Chupak Anna L, Rudisill Caroline, Harrison Sayward, Linvill Katie, Costa-Font Joan, Hung Peiyin, Li Xiaoming
Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America.
Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, United States of America.
Prev Med. 2024 Dec;189:108158. doi: 10.1016/j.ypmed.2024.108158. Epub 2024 Oct 29.
To examine the relationship between perceived neighborhood social cohesion (NSC) and intentions to obtain seasonal influenza and COVID-19 vaccines among US adults post COVID-19 pandemic.
We conducted a cross-sectional, nationally representative survey of US residents (N = 2189) in May 2023 on their perceived NSC, COVID-19 and seasonal influenza vaccination intentions, healthcare access, perceived risk of COVID-19 or flu infection, loneliness, and trust in doctors. We used bivariate probit regressions to examine joint associations between perceived NSC and intentions to receive influenza and COVID-19 vaccines, controlling for several participant characteristics (e.g., race).
2164 respondents provided consent to study questions. Trust-related NSC (trust in neighbors) was positively associated with intentions to become vaccinated against both influenza and COVID-19 viruses. Higher relational NSC (perception of a close-knit neighborhood) was positively associated while higher value-based NSC (perception that neighbors share the same values) was negatively associated with intentions to become vaccinated against COVID-19. Healthcare access, perceived risk of infection (COVID-19 or flu), and trust in doctors were positively associated with intentions to become vaccinated against both viruses.
In a post-pandemic era, higher trust-related and relational, perceived NSC (vaccine-dependent), greater access to healthcare, higher perceived risk of infection, and greater trust in doctors were related to higher influenza and COVID-19 vaccination intentions, while higher value-based NSC was related to lower COVID-19 vaccination intentions among US adults. Thus, specific aspects of NSC, healthcare access barriers, misinformation on infection risk, and medical mistrust may influence an individual's willingness and ultimate decision to become vaccinated.
研究美国成年人在新冠疫情后，其感知到的社区社会凝聚力（NSC）与接种季节性流感疫苗和新冠疫苗意愿之间的关系。
2023年5月，我们对美国居民（N = 2189）进行了一项具有全国代表性的横断面调查，内容包括他们感知到的NSC、新冠疫苗和季节性流感疫苗接种意愿、医疗服务可及性、感知到的新冠或流感感染风险、孤独感以及对医生的信任。我们使用双变量概率回归来研究感知到的NSC与接种流感和新冠疫苗意愿之间的联合关联，并控制了几个参与者特征（如种族）。
2164名受访者同意回答研究问题。与信任相关的NSC（对邻居的信任）与接种流感和新冠病毒疫苗的意愿呈正相关。较高的关系性NSC（对邻里关系紧密的感知）与接种意愿呈正相关，而较高的基于价值观的NSC（认为邻居有相同价值观的感知）与接种新冠疫苗的意愿呈负相关。医疗服务可及性、感知到的感染风险（新冠或流感）以及对医生的信任与接种两种病毒疫苗的意愿呈正相关。
在疫情后时代，较高的与信任相关和关系性的、感知到的NSC（依赖疫苗）、更好的医疗服务可及性、更高的感知感染风险以及对医生的更高信任与更高的流感和新冠疫苗接种意愿相关，而较高的基于价值观的NSC与美国成年人较低的新冠疫苗接种意愿相关。因此，NSC的特定方面、医疗服务可及性障碍、关于感染风险的错误信息以及对医疗的不信任可能会影响个人接种疫苗的意愿和最终决定。
