Association of vaccine intention against COVID-19 using the 5C Scale and its constructs: a Pima County, Arizona cross-sectional survey.

IF 2.4 3区生物学 Q2 MULTIDISCIPLINARY SCIENCES PeerJ Pub Date : 2024-12-06 eCollection Date: 2024-01-01 DOI:10.7717/peerj.18316

Maiya G Block Ngaybe, Namoonga Mantina, Benjamin Pope, Veena Raghuraman, Jacob Marczak, Sonja Velickovic, Dominique Jordan, Mary Kinkade, Carlos Mario Perez-Velez, Beatrice J Krauss, Shailesh M Advani, Melanie Bell, Purnima Madhivanan

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Abstract

Background: Vaccine hesitancy has been ranked as one of the top 10 threats to global health by the World Health Organization. The 5C model (Confidence, Calculation of risk, Complacency, Collective Responsibility, and Constraints) and an accompanying tool to measure vaccine hesitancy, summarize several significant explanatory variables, and move beyond the most common explanatory variable, Confidence.

Methods: From January to May 2021, we administered a cross-sectional survey among adults in Pima County, Arizona in collaboration with the local health department to assess psychological antecedents to (i.e., psychological factors that lead to) COVID-19 vaccination using the 5C Scale. Participants were recruited virtually for the survey using multiple recruitment methods. Unadjusted and adjusted hierarchical ordinal logistic regressions were conducted to determine if the 5C variables had an association with intention to vaccinate (or intent to vaccinate) against COVID-19.

Results: Of the 1,823 participants who responded to the survey, 924 (76%) were included in the final analyses. Respondents were White (71%), non-Hispanic (59%), Female (68%), Liberal (37%) and Married (46%). The average age of the participants was 43.9 (±1.3) years. Based on the 5C Scale, Confidence (adjOR:3.64, CI [3.08-4.29]), Collective Responsibility (adjOR:1.94, CI [1.57-2.39]) and Complacency (adjOR:0.64, CI [0.51-0.80]) were significantly associated with intention to vaccinate against COVID-19.

Conclusion: Three of the five 5C variables were associated with the intention to vaccinate, two positively and one negatively. A limitation of the study was that the sample was not weighted to be representative of Pima County. Future research should focus on determining which interventions can bolster Confidence and Collective Responsibility attitudes in communities, while dampening Complacency, to better promote vaccine uptake.

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使用5C量表及其结构的COVID-19疫苗意向的关联：亚利桑那州皮马县的横断面调查

背景：疫苗犹豫已被世界卫生组织列为全球健康的十大威胁之一。5C模型（信心、风险计算、自满、集体责任和约束）以及测量疫苗犹豫的附带工具，总结了几个重要的解释变量，并超越了最常见的解释变量信心。方法：2021年1月至5月，我们与当地卫生部门合作，对亚利桑那州皮马县的成年人进行了一项横断面调查，使用5C量表评估COVID-19疫苗接种的心理前因（即导致心理因素）。参与者是通过多种招募方法虚拟招募的。进行了未调整和调整的分层有序逻辑回归，以确定5C变量是否与接种COVID-19疫苗的意图（或意图）相关。结果：在1823名回应调查的参与者中，924人（76%）被纳入最终分析。受访者包括白人（71%）、非西班牙裔（59%）、女性（68%）、自由党（37%）和已婚（46%）。参与者的平均年龄为43.9（±1.3）岁。基于5C量表，信心（adjOR:3.64, CI[3.08-4.29]）、集体责任（adjOR:1.94, CI[1.57-2.39]）和自满（adjOR:0.64, CI[0.51-0.80]）与接种COVID-19疫苗的意愿显著相关。结论：5个5C变量中有3个与疫苗接种意愿相关，2个为正相关，1个为负相关。本研究的一个局限性是样本没有加权以代表皮马县。未来的研究应侧重于确定哪些干预措施可以增强社区的信心和集体责任态度，同时抑制自满情绪，以更好地促进疫苗接种。

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来源期刊

PeerJ MULTIDISCIPLINARY SCIENCES-

CiteScore

4.70

自引率

3.70%

发文量

1665

审稿时长

10 weeks

期刊介绍： PeerJ is an open access peer-reviewed scientific journal covering research in the biological and medical sciences. At PeerJ, authors take out a lifetime publication plan (for as little as $99) which allows them to publish articles in the journal for free, forever. PeerJ has 5 Nobel Prize Winners on the Board; they have won several industry and media awards; and they are widely recognized as being one of the most interesting recent developments in academic publishing.