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墨西哥裔青少年中新冠疫苗接种的社会文化前因及机制

Sociocultural Antecedents and Mechanisms of COVID-19 Vaccine Uptake among Mexican-Origin Youth.

作者信息

Kim Su Yeong, Wen Wen, Coulter Kiera M, Tse Hin Wing, Du Yayu, Chen Shanting, Hou Yang, Shen Yishan

机构信息

Department of Human Development and Family Sciences, The University of Texas at Austin, Austin, TX, USA.

Population Research Center, The University of Texas at Austin, Austin, TX, USA.

出版信息

Behav Med. 2025 Apr-Jun;51(2):94-105. doi: 10.1080/08964289.2024.2355117. Epub 2024 Jun 14.

Abstract

Mexican-origin youth, as a large and growing population among U.S. youth, have been disproportionately affected by COVID-19. Understanding what, when, and how sociocultural factors may influence their COVID-19 vaccine uptake could inform current and future pandemic-response interventions promoting vaccination behaviors among Mexican-origin youth. The current study takes a developmental approach to reveal the long-term and short-term sociocultural antecedents of 198 Mexican-origin adolescents' COVID-19 vaccination uptake behaviors and explores the underlying mechanism of these associations based on the Knowledge-Attitude-Behavior model. The current study adopted Wave 1 (2012-2015) and Wave 4 (2021-2022) self-reported data from a larger study. Analyses were conducted to examine four mediation models for four sociocultural antecedents-daily discrimination, ethnic discrimination, foreigner stress, and family economic stress-separately. Consistent indirect effects of higher levels of concurrent sociocultural risk factors on a lower probability of COVID-19 vaccine uptake were observed to occur through less knowledge about the COVID-19 vaccines and less positive attitudes toward the COVID-19 vaccines at Wave 4. Significant direct effects, but in opposite directions, were found for the associations between Wave 1 ethnic discrimination/Wave 4 daily discrimination and the probability of COVID-19 vaccine uptake. The findings highlight the importance of considering prior and concurrent sociocultural antecedents and the Knowledge-Attitude-Behavior pathway leading to COVID-19 vaccination uptake among Mexican-origin youth and suggest that the impact of discrimination on COVID-19 vaccination uptake may depend on the type (e.g., daily or ethnic) and the context (e.g., during the COVID-19 pandemic or not) of discrimination experienced.

摘要

墨西哥裔青年是美国青年中数量众多且不断增长的群体,他们受新冠疫情的影响尤为严重。了解社会文化因素在何时、以何种方式影响他们接种新冠疫苗的情况,可为当前及未来促进墨西哥裔青年接种疫苗行为的疫情应对干预措施提供参考。本研究采用发展心理学的方法,揭示198名墨西哥裔青少年接种新冠疫苗行为的长期和短期社会文化影响因素,并基于“知识—态度—行为”模型探究这些关联背后的机制。本研究采用了一项更大规模研究中的第一波(2012 - 2015年)和第四波(2021 - 2022年)的自我报告数据。分别对日常歧视、种族歧视、外国人压力和家庭经济压力这四个社会文化影响因素的四种中介模型进行了分析。研究发现,在第四波调查中,较高水平的同时期社会文化风险因素会通过对新冠疫苗了解较少以及对新冠疫苗的积极态度较低,进而导致接种新冠疫苗的可能性降低,呈现出一致的间接效应。研究还发现,第一波调查中的种族歧视/第四波调查中的日常歧视与接种新冠疫苗的可能性之间的关联存在显著的直接效应,但方向相反。这些研究结果凸显了考虑先前和同时期社会文化影响因素以及“知识—态度—行为”路径对墨西哥裔青年接种新冠疫苗的重要性,并表明歧视对新冠疫苗接种的影响可能取决于歧视的类型(如日常或种族)和背景(如是否处于新冠疫情期间)。

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