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对 COVID-19 疾病和疫苗接种的恐惧作为疫苗接种状况的预测指标。

Fear of COVID-19 disease and vaccination as predictors of vaccination status.

机构信息

Leibniz Institute for Resilience Research Mainz, Mainz, Germany.

Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.

出版信息

Sci Rep. 2023 May 31;13(1):8865. doi: 10.1038/s41598-023-35064-0.

Abstract

Vaccination rates are still insufficient to prevent the spread of COVID-19, so immunity must be increased among the population in order to reduce the virus' spread and the associated medical and psychosocial effects. Although previous work has identified various factors associated with a low willingness to get vaccinated, the role of emotions such as fear of vaccination (FVAC) or fear of COVID-19 (FCOV), vaccination as a subjective norm (SN), psychological factors like general control beliefs (CB) or psychological resilience, and their interaction have been investigated less intensively. We used data from three cross-sectional waves of the German Panel COSMO (November 2021, N = 1010; February 2022, N = 1026; March 2022, N = 1031) and multiple logistic regression analyses to test whether vaccination rates are moderated by those factors. After controlling for covariates (age, sex, confidence in own intuition, optimism, well-being), we found that CB was no significant predictor of vaccination status. Higher FCOV and higher ratings in SN, however, were associated with an increased likelihood of being vaccinated. In contrast, higher FVAC was associated with a decreased likelihood of being vaccinated. Psychological resilience did not consistently moderate the associations between fear and vaccination status.

摘要

疫苗接种率仍然不足以阻止 COVID-19 的传播,因此必须提高人群中的免疫力,以减少病毒的传播及其带来的医疗和心理社会影响。尽管之前的工作已经确定了与接种意愿低相关的各种因素,但对恐惧疫苗接种(FVAC)或对 COVID-19 的恐惧(FCOV)、疫苗接种作为主观规范(SN)、一般控制信念(CB)或心理弹性等心理因素的作用及其相互作用的研究还不够深入。我们使用了德国面板 COSMO 的三个横断面波次的数据(2021 年 11 月,N=1010;2022 年 2 月,N=1026;2022 年 3 月,N=1031)和多项逻辑回归分析来检验这些因素是否会调节疫苗接种率。在控制了协变量(年龄、性别、对自身直觉的信心、乐观主义、幸福感)后,我们发现 CB 并不是接种状况的显著预测因素。然而,较高的 FCOV 和较高的 SN 评分与接种可能性增加相关。相反,较高的 FVAC 与接种可能性降低相关。心理弹性并不能始终调节恐惧与接种状况之间的关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e61/10232423/3fe1e63e7edb/41598_2023_35064_Fig1_HTML.jpg

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