“In the beginning, I said I wouldn't get it.”: Hesitant adoption of the COVID-19 vaccine in remote Alaska between November 2020 and 2021

Social Science & Medicine, Journal Year: 2023, Volume and Issue: 334, P. 116197 - 116197

Published: Aug. 30, 2023

Achieving sufficient COVID-19 vaccination coverage has been hindered in many areas by vaccine hesitancy. Many studies based on large survey samples have characterized refusal, but there are fewer in-depth qualitative that explore hesitant adoption: the middle-ground between acceptance and how individuals may move across this continuum depending their lived experience. For paper, we use narratives of 25 adults living off-road, predominately Alaska Native communities to describe complex decision-making processes undertaken 'hesitant adopters', defined our study as those who completed initial series despite reporting Interviewees' stories help illustrate adopters' involved making sense information through interactions with trusted individuals, experiences, observations, emotions, personal motivations. majority these (n = 20, 80%) interpersonal were key helping make decision get vaccinated. Over half interviewees 14, 56%) described conversations they trusted, including healthcare providers, family, friends, professional network made them feel safe. One third adopters 7, 28%) attributed vaccinated influence Elders knowledge, well being motivated desire protect them. Independent research was also important about a quarter 6, 24%), for it process gathering own learning from others, especially providers could answer questions alleviate concerns. This paper illustrates temporality decision-making: be an ongoing is influenced experience, relationships, context.

Language: Английский

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Learning from the Past to Improve the Future—Vaccine Hesitancy Determinants in the Italian Population: A Systematic Review

Vaccines, Journal Year: 2023, Volume and Issue: 11(3), P. 630 - 630

Published: March 12, 2023

WHO identifies vaccine hesitancy (VH) as one of the ten threats to global health. The authors bring international scientific community an Italian episode that offers opportunity renew discussion on extent VH matter. purpose this systematic review is analyze factors determining in population, understand its roots, and suggest potential strategies mitigate it. A literature according PRISMA guidelines was carried out using SCOPUS Medline (via PubMed) databases, following strategy: (COVID-19 vaccines) AND (vaccination hesitancy) (Italy). After selection process, 36 articles were included review. most frequently detected associated with population can be grouped vaccine-related factors, socio-cultural demographic factors. Currently, we are facing a gap between science, governments, institutions. To heal breach, it necessary strengthen trust through implementation health communication public education strategies, while literacy must continue support families individuals discerning evidence from opinions recognize real risks balance them benefits.

Language: Английский

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Conspiracy narratives and vaccine hesitancy: a scoping review of prevalence, impact, and interventions

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 29, 2024

Language: Английский

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Role of Individual, Social and Health Factors as Determinants of COVID-19 Vaccine Hesitancy: Results from the Second Phase of the Italian EPICOVID19 Web-Based Survey

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(2), P. 314 - 314

Published: Feb. 19, 2025

Despite scientific breakthroughs in vaccine development, some people remain reluctant to accept the anti-SARS-CoV-2 vaccine. This study evaluates attitudes and behaviours towards factors associated with refusal/hesitancy at start of Italy's vaccination campaign. EPICOVID19 is a two-phase observational web-based where adult volunteers completed questionnaires April-June 2020 January-February 2021. Refusal/hesitancy was assessed among those not yet vaccinated. We analysed by applying multivariate multinomial logistic regression models. Among 36,820 survey participants (mean age 51 years, 59.7% women, 63.6% highly educated), 2449 (6.7%) were against or hesitant, 4468 (12.1%) inclined but unsure, 29,903 (81.2%) willing be Factors positively included female sex, middle age, at-risk occupations, medium low education, deprived status, being underweight, previous SARS-CoV-2 positivity, poor perceived health, no fear contracting SARS-CoV-2, contaminated food natural disasters, trust science, media, government, institutions. Low hesitancy student retired overweight obesity, moderate high alcohol consumption, concern about economic working conditions, sensitivity climate change/environmental pollution epidemics. showed that, during first month campaign, individuals receive highlights potential target groups for tailored communication prevention campaigns.

Language: Английский

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Psychological well-being during the COVID-19 pandemic in Italy assessed in a four-waves survey

Scientific Reports, Journal Year: 2022, Volume and Issue: 12(1)

Published: Oct. 26, 2022

Abstract COVID-19 pandemic had a negative impact on the mental health and well-being (WB) of citizens. This cross-sectional study included 4 waves data collection aimed at identifying profiles individuals with different levels WB. The representative stratified sample 10,013 respondents in Italy. WHO 5-item scale (WHO-5) was used for assessment Different supervised machine learning approaches (multinomial logistic regression, partial least-square discriminant analysis—PLS-DA—, classification tree—CT—) were applied to identify individual characteristics WB scores, first 1–2 and, subsequently, 3 4. Forty-one percent participants reported “Good WB”, 30% “Poor 28% “Depression”. Findings carried out using multinomial regression show that R esilience most important variable able discriminating across all waves. Through PLS-DA, Increased Unhealthy Behaviours proved be more feature two waves, while Financial Situation gained relevance last two. Perceived Risk relevant, but less than other variables, Interestingly, CT we establish cut-off Resilience (equal 4.5) discriminated good probability 65% wave Concluding, found implications Governments should support evidence-based strategies considering factors influence (i.e., Resilience, Risk, Healthy Behaviours, ).

