Gray Cicily A, Lesser Grace, Guo Yuqi, Shah Swapn, Allen Shauntice, Wilkinson Larrell L, Sims Omar T
Department of Human Studies, Community Health and Human Services Program, School of Education, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
School of Nursing, Yale University, New Haven, CT 06477, USA.
Trop Med Infect Dis. 2022 Oct 25;7(11):331. doi: 10.3390/tropicalmed7110331.
Using COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (n = 1000), a consolidation approach (machine learning modeling and multinomial logistic regression modeling) was used to identify predictors of COVID-19 vaccine hesitancy and resistance. The prevalence of vaccine acceptance, hesitancy, and resistance was 62%, 23%, and 15%, respectively. Female gender and a higher level of trust that friends and family will provide accurate information about the COVID-19 vaccine were positively associated with vaccine hesitancy. Female gender and higher trust that social media will provide accurate information about COVID-19 were positively associated with vaccine resistance. Factors positively associated with COVID-19 vaccine hesitance and resistance in the study's geographical area are worrisome, especially given the high burden of chronic diseases and health disparities that exist in both Montgomery and the Deep South. More research is needed to elucidate COVID-19 vaccination attitudes and reasons for non-acceptance of the COVID-19 vaccine. Efforts to improve acceptance should remain a priority in this respective geographical area and across the general population.
本研究利用从阿拉巴马州蒙哥马利市居民收集的与新冠病毒疾病（COVID-19）相关的调查数据，评估了COVID-19疫苗接受度、犹豫度和抵触度的流行情况，并确定了与COVID-19疫苗犹豫和抵触相关的因素。为了分析调查数据（n = 1000），采用了一种整合方法（机器学习建模和多项逻辑回归建模）来确定COVID-19疫苗犹豫和抵触的预测因素。疫苗接受度、犹豫度和抵触度的流行率分别为62%、23%和15%。女性以及对朋友和家人会提供有关COVID-19疫苗准确信息的信任度较高与疫苗犹豫呈正相关。女性以及对社交媒体会提供有关COVID-19准确信息的信任度较高与疫苗抵触呈正相关。在该研究的地理区域内，与COVID-19疫苗犹豫和抵触呈正相关的因素令人担忧，尤其是考虑到蒙哥马利市和美国南部腹地都存在着较高的慢性病负担和健康差距。需要更多的研究来阐明对COVID-19疫苗接种的态度以及不接受COVID-19疫苗的原因。在这个特定地理区域以及整个人口中，提高疫苗接受度的努力仍应是优先事项。
