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Headache Disorders in VHA Primary Care: Prevalence, Psychiatric Comorbidity, and Health Care Utilization. 退伍军人事务部初级保健中的头痛疾病:流行率、精神病合并症和医疗保健使用情况。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-10-01 Epub Date: 2023-09-15 DOI: 10.1080/08964289.2023.2249169
Abigail E Ramon, Kyle Possemato, Gregory P Beehler

Military veterans are at increased risk for headache disorders compared to the general population, yet the prevalence and burden associated with headache disorders among veterans is not yet well understood. In this electronic medical record study, we examined the prevalence of headache disorders among veterans seen in a northeastern network of Veterans Health Administration (VHA) primary care during 2017-2018. We also examined rates of psychiatric comorbidity and health care utilization of veterans with headache disorders for the year following the date of the first headache code in the medical record. Of the total population of veterans in the network, 1.3% had a headache disorder and another 3.5% had a possible headache disorder. Migraine and chronic migraine represented the majority of cases. Posttraumatic stress disorder was the most frequent psychiatric comorbidity. Having a headache disorder was associated with higher rates of primary care, neurology, pain clinic, and mental health service use but not higher rates of emergency department or Whole Health (e.g., patient-centered, holistic health services) use. Prevalence findings are comparable to those previously found among veterans, but a substantial proportion of veterans may have been misdiagnosed. Veterans with headache disorders have high rates of psychiatric comorbidity and use several types of health services at higher rates. Findings highlight the need for interdisciplinary care and further education and support for primary care providers. Primary care settings that integrate evidence-based behavioral and Whole Health services may be an optimal way of providing more holistic care for headache disorders.

与普通人群相比,退伍军人罹患头痛疾病的风险更高,但人们对退伍军人头痛疾病的患病率和相关负担还不甚了解。在这项电子病历研究中,我们调查了 2017-2018 年期间在东北部退伍军人健康管理局(VHA)初级保健网络就诊的退伍军人中头痛疾病的患病率。我们还研究了在病历中首次出现头痛代码的次年,患有头痛疾病的退伍军人的精神疾病合并率和医疗保健利用率。在网络中的退伍军人总数中,1.3%患有头痛疾病,另有3.5%可能患有头痛疾病。偏头痛和慢性偏头痛占大多数。创伤后应激障碍是最常见的精神并发症。头痛症与初级保健、神经科、疼痛诊所和心理健康服务的使用率较高有关,但与急诊科或整体健康(如以患者为中心的整体健康服务)的使用率较高无关。患病率调查结果与之前在退伍军人中发现的结果相当,但有相当一部分退伍军人可能被误诊。患有头痛症的退伍军人合并精神疾病的比例很高,使用多种类型医疗服务的比例也较高。研究结果凸显了跨学科护理以及对初级医疗服务提供者提供进一步教育和支持的必要性。整合循证行为和整体健康服务的初级保健机构可能是为头痛疾病提供更全面护理的最佳方式。
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引用次数: 0
Associations Between Habit and Its Determinants with Medication Adherence in Chilean Patients with Type 2 Diabetes Mellitus. 智利 2 型糖尿病患者的习惯及其决定因素与坚持用药之间的关系。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-09-23 DOI: 10.1080/08964289.2024.2406308
Jorge Schleef, Manuel S Ortiz

High rates of medication non-adherence have been reported in Chilean patients with type 2 diabetes mellitus (T2DM). Although habit is relevant to medication adherence, few studies have examined the antecedents of habit strength in taking diabetes medication. The aim of the present study was to assess the mediating role of habit strength in the association between determinants of habit formation and medication adherence in Chilean patients with T2DM. Participants were 245 T2DM patients from Chile. Variables were measured using self-report scales. Hypotheses were tested using a series of mediation models. Results supported the mediating role of habit strength in the relationships of medication adherence with planning, exposure to contextual cues, behavior repetition, perceived benefits, and intrinsic motivation. The theoretical and practical implications of these findings for the treatment of T2DM are discussed.

