Tribal Water Center, Research Services, Alaska Native Tribal Health Consortium, Anchorage, AK, USA.
Alaska Native Science Commission, Anchorage, AK, USA.
Int J Circumpolar Health. 2023 Dec;82(1):2242582. doi: 10.1080/22423982.2023.2242582.
Vaccine hesitancy is an ongoing barrier to achieve sufficient COVID-19 vaccination coverage. Although there are many studies globally of vaccine hesitancy based on large survey samples, there are fewer in-depth qualitative studies that explore vaccine hesitancy and acceptance as a spectrum of decision-making. In this paper, we begin to describe vaccination decision-making among 58 adults living in remote Alaska based on three waves of online surveys and follow-up semi-structured interviews conducted between November 2020 and November 2021. The survey question of intention was not a predictor of adoption for about one third of the interviewees who were unvaccinated when they took the survey (n=12, 35%). Over half of all interviewees (n=37, 64%) had vaccine-related concerns, including 25 vaccinated individuals (representing 57% of vaccinated interviewees). Most interviewees reported that they learned about COVID-19 vaccines through interpersonal interactions (n=30, 52%) and/or a variety of media sources (n=29, 50%). The major facilitators of acceptance were trust in the information source (n=20, 48% of the 42 who responded), and learning from the experiences of family, friends, and the broader community (n=12, 29%). Further, trust and having a sense of agency appears to be important to interviewee decision-making, regardless of vaccination status and intention.
疫苗犹豫是实现足够 COVID-19 疫苗接种覆盖率的持续障碍。尽管全球有许多基于大型调查样本的疫苗犹豫研究，但深入探讨疫苗犹豫和接受作为决策范围的定性研究较少。在本文中，我们根据 2020 年 11 月至 2021 年 11 月期间进行的三波在线调查和后续半结构化访谈，开始描述生活在阿拉斯加偏远地区的 58 名成年人的疫苗接种决策。调查中的意向问题并不能预测大约三分之一未接种疫苗的受访者（n=12，35%）的接种情况。超过一半的受访者（n=37，64%）对疫苗有顾虑，其中包括 25 名已接种疫苗的受访者（占已接种疫苗受访者的 57%）。大多数受访者表示，他们通过人际互动（n=30，52%）和/或各种媒体来源（n=29，50%）了解 COVID-19 疫苗。接受疫苗的主要促进因素是对信息来源的信任（n=20，48%的 42 名受访者），以及从家人、朋友和更广泛的社区的经验中学习（n=12，29%）。此外，信任和有代理感似乎对受访者的决策很重要，无论其接种状况和意向如何。
