Vaccine, Год журнала: 2022, Номер 40(22), С. 3046 - 3054
Опубликована: Апрель 11, 2022
Язык: Английский
Healthcare, Год журнала: 2021, Номер 9(10), С. 1273 - 1273
Опубликована: Сен. 27, 2021
African Americans have been disproportionately vaccinated at lower rates, which warrants the development of theory-based interventions to reduce vaccine hesitancy in this group. The fourth-generation theories, e.g., multi-theory model (MTM) health behavior change, are vital developing behavioral interventions. Therefore, current study aims determine recent trends COVID-19 vaccination rates and test MTM predicting initiation vaccines among vaccine-hesitant Blacks. A sample 428 unvaccinated were recruited through a web-based survey using 28-item psychometric valid questionnaire. Chi-square, independent-samples-t-test or Welch's t test, Pearson's correlation tests utilized for analyses. Hierarchical regression modelling was performed increment variation accounted addition predictors over set models. Nearly 48% Blacks reported being vaccine-hesitant. group relatively younger (40.5 years ± 15.8 vs. 46.2 17.4, p < 0.001), Republicans (22.1% 10.0%, lived North-East region (26.0% 11.4%, 0.001) had religious affiliations other than Christianity (21.2% 13.6%, = 0.04). mean scores perceived advantages ((9.01 3.10 7.07 3.60, confidence (8.84 3.76 5.67 4.09, higher non-hesitant as opposed hesitant ones. In final model, all constructs) predicted nearly 65% variance initiating (adjusted R2 0.649, F 32.944, 0.001). With each unit constructs (e.g., participatory dialogue confidence), increased by 0.106 0.166 units, respectively. Based on findings m-health educational intervention promote uptake is proposed.
Язык: Английский
Процитировано
36
IISE Transactions, Год журнала: 2024, Номер unknown, С. 1 - 15
Опубликована: Янв. 5, 2024
Reluctance or refusal to get vaccinated, commonly known as Vaccine Hesitancy (VH), poses a significant challenge COVID-19 vaccination campaigns. Understanding the factors contributing VH is essential for shaping effective public health strategies. This study proposes novel framework combining machine learning with publicly available data generate proxy metric that evaluates dynamics of faster than currently used survey methods. The input descriptive classification models analyze wide array data, aiming identify key associated at county level in U.S. during pandemic (i.e., January October 2021). Both static and dynamic are considered. We use Random Forest classifier identifies political affiliation Google search trends most influencing behavior. model categorizes counties into five distinct clusters based on Cluster 1, low VH, consists mainly Democratic-leaning residents who, have longest life expectancy, college degree, highest income per capita, live metropolitan areas. 5, high predominantly Republican-leaning individuals non-metropolitan Individuals 1 more responsive policies.
Язык: Английский
Процитировано
5
Health Promotion Perspectives, Год журнала: 2024, Номер 14(2), С. 121 - 135
Опубликована: Июль 29, 2024
Background: The utilization of a theoretical framework is vital in health promotion research, particularly when endeavoring to modify behaviors. This systematic review aimed at evaluating and synthesizing evidence through studies conducted using the fourth-generation multi-theory model (MTM) behavior change for its effectiveness. Methods: A comprehensive article search was performed across MEDLINE, CINAHL, Academic Search Premier. focused on utilizing MTM from 2016 December 2023, following PRISMA guidelines systemic reviews. Results: An initial pool 7583 articles narrowed down screening titles, abstracts, full texts. total 69 met inclusion criteria. These studies, encompassing global range diverse target groups behaviors, were categorized as qualitative, cross-sectional, or experimental. six qualitative revealed themes fifty-six cross-sectional showed constructs effectively predicting change, albeit with varying statistical significance. seven experiments demonstrated MTM’s role initiating sustaining change. For initiation model, operationalized by 49 mean adjusted R2 38.4% (SD=16.4%). sustenance 45 38.9% (SD=15.5%). Conclusion: corroborates potent understanding, predicting, facilitating changes. Its universal applicability effectiveness underscore model’s potential foundational tool designing future strategies interventions positive enduring modifications.