据报道,智利的 2 型糖尿病(T2DM)患者不坚持服药的比例很高。虽然习惯与服药依从性有关,但很少有研究探讨了糖尿病患者服药习惯强度的前因。本研究旨在评估习惯强度在智利 T2DM 患者习惯养成的决定因素与坚持服药之间的关联中的中介作用。研究对象为 245 名智利 T2DM 患者。采用自我报告量表对变量进行测量。使用一系列中介模型对假设进行了检验。结果表明,习惯强度在坚持用药与计划、接触情境线索、行为重复、感知益处和内在动机之间的关系中起着中介作用。本文讨论了这些发现对治疗 T2DM 的理论和实践意义。
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引用次数: 0
Randomized Controlled Trial of the Behavioral Intervention for Increasing Physical Activity in Multiple Sclerosis Project: Fidelity Monitoring and Outcomes 多发性硬化症患者增加体育锻炼行为干预项目随机对照试验:保真度监测和结果
IF 2.3 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-09-17 DOI: 10.1080/08964289.2024.2398414
Stephanie L. Silveira, Ariel Kidwell-Chandler, Trinh L. T. Huynh, Katie L. J. Cederberg, Brenda Jeng, E. Morghen Sikes, Robert W. Motl
Treatment fidelity is a key component for assessing the reliability and validity of clinical trials in behavioral medicine. This manuscript reports on the outcomes of a pre-planned fidelity monitor...
治疗真实性是评估行为医学临床试验可靠性和有效性的关键要素。本手稿报告了预先计划的忠实性监测的结果...
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引用次数: 0
Sociodemographic Factors, Health-Risk Behaviors, and Chronic Conditions Are Associated with a High Prevalence of Depressive Symptoms: Findings from the Indonesian Family Life Survey-5. 社会人口因素、健康风险行为和慢性病与抑郁症状高发有关:印度尼西亚第五次家庭生活调查的结果。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-24 DOI: 10.1080/08964289.2024.2375205
Mohammed Alfaqeeh, Sofa D Alfian, Rizky Abdulah

Depression is a significant public health challenge. However, limited research exists regarding the risk of sociodemographic factors, health-risk behavior, and chronic conditions in relation to the development of depression in Indonesia. This study assesses the prevalence of depressive symptoms in adolescents and adults, and identifies its potential associations with sociodemographic factors, health-risk behaviors, and chronic conditions. A national cross-sectional population-based survey was performed, using the Indonesian Family Life Survey (IFLS-5), to assess depressive symptoms in respondents aged 15 years and older. Depression was evaluated using the Center for Epidemiologic Studies-Depression (CES-D) scale, and potential associations with sociodemographic factors, health-risk behaviors, and chronic conditions were examined using logistic regression analysis. The study revealed a high prevalence of depressive symptoms, with the highest incidence observed in the age group of 25-34 years. Factors such as unmarried status, younger age, good physical activity, and having chronic conditions showed associations with depression. These findings have implications for developing public mental health strategies to reduce the prevalence of depression in Indonesia.

抑郁症是一项重大的公共卫生挑战。然而,在印尼,关于社会人口因素、健康风险行为和慢性病与抑郁症发病之间的风险关系的研究十分有限。本研究评估了青少年和成年人抑郁症状的患病率,并确定了其与社会人口因素、健康风险行为和慢性病的潜在关联。研究采用印度尼西亚家庭生活调查(IFLS-5)进行了一项全国性横断面人口调查,以评估 15 岁及以上受访者的抑郁症状。抑郁症采用流行病学研究中心抑郁量表(CES-D)进行评估,并采用逻辑回归分析法研究了抑郁症与社会人口学因素、健康风险行为和慢性疾病之间的潜在关联。研究显示,抑郁症状的发病率很高,其中 25-34 岁年龄组的发病率最高。未婚、年龄较小、体育锻炼良好和患有慢性疾病等因素都与抑郁症有关。这些发现对制定公共心理健康战略以降低印度尼西亚的抑郁症发病率具有重要意义。
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引用次数: 0
The Association between Neighborhood Walkability and Physical Activity in a Behavioral Weight Loss Trial Testing the Addition of Remotely Delivered Feedback Messages to Self-Monitoring. 在一项行为减肥试验中,邻里步行能力与体育锻炼之间的关系,该试验在自我监测的基础上增加了远程反馈信息。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-07-25 DOI: 10.1080/08964289.2023.2238102
Jacob K Kariuki, Zhadyra Bizhanova, Molly B Conroy, Lora E Burke, Jessica Cheng, Britney Beatrice, Susan M Sereika

Adding feedback messages (FB) to self-monitoring (SM) may reinforce behavior change. However, socio-environmental conditions (e.g., limited access to parks or low walkability) may limit one's ability to respond to FB focused on physical activity (PA). In this analysis, we hypothesized that high neighborhood walkability will positively modify the treatment effect of FB on PA, and residents of high walkability neighborhoods will achieve higher PA levels at 12 months than those in low walkability neighborhoods. The study is a secondary analysis of a 12-month behavioral weight-loss trial. Adults with overweight/obesity were randomized to SM + FB