Institute for Research Excellence in Learning Sciences, National Taiwan Normal University, Taipei City, Taiwan.
Graduate Institute of Rehabilitation Counseling, National Taiwan Normal University, 162, Section 1, Heping E. D, Taipei City, 106, Taiwan.
J Prev (2022). 2024 Oct;45(5):765-783. doi: 10.1007/s10935-024-00787-x. Epub 2024 Jun 5.
COVID-19, a viral infection that emerged in late 2019, induces a severe acute respiratory syndrome marked by significant clinical symptoms, and the potential for progressive respiratory failure and death. People facing the threat of COVID-19 not only feared being infected, but were also worried about the side-effects of vaccination. This conflict affected their epidemic prevention behavior. To understand this issue, the present study explored whether infection anxiety affected the psychological avoidance or approach to getting vaccinated and the intention to take epidemic prevention measures. The study implemented a cross-sectional, web-based survey. We created questionnaires using Surveycake, an online e-form questionnaire platform. We used the snowball sampling method via a social media app to recruit participants. If individuals were willing to participate in the research, we emailed the e-form questionnaire link to them to collect data. After questionnaire collection, 288 questionnaires were returned, and 277 valid questionnaires were obtained for structural equation modeling analysis. According to the statistical results, it was found that infection anxiety was positively related to avoidance-avoidance conflict, and the power of infection anxiety on avoidance conflict was 23.0%. Infection anxiety was negatively related to approach-approach conflict regarding vaccination, and the power of infection anxiety on approach-approach conflict was 22.0%. Approach-approach conflict regarding vaccination was negatively related to prevention behavior, while avoidance-avoidance conflict regarding vaccination was positively related to prevention behavior. The two conflicts explained 12.5% of the total variance in prevention behavior. The study results highlight the long-term importance of achieving vaccine goals in order to prepare for future health emergencies similar to the recent COVID-19 pandemic.
新型冠状病毒肺炎（COVID-19）是一种在 2019 年末出现的病毒性传染病，会引起严重的急性呼吸系统综合征，其特征是临床症状明显，并有进展性呼吸衰竭和死亡的可能。人们不仅面临着 COVID-19 感染的威胁，还担心疫苗接种的副作用，这种冲突影响了他们的防疫行为。为了了解这一问题，本研究探讨了感染焦虑是否会影响对疫苗接种的心理回避或接近，以及采取防疫措施的意愿。本研究采用了横断面、基于网络的调查。我们使用在线电子表单问卷平台 Surveycake 创建了问卷。我们通过社交媒体应用程序采用雪球抽样法招募参与者。如果个人愿意参与研究，我们会向他们发送电子邮件形式的问卷链接来收集数据。在收集完问卷后，共收到 288 份问卷，其中 277 份有效问卷可用于结构方程模型分析。根据统计结果，发现感染焦虑与回避-回避冲突呈正相关，感染焦虑对回避冲突的影响为 23.0%。感染焦虑与接种疫苗的趋近-趋近冲突呈负相关，感染焦虑对趋近-趋近冲突的影响为 22.0%。接种疫苗的趋近-趋近冲突与预防行为呈负相关，而接种疫苗的回避-回避冲突与预防行为呈正相关。这两种冲突解释了预防行为总方差的 12.5%。研究结果强调了为应对类似最近 COVID-19 大流行的未来卫生突发事件而实现疫苗目标的长期重要性。