Language: Английский

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Institutional trust in the time of corona: Evidence from countermeasures in Germany

Working Paper Series, Journal Year: 2024, Volume and Issue: unknown

Published: March 1, 2024

We study how the stringency of policy measures to counter COVID-19 pandemic affects individuals' trust in formal institutions.Drawing on micro-level panel data from Germany spanning an 18-month period onset pandemic, we show that, average, there is a pronounced negative relationship between level countermeasures and institutions.We present empirical evidence argue that underlying mechanism perceived illegitimate attack civil liberties, reducing judiciary particular.This effect concentrated October 2020, six months into when started increase again.For early stage for competing, positive impacts responses government, consistent with other studies onset, resulting no significant net impact institutional stage.In consequence, our findings suggest hard lockdown beyond initial are highly detrimental trust.

Language: Английский

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Socioeconomic Inequalities in COVID-19 Vaccine Hesitancy and Uptake in Greece and Cyprus during the Pandemic

Vaccines, Journal Year: 2023, Volume and Issue: 11(8), P. 1301 - 1301

Published: July 31, 2023

Despite the rigorous investigation of phenomenon vaccine hesitancy and refusal during COVID-19 pandemic, socioeconomic determinants this remain poorly investigated on a global scale. Following proportional quota sampling, we conducted population-based cross-sectional study. We recruited participants on-site online from different settings, regions, strata in two Eastern Mediterranean populations, Greece Cyprus. Our approach provided nationwide sample (n = 576) approaching adult population structure countries, with slight underrepresentation men older people. results indicate clear differences vaccination coverage, consistent wider social inequalities health. In particular, reveal gradient characterized by lower higher increasing educational attainment income. Additionally, residing semi-urban areas show have coverage than those urban rural areas. could inform Public Health approaches aiming to tackle alarming enabling targeting groups who are particularly vaccine-hesitant, rendering such more targeted effective while at same time reducing control prevention infectious diseases.

Language: Английский

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COVID-19 Vaccination among HIV+ Patients: An Italian Cross-Sectional Survey

Vaccines, Journal Year: 2022, Volume and Issue: 10(9), P. 1438 - 1438

Published: Sept. 1, 2022

This study aims to evaluate knowledge, attitudes and practices (KAP) of HIV-patients about COVID-19 vaccination.A cross-sectional was conducted by administering questionnaires 160 patients followed Amedeo di Savoia Hospital in Turin. Statistical analyses were performed order identify predictors infection severity disease risk perception.The 86.2% vaccinated for COVID-19, while 7.6% do not intend be vaccinated; 50.7% thought that there is a minimal get COVID-19; 85.8% serious illness. The 56% the 36.5 seropositivity carries greater develop respectively COVID-19-related complications or vaccine complications. At multivariate analysis having job, proactive research information being HIV+ several years are related lower perception infection. influenced age, LGB believing status correlates with higher developing from COVID-19.as pandemic can adversely impact HIV care increasing loss follow-up, vaccination essential contrast patients. Our findings suggested some refuse against COVID-19.

Language: Английский

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Adolescents’ Opinions on COVID-19 Vaccine Hesitancy: Hints toward Enhancing Pandemic Preparedness in the Future

Vaccines, Journal Year: 2023, Volume and Issue: 11(5), P. 967 - 967

Published: May 10, 2023

To understand and assess vaccine reluctance, it is necessary to evaluate people’s perceptions grasp potential reasons for generic apprehension. In our analysis, we focus on adolescents’ impressions towards anti-vaxxer behavior. The aim of the study figure out students’ opinions about connecting possible explanations that motivate decisions with common specific personality traits. We further investigate forecasts concerning evolution pandemic. Between 2021 2022, conducted a randomized survey experiment sample high school individuals (N=395) living in different Italian regions. At time, vaccination campaign had already been promoted nearly one year. From emerges vaccinated people (92%), especially males, tend be more pessimistic attribute higher level distrust science anti-vaxxers. results show family background (mother’s education) represents most influential regressor: coming from less educated families are prone vaccines as principal reluctance. Similarly, those who rarely use social media develop minor tendency believe pessimism However, future pandemic, they likely optimistic toward vaccines. Overall, findings shed light regarding factors influence hesitancy highlight need targeted communication strategies improve rates.

Language: Английский

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COVID-19 vaccine hesitancy and short-term and long-term intentions among unvaccinated young adults: a mixed-method approach

BMC Public Health, Journal Year: 2022, Volume and Issue: 22(1)

Published: Nov. 7, 2022

Abstract Background Only 63.8% of Americans who are 18-to-24-years-old have been fully vaccinated for COVID-19 as June 1, 2022. The Grand Forks County, North Dakota is facing a similar challenge. As 2022, 47% individuals in the 19-to-29-year-old age group vaccinated. Focusing on unvaccinated their 20s, Study 1 aims to understand ways which receiving vaccines construed using qualitative interviews; and 2 compares predictors short-term vaccination intention (i.e., next month) with those long-term three 5 years) an online survey. Methods For we conducted five focus groups four in-depth interviews via Zoom total 26 20s living County. Constant comparison process was used categorize data into themes recognize characteristics identified themes. aim develop associated characteristics. 2, survey convenience sample 526 individuals. Logistic regression estimated odds ratios (OR) 95% confidence intervals (CI) associations between attitudes, perceptions, beliefs misinformation intentions, accounting demographics socioeconomic status. Results In two were identified: feelings uncertainty sparked by profits monetization navigating fear unknown. increase showed significantly higher (OR = 2.658, 95%CI 1.770, 3.990) 1.568, CI 1.105, 2.226). Believing had lower 0.712, 0.513, 0.990), while more positive attitudes 1.439, 1.024, 2.024), stronger preference calculating benefits 2.108, 1.541, 2.882), greater perceived susceptibility 1.471, 1.045, 2.070) severity contracting 1.362, 1.020, 1.820) intention. Conclusions Short-term intentions predicted differently. Instilling strong should both intentions.

Language: Английский

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