Behavioral and Social Drivers of COVID-19 Vaccination in the United States, August-November 2021

被引：18

作者：

Bonner, Kimberly E. ^{[1
,2
,3
,14
]}

Vashist, Kushagra ^{[3
,4
,5
]}

Abad, Neetu S. ^{[3
]}

Kriss, Jennifer L. ^{[3
,5
]}

Meng, Lu ^{[3
,6
]}

Lee, James T. ^{[3
,5
]}

Wilhelm, Elisabeth ^{[3
]}

Lu, Peng-Jun ^{[3
,5
]}

Carter, Rosalind J. ^{[3
,7
]}

Boone, Kwanza ^{[3
,8
]}

Baack, Brittney ^{[3
]}

Masters, Nina B. ^{[1
,3
,9
]}

Weiss, Debora ^{[3
,10
]}

Black, Carla ^{[3
,5
]}

Huang, Qian ^{[11
]}

Vangala, Sitaram ^{[12
]}

Albertin, Christina ^{[12
]}

Szilagyi, Peter G. ^{[12
]}

Brewer, Noel T. ^{[11
,13
]}

Singleton, James A. ^{[3
,5
]}

机构：

[1] Ctr Dis Control & Prevent, Epidem Intelligence Serv, Ctr Surveillance Epidemiol & Lab Serv, Atlanta, GA USA

[2] Oregon Hlth Author, Publ Hlth Div, Portland, OR USA

[3] Ctr Dis Control & Prevent, COVID 19 Response Team, Atlanta, GA USA

[4] Oak Ridge Inst Sci & Educ, Oak Ridge, TN USA

[5] Ctr Dis Control & Prevent, Immunizat Serv Div, Natl Ctr Immunizat & Resp Dis NCIRD, Atlanta, GA USA

[6] Gen Dynam Informat Technol Inc, Falls Church, VA USA

[7] Ctr Dis Control & Prevent, Off Director, Natl Ctr Immunizat & Resp Dis NCIRD, Atlanta, GA USA

[8] Goldbelt Inc, Juneau, AK USA

[9] Ctr Dis Control & Prevent, Div Viral Dis, Natl Ctr Immunizat & Resp Dis NCIRD, Atlanta, GA USA

[10] Ctr Dis Control & Prevent, Ctr Preparedness & Response CPR, Div State & Local Readiness DSLR, Atlanta, GA USA

[11] Univ North Carolina, Gillings Sch Global Publ Hlth, Dept Hlth Behav, Chapel Hill, NC USA

[12] Univ Calif Los Angeles, Dept Pediat, Los Angeles, NY USA

[13] Univ North Carolina, Lineberger Comprehens Canc Ctr, Sch Med, Chapel Hill, NC USA

[14] Ctr Dis Control & Prevent, 1600 Clifton Rd Northeast, Atlanta, GA 30329 USA

来源：

AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 2023年 / 64卷 / 06期

关键词：

INFLUENZA VACCINATION; CARE; ATTITUDES; DISEASE; MODULE; VULNERABILITY; INTENTIONS; SEPTEMBER; COVERAGE; ACCESS;

D O I：

10.1016/j.amepre.2023.01.014

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: COVID-19 vaccines are safe, effective, and widely available, but many adults in the U.S. have not been vaccinated for COVID-19. This study examined the associations between behav-ioral and social drivers of vaccination with COVID-19 vaccine uptake in the U.S. adults and their prevalence by region.Methods: A nationally representative sample of U.S. adults participated in a cross-sectional tele-phone survey in August-November 2021; the analysis was conducted in January 2022. Survey questions assessed self-reported COVID-19 vaccine initiation, demographics, and behavioral and social drivers of vaccination.Results: Among the 255,763 respondents, 76% received their first dose of COVID-19 vaccine. Vaccine uptake was higher among respondents aged >= 75 years (94%), females (78%), and Asian non-Hispanic people (94%). The drivers of vaccination most strongly associated with uptake included higher anticipated regret from nonvaccination, risk perception, and confidence in vaccine safety and importance, followed by work-or school-related vaccination requirements, social norms, and provider recommendation (all p<0.05). The direction of association with uptake varied by reported level of difficulty in accessing vaccines. The prevalence of all of these behavioral and social drivers of vaccination was highest in the Northeast region and lowest in the Midwest and South. Conclusions: This nationally representative survey found that COVID-19 vaccine uptake was most strongly associated with greater anticipated regret, risk perception, and confidence in vaccine safety and importance, followed by vaccination requirements and social norms. Interventions that leverage these social and behavioral drivers of vaccination have the potential to increase COVID-19 vaccine uptake and could be considered for other vaccine introductions.Am J Prev Med 2023;64(6):865-876. Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine.

引用

页码：865 / 876

页数：12

共 63 条

[21] Parent report of provider HPV vaccine communication strategies used during a randomized, controlled trial of a provider communication intervention [J].

Dempsey, A. F. ;

Pyrzanowski, J. ;

Campagna, E. J. ;

Lockhart, S. ;

O'Leary, S. T. .

VACCINE, 2019, 37 (10) :1307-1312

[22] Preferences for COVID-19 vaccine distribution strategies in the US: A discrete choice survey [J].

Eshun-Wilson, Ingrid ;

Mody, Aaloke ;

Tram, Khai Hoan ;

Bradley, Cory ;

Sheve, Alexander ;

Fox, Branson ;

Thompson, Vetta ;

Geng, Elvin H. .

PLOS ONE, 2021, 16 (08)

[23]

Federal poverty level (FPL), Federal poverty level (FPL)-glossary | HealthCare.Gov

[24]

Flanagan BE, 2018, J ENVIRON HEALTH, V80, P34

[25] Social norms and vaccine uptake: College students' COVID vaccination intentions, attitudes, and estimated peer norms and comparisons with influenza vaccine [J].

Graupensperger, Scott ;

Abdallah, Devon A. ;

Lee, Christine M. .

VACCINE, 2021, 39 (15) :2060-2067

[26]

Health Resources and Services Administration, WHAT NEED KNOW COVID

[27]

HHS, AW 1250000000 WORKF

[28] Missed opportunities for human papillomavirus vaccination at office visits during which influenza vaccine was administered: An AAP pediatric research in office settings (PROS) national primary care research network study [J].

Kelly, Mary Kate ;

Grundmeier, Robert W. ;

Stephens-Shields, Alisa J. ;

Localio, Russell ;

Shone, Laura P. ;

Wright, Margaret ;

Steffes, Jennifer ;

Humiston, Sharon G. ;

Rand, Cynthia ;

Albertin, Christina ;

Breck, Abigail ;

Abney, Dianna E. ;

McFarland, Greta ;

Szilagyi, Peter G. ;

Fiks, Alexander G. .

VACCINE, 2020, 38 (33) :5105-5108

[29]

Kris JL, 2022, MMWR-MORBID MORTAL W, V71, P757, DOI 10.15585/mmwr.mm7123a2

[30] Employer requirements and COVID-19 vaccination and attitudes among healthcare personnel in the US: Findings from National Immunization Survey Adult COVID Module, August - September 2021 [J].

Lee, James T. ;

Hu, S. Sean ;

Zhou, Tianyi ;

Bonner, Kimberly E. ;

Kriss, Jennifer L. ;

Wilhelm, Elisabeth ;

Carter, Rosalind J. ;

Holmes, Carissa ;

Perio, Marie A. de ;

Lu, Peng-jun ;

Nguyen, Kimberly H. ;

Brewer, Noel T. ;

Singleton, James A. .

VACCINE, 2022, 40 (51) :7476-7482

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