新冠疫情信息的信任动态与消费情况暗示了新冠疫苗及加强针接种的一种机制。
Dynamics of Trust and Consumption of COVID-19 Information Implicate a Mechanism for COVID-19 Vaccine and Booster Uptake.
作者信息
Juarez Ruben, Kang Zheng, Okihiro May, Garcia Blane K, Phankitnirundorn Krit, Maunakea Alika K
机构信息
Department of Economics and UHERO, University of Hawaii, Honolulu, HI 96822, USA.
Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI 96813, USA.
出版信息
Vaccines (Basel). 2022 Aug 31;10(9):1435. doi: 10.3390/vaccines10091435.
Vaccine hesitancy remains a significant barrier to achieving herd immunity and preventing the further spread of COVID-19. Understanding contributors to vaccine hesitancy and how they change over time may improve COVID-19 mitigation strategies and public health policies. To date, no mechanism explains how trust in and consumption of different sources of information affect vaccine uptake. A total of 1594 adults enrolled in our COVID-19 testing program completed standardized surveys on demographics, vaccination status, use, reliance, and trust in sources of COVID-19 information, from September to October 2021, during the COVID-19 Delta wave. Of those, 802 individuals (50.3%) completed a follow-up survey, from January to February 2022, during the Omicron-wave. Regression analyses were performed to understand contributors to vaccine and booster uptake over time. Individuals vaccinated within two months of eligibility () tended to have more years of schooling, with greater trust in and consumption of official sources of COVID-19 information, compared to those who waited 3-6 months (), or those who remained unvaccinated at 6 months post-eligibility (). Most (70.1%) early vaccinees took the booster shot, compared to only 30.5% of late vaccinees, with the latter group gaining trust and consumption of official information after four months. These data provide the foundation for a mechanism based on the level of trust in and consumption of official information sources, where those who increased their level of trust in and consumption of official information sources were more likely to receive a booster. This study shows that social factors, including education and individual-level degree of trust in (and consumption of) sources of COVID-19 information, interact and change over time to be associated with vaccine and booster uptakes. These results are critical for the development of effective public health policies and offer insights into hesitancy over the course of the COVID-19 vaccine and booster rollout.
疫苗犹豫仍然是实现群体免疫和预防新冠病毒进一步传播的重大障碍。了解导致疫苗犹豫的因素及其随时间的变化,可能会改进新冠疫情缓解策略和公共卫生政策。迄今为止,尚无机制能解释对不同信息来源的信任和使用情况如何影响疫苗接种率。在2021年9月至10月新冠病毒德尔塔毒株传播期间,共有1594名参与我们新冠病毒检测项目的成年人完成了关于人口统计学、疫苗接种状况、新冠病毒信息来源的使用、依赖程度和信任度的标准化调查。其中,802人(50.3%)在2022年1月至2月奥密克戎毒株传播期间完成了随访调查。进行回归分析以了解随时间推移影响疫苗接种和加强针接种的因素。与那些等待3至6个月才接种的人,或在符合接种条件6个月后仍未接种的人相比,在符合接种条件两个月内接种疫苗的人往往受教育年限更长,对官方新冠病毒信息来源的信任度和使用频率更高。大多数(70.1%)早期接种疫苗者接种了加强针,而晚期接种疫苗者中只有30.5%接种了加强针,后者在四个月后对官方信息的信任度和使用频率有所增加。这些数据为基于对官方信息来源的信任程度和使用频率的机制奠定了基础,即那些提高了对官方信息来源的信任程度和使用频率的人更有可能接种加强针。这项研究表明,包括教育以及个人对新冠病毒信息来源的信任程度(和使用情况)在内的社会因素会相互作用并随时间变化,与疫苗接种和加强针接种情况相关。这些结果对于制定有效的公共卫生政策至关重要,并为新冠疫苗和加强针推广过程中的犹豫现象提供了见解。
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