Department of Health management, College of Public Health, Zhengzhou University, 100 Kexue Road, Gaoxin district, Zhengzhou 450001, China.
Department of Health management, College of Public Health, Zhengzhou University, 100 Kexue Road, Gaoxin district, Zhengzhou 450001, China.
J Affect Disord. 2023 Jul 15;333:313-320. doi: 10.1016/j.jad.2023.04.047. Epub 2023 Apr 20.
Optimal Corona Virus Disease 2019 (COVID-19) vaccination coverage is necessary to achieve community protection, and self-efficacy independently predict vaccination behavior. The current study examined the effect of self-perception on COVID-19 vaccination self-efficacy as well as potential mechanisms among Chinese adults.
A cross-sectional survey was conducted from four cities in China (n = 6781). Models 4 and 8 in Hayes' PROCESS macro were used to test models.
Self-perception (β = 0.128, 95 % CI: 0.093, 0.163) and self-perception ∗ mental health (β = 0.009, 95 % CI: 0.003, 0.014) were positively associated with trust in doctors and vaccine developers, while mental health was negatively related to trust in doctors and vaccine developers (β = -0.483, 95 % CI: -0.629, -0.337). Self-perception (β = 0.149, 95 % CI: 0.138, 0.161), trust in doctors and vaccine developers (β = 0.185, 95 % CI: 0.177, 0.194) and self-perception ∗ mental health (β = 0.003, 95 % CI: 0.002, 0.005) were positively associated with COVID-19 vaccination self-efficacy. Mental health was negatively related to COVID-19 vaccination self-efficacy (β = -0.101, 95 % CI: -0.151, -0.051).
This cross-sectional study collected data through online questionnaires.
Our results demonstrated that the relationship between self-perception and COVID-19 vaccination self-efficacy was partially mediated by trust in doctors and vaccine developers. Both the correlation between self-perception and COVID-19 vaccination self-efficacy, and the relationship between self-perception and trust in doctors and vaccine developers were moderated by mental health. Findings confirm that increasing COVID-19 vaccination self-efficacy would be facilitated by improvements in self-perception, mental health, and trust in doctors and vaccine developers.
实现社区保护需要达到最优的 2019 年冠状病毒病（COVID-19）疫苗接种覆盖率，而自我效能感独立预测疫苗接种行为。本研究旨在检验中国成年人中自我知觉对 COVID-19 疫苗接种自我效能感的影响，以及潜在的作用机制。
本横断面研究在中国四个城市（n=6781）进行。采用 Hayes 的 PROCESS 宏模型 4 和模型 8进行模型检验。
自我知觉（β=0.128，95%CI：0.093，0.163）和自我知觉心理健康（β=0.009，95%CI：0.003，0.014）与对医生和疫苗研发者的信任呈正相关，而心理健康与对医生和疫苗研发者的信任呈负相关（β=-0.483，95%CI：-0.629，-0.337）。自我知觉（β=0.149，95%CI：0.138，0.161）、对医生和疫苗研发者的信任（β=0.185，95%CI：0.177，0.194）和自我知觉心理健康（β=0.003，95%CI：0.002，0.005）与 COVID-19 疫苗接种自我效能感呈正相关。心理健康与 COVID-19 疫苗接种自我效能感呈负相关（β=-0.101，95%CI：-0.151，-0.051）。
本横断面研究通过在线问卷收集数据。
本研究结果表明，自我知觉与 COVID-19 疫苗接种自我效能感之间的关系部分由对医生和疫苗研发者的信任介导。自我知觉与 COVID-19 疫苗接种自我效能感之间的相关性，以及自我知觉与对医生和疫苗研发者的信任之间的关系均受心理健康的调节。研究结果证实，通过改善自我知觉、心理健康和对医生和疫苗研发者的信任，可提高 COVID-19 疫苗接种自我效能感。
