, to January 7, 2021 following the emergency use authorization for two SARS-CoV-2 mRNA-based vaccines.

RESULTS

Of 936 U.S. adult respondents, 66% stated an intention to be vaccinated once a COVID-19 vaccine was available to them; 14.7% responded "maybe" and 19.6% "no." Unadjusted and multivariate associations revealed "no/maybe" vaccination intentions were associated with younger age, female, Black race, lower income, history of not receiving the influenza vaccine, lower fear of COVID-19, suffering moderate to severe reduction in access to food/nutrition, and lower trust in health care authorities, personal health care providers, and/or traditional news media as sources of COVID-19 information. Of respondents "maybe" intending to be vaccinated, 65% reported "a lot" of trust in personal health care providers as sources of COVID-19 information. Respondents stating "no" intention to be vaccinated were skeptical of all COVID-19 information sources considered.

CONCLUSIONS

Our findings confirm observations predating COVID-19 vaccine availability regarding sociodemographic characteristics associated with vaccine hesitancy in the United States. We further identify personal health care providers as the most trusted information source among people who "maybe" intend to get vaccinated and demonstrate the challenge in reaching people not intending to be vaccinated. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

摘要

目的

有关疫苗接种的信息以及其与个体特征、经历和信息来源的关联,对于制定公共卫生运动以最大限度地提高疫苗接种率至关重要。我们的目的是使用基于人群的横断面调查,调查美国成年人样本中与 COVID-19 疫苗接种意愿相关的因素。

方法

数据通过 2021 年 1 月 4 日至 1 月 7 日在紧急使用两种 SARS-CoV-2 mRNA 疫苗后,在全国范围内进行的在线问卷调查收集。

结果

在 936 名美国成年受访者中,66%表示一旦有 COVID-19 疫苗可供他们使用,他们就打算接种疫苗;14.7%的人回答“可能”,19.6%的人回答“不”。未经调整和多变量关联表明,“不/可能”接种疫苗的意愿与年龄较小、女性、黑人、收入较低、既往未接种流感疫苗、对 COVID-19 的恐惧程度较低、中度至重度减少获得食物/营养的机会以及对医疗保健当局、个人医疗保健提供者和/或传统新闻媒体作为 COVID-19 信息来源的信任度较低有关。在打算接种疫苗的“可能”受访者中,65%表示对个人医疗保健提供者作为 COVID-19 信息来源“非常信任”。表示“不”打算接种疫苗的受访者对所有被认为的 COVID-19 信息来源持怀疑态度。

结论

我们的研究结果证实了 COVID-19 疫苗可用之前有关与美国疫苗犹豫相关的社会人口学特征的观察结果。我们进一步确定个人医疗保健提供者是那些“可能”打算接种疫苗的人最信任的信息来源,并表明了接触不打算接种疫苗的人的挑战。

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