The Pepper Institute on Aging and Public Policy, Public Health Program, Department of Sociology, Florida State University, United States of America.
The Pepper Institute on Aging and Public Policy, Public Health Program, Department of Sociology, Florida State University, United States of America.
Prev Med. 2023 Jul;172:107525. doi: 10.1016/j.ypmed.2023.107525. Epub 2023 May 8.
While recent scholarship suggests that political affiliation is a robust predictor of pandemic behaviors and COVID-19 vaccination status, research has yet to examine whether the impact of political affiliation on these outcomes vary by age. Drawing on health lifestyles theory, we contribute to the social epidemiology of infectious disease behaviors by testing whether the impact of political affiliation on risky pandemic health lifestyles and COVID vaccination varies by age cohort. We employ data collected from the 2021 Crime, Health, and Politics Survey (CHAPS), a national study of adults from the United States, to formally assess this understudied association. In all models, Democrats reported less risky pandemic lifestyles compared to their Republican counterparts. Moreover, Democrats displayed greater odds of being vaccinated than Republicans or Independents. Further, the impact of political affiliation on vaccination status varied by age cohort, such that the impact of political affiliation was stronger among the oldest adults in our sample. Our analyses contribute to the growing study of politics and health lifestyles by challenging theoretical perspectives and cultural narratives that claim that older adults are less swayed by political influence when it comes to healthcare decisions. Our results help better our understanding of the ways in which political discourse shapes adopting public health recommendations.
虽然最近的研究表明，政治派别是预测大流行行为和 COVID-19 疫苗接种状况的有力指标，但研究尚未探讨政治派别对这些结果的影响是否因年龄而异。本研究借鉴健康生活方式理论，通过检验政治派别对危险大流行健康生活方式和 COVID 疫苗接种的影响是否因年龄群体而异，为传染病行为的社会流行病学做出贡献。我们使用了 2021 年犯罪、健康和政治调查（CHAPS）的数据，该调查是一项针对美国成年人的全国性研究，正式评估了这一研究不足的关联。在所有模型中，与共和党人相比，民主党人报告的大流行风险生活方式较少。此外，与共和党人或独立人士相比，民主党人接种疫苗的可能性更大。此外，政治派别对疫苗接种状况的影响因年龄群体而异，在我们样本中年龄最大的成年人中，政治派别的影响更强。我们的分析通过挑战理论观点和文化叙事，为越来越多的政治与健康生活方式研究做出了贡献，这些观点和叙事声称，在医疗保健决策方面，老年人受政治影响的程度较小。我们的研究结果有助于更好地理解政治话语塑造采纳公共卫生建议的方式。