Язык: Английский
Процитировано
5
International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(17), С. 9210 - 9210
Опубликована: Авг. 31, 2021
The speed and innovation of the COVID-19 vaccine development has been accompanied by insecurity skepticism. Young adults’ attitude to vaccination remains under investigation, although herd immunity cannot be reached without them. HEalth in Students during Corona pandemic study (HES-C) provided opportunity investigate intention 1478 students sixth survey wave (January 2021), including intention, psychological antecedents hesitancy, trust government’s strategy, history. Associations with were analyzed multivariate ordinal regression predicted margins calculated adjusting for gender, age, anxiety, health profession, subjective status. A third was decided (yes 25.1%, no 7.6%), 68% unsure about getting when available. Next demographic characteristics, history (influenza OR = 1.39; 95% CI: 1.06–1.83, travel 1.29; 1.04–1.60), strategy (OR 2.40; 1.89–3.05), 5C dimensions associated intention: confidence 2.52; 2.09–3.03), complacency 0.79; 0.66–0.96), calculation 0.70–0.89), constraints 1.18; 0.99–1.41), collective responsibility 4.47; 3.69–5.40). Addressing strengthening official strategies through targeted campaigns interventions may increase decisiveness result higher rates.
Язык: Английский
Процитировано
28
PLoS ONE, Год журнала: 2022, Номер 17(9), С. e0273285 - e0273285
Опубликована: Сен. 2, 2022
Background Although COVID-19 vaccines hold the potential to dramatically alter pandemic, vaccine hesitancy remains a serious threat management and control of infections. Vaccination young adults plays crucial role in achieving herd immunity. However, determinants acceptance among youth China have not been fully explored. Our study aims investigate direct indirect effects perceived health literacy on acceptance. Methods This survey was conducted Chinese college students during September October, 2020. defined as likelihood that participants would get vaccine. A mediation analysis employed explore Results total 2,587 were included our study. The results revealed majority (80.40%) expressed high After controlling for demographic characteristics, relationship between mediated by positive attitudes toward general vaccination (std.β = 0.004, p 0.037) self-efficacy 0.053, < 0.001). Conclusions findings suggest interventions targeting promote coverage might consider placing greater emphasis enhancing attitude towards youth.
Язык: Английский
Процитировано
19
International Journal of Infectious Diseases, Год журнала: 2024, Номер 142, С. 106963 - 106963
Опубликована: Фев. 12, 2024
IntroductionAdult vaccination strategies struggle against complacency/disinterest amongst target population and competing budgetary priorities. The COVID-19 pandemic has changed adult landscape, possibly permanently. We reviewed the effects of on programmes.ObjectivesPubMed was searched for studies / life-course between 1 January 2020 until 8 November 2022.ResultsTwenty-one articles were identified observations summarised as positive developments/impediments to immunisation, areas needing policy structural reform. Unprecedented funding, international co-operation technical advances led vaccines authorised in record time. Investments infrastructure an expanded healthcare workforce streamlined vaccine delivery adults. Constant media coverage targeted messaging have improved health literacy. Conversely, speed development perceived a safety risk, 'infodemic' misinformation propagated through social negatively influenced uptake. Vaccine access affordability remains inequitable among older adults minority groups.ConclusionsThe COVID opportunity permanently change policies, attitudes, systems establish global approach immunisation. Addressing inequalities, improving literacy optimally using are critical sustain vaccinations post-COVID-19 era.
