Romate John, Rajkumar Eslavath, Gopi Aswathy, Abraham John, Rages John, Lakshmi R, Jesline Joshy, Bhogle Sudha
Department of Psychology, Central University of Karnataka, Kalaburagi 585367, India.
St. John's Medical College, St. John's National Academy of Health Sciences, Bangalore 560034, India.
Vaccines (Basel). 2022 Oct 22;10(11):1777. doi: 10.3390/vaccines10111777.
Vaccine hesitancy plays a crucial role in worldwide pandemic-control efforts. The multifaceted nature of vaccine hesitancy entails many psychological factors that are widely discussed in the literature, although few studies specifically compile these factors. Thus, this systematic review aims to synthesize the psychological factors contributing to vaccine hesitancy. As per the PRISMA (preferred reporting items for systematic reviews and meta-analyses) guidelines, a systematic search was conducted on electronic databases PubMed, Scopus, Science Direct, PsycNET, and Web of Science, and a manual search was conducted on Google Scholar. Out of the 2289 articles obtained, 79 studies that met the inclusion criteria were deemed eligible for the review. The findings highlight appraisals of the COVID-19 pandemic, vaccine safety and side effects, vaccine confidence/trust, trust in government and healthcare professionals, scepticism around vaccine production, conspiracy beliefs, emotions, and information and knowledge about the vaccine as the major psychological factors contributing to vaccine hesitancy. Concerningly, misinformation on COVID-19 vaccination spread through social media platforms, increasing vaccine hesitancy. Recommendations for government authorities, healthcare professionals, and implications for future research are also outlined.
疫苗犹豫在全球疫情防控努力中起着至关重要的作用。疫苗犹豫具有多方面的性质，涉及许多心理因素，尽管很少有研究专门汇总这些因素，但在文献中对此有广泛讨论。因此，本系统综述旨在综合导致疫苗犹豫的心理因素。按照PRISMA（系统综述和荟萃分析的首选报告项目）指南，在电子数据库PubMed、Scopus、Science Direct、PsycNET和Web of Science上进行了系统检索，并在谷歌学术上进行了手动检索。在获得的2289篇文章中，79项符合纳入标准的研究被认为有资格纳入综述。研究结果强调了对新冠疫情的评估、疫苗安全性和副作用、疫苗信心/信任、对政府和医疗专业人员的信任、对疫苗生产的怀疑、阴谋论信念、情绪以及关于疫苗的信息和知识是导致疫苗犹豫的主要心理因素。令人担忧的是，关于新冠疫苗接种的错误信息通过社交媒体平台传播，加剧了疫苗犹豫。还概述了对政府当局、医疗专业人员的建议以及对未来研究的启示。
