Lessons for Future Vaccination Policies: COVID-19 Vaccination Intention in People With and Without Chronic Diseases

IF 2.1 3区 医学 Q2 NURSING Asian Nursing Research Pub Date : 2024-08-01 DOI:10.1016/j.anr.2024.07.008
Jieun Ju , Kihye Han , Jieun Kim , Yunhyung Kwon
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Abstract

Purpose

This study compared COVID-19 vaccination intentions in those with and without chronic diseases (CDs and non-CDs) in South Korea. We hypothesized that the factors associated with COVID-19 vaccination intentions would differ between CDs and non-CDs in South Korea.

Methods

Using survey data collected through a Korean online panel in June 2021, we conducted a cross-sectional secondary data analysis. Of the 2292 participants, 411 had at least one chronic disease. To construct a comparable dataset, we selected non-CDs via a 1:1 case-control matching for age and gender. We then utilized a multivariable binary logistic regression model to explore the factors contributing to COVID-19 vaccination intentions in CDs and non-CDs.

Results

All told, over 75% of participants in both groups indicated that they intended to vaccinate against COVID-19. In both groups, those who mistrusted general vaccine benefits reported significantly lower COVID-19 vaccination intentions. Regarding factors associated with vaccination intentions, CDs identified anxiety regarding coronavirus and exposure to COVID-19 vaccination promotions at the community level, while non-CDs highlighted hesitancy regarding vaccines and confidence in government/health services.

Conclusion

Improving vaccination acceptance will require the development and implementation of tailored approaches for CDs and non-CDs and efforts to minimize general vaccine mistrust.

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对未来疫苗接种政策的启示:COVID-19 慢性病患者和非慢性病患者的疫苗接种意向。
目的:本研究比较了韩国慢性病患者和非慢性病患者(慢性病患者和非慢性病患者)的 COVID-19 疫苗接种意愿。我们假设,与 COVID-19 疫苗接种意愿相关的因素在韩国的慢性病患者和非慢性病患者之间会有所不同:利用 2021 年 6 月通过韩国在线小组收集的调查数据,我们进行了横断面二级数据分析。在 2292 名参与者中,有 411 人至少患有一种慢性疾病。为了建立一个可比数据集,我们通过年龄和性别的 1:1 病例对照配对筛选出了非慢性病患者。然后,我们利用一个多变量二元逻辑回归模型来探讨导致慢性病患者和非慢性病患者COVID-19疫苗接种意愿的因素:总而言之,两组中均有 75% 的参与者表示有意接种 COVID-19 疫苗。在两组参与者中,不信任疫苗一般益处的人的 COVID-19 疫苗接种意愿明显较低。关于与疫苗接种意愿相关的因素,冠状病毒感染者指出了对冠状病毒的焦虑以及在社区层面接触 COVID-19 疫苗接种宣传的机会,而非冠状病毒感染者则强调了对疫苗的犹豫不决以及对政府/医疗服务的信心:结论:要提高疫苗接种的接受度,就需要针对冠状病毒携带者和非冠状病毒携带者制定和实施有针对性的方法,并努力减少对疫苗的普遍不信任。
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来源期刊
CiteScore
4.20
自引率
4.50%
发文量
32
审稿时长
45 days
期刊介绍: Asian Nursing Research is the official peer-reviewed research journal of the Korean Society of Nursing Science, and is devoted to publication of a wide range of research that will contribute to the body of nursing science and inform the practice of nursing, nursing education, administration, and history, on health issues relevant to nursing, and on the testing of research findings in practice.
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