Язык: Английский
Процитировано
4
Preventive Medicine Reports, Год журнала: 2022, Номер 27, С. 101810 - 101810
Опубликована: Май 5, 2022
COVID-19 vaccine hesitancy is context specific and highly dynamic in the United States. The objective of this study was to examine underlying causes use among students at two colleges Central New York (USA) order better understand how promote vaccination demographic. A Knowledge, Attitudes, Beliefs & Behaviors survey designed measure relationship between gender, political ideology, media consumption, beliefs, mental health anxiety, pandemic-related behaviors. distributed by email April 2021. Of 8,894 eligible respondents, 627 completed survey. Structural Equation Modeling utilized explore both direct indirect relationships. suggests that effect ideology (being more conservative) consumption right wing news, which turn tends increase hesitancy. Conservative does not directly lead hesitancy, but it encourage news from sources fear hesitation about vaccines. News significantly contribute attitudes
Язык: Английский
Процитировано
18
Vaccines, Год журнала: 2023, Номер 11(7), С. 1243 - 1243
Опубликована: Июль 15, 2023
(1) Background: Following the COVID-19 pandemic, vaccine hesitancy has become an increasingly important topic and created significant concerns in public health. It is to explore among college students as they have been identified be a high-risk group for transmission. This study aims investigate on midsized midwestern university campus. (2) Methods: Data were collected from 311 undergraduate graduate during June July 2021. Participants completed survey behaviors, perceptions, opinions. Quantitative qualitative analysis was performed identify influencing factors student population. (3) Results: The results of this demonstrated relationships between older younger (OR > 1, p < 0.05), who received yearly influenza those that did not (p had previous infection 0.05). We also determined difference some racial/ethnic groups status. (4) Conclusions: exists campuses, influenced by age status, vaccination infection, race/ethnicity.
Язык: Английский
Процитировано
9
Human Vaccines & Immunotherapeutics, Год журнала: 2021, Номер 17(12), С. 4823 - 4828
Опубликована: Окт. 8, 2021
This study determines factors related to the intention vaccinate against COVID-19 for health science students in Ho Chi Minh City (HCMC), using both Health Belief Model (HBM) and Theory of Planned Behavior (TPB) model. A cross-sectional survey was considered April 2021, a self-administered questionnaire all sciences University Medicine Pharmacy (UMP), Vietnam. The multiple regression performed specify predictable willingness get future vaccination.A total 854 completed survey, whose vaccination acceptance 77.1%. Predictors receive included year education, knowledge, HBM TPB variables including perceived benefits, cues action, behavioral control, positive attitudes toward vaccine (all p < .05). main reasons hesitancy being afraid side effects (73.0%), safety (65.3%), process new development (53.6%). examined students' notify university administrators policymakers. findings showed acceptability vaccines had differences within education students, besides, perception were predictive factors. These may be useful developing messages promoting who broader groups.
Язык: Английский
Процитировано
22
Frontiers in Medicine, Год журнала: 2021, Номер 8
Опубликована: Ноя. 11, 2021
Persons with mental disorders (PwMDs) are a priority group for COVID-19 vaccination, but empirical data on PwMDs' vaccine uptake and attitudes toward vaccines lacking. This study examined the uptake, acceptance, hesitancy associated among Chinese PwMDs during China's nationwide rollout. In total, 906 adult were consecutively recruited from large psychiatric hospital in Wuhan, China, administered self-report questionnaire, which comprised standardized questions regarding sociodemographics, vaccination status, vaccines, psychopathology. Vaccine-recipients additionally asked to report adverse events that occurred following vaccination. had much lower rate of than Wuhan residents (10.8 vs. 40.0%). The rates acceptance 58.1 31.1%, respectively. Factors included having other [odds ratio (OR) = 3.63], believing ≥50% vaccine-recipients would be immune (OR 3.27), being not worried about side effects 2.59), an outpatient 2.24). perceiving good preventive effect 12.92), safe 4.08), 2.20), insight into illness 1.71). Adverse 21.4% exacerbated pre-existing symptoms 2.0% vaccine-recipients. Nevertheless, 95.2% rated as acceptable. Compared 58.1% 40.0% general population, 10.8% coverage suggested unmet need PwMDs. Strategies increase may include provision reliable sources information health education foster positive practical guideline facilitate clinical decision-making involvement psychiatrists consultation post-vaccination follow-up services.
Язык: Английский
Процитировано
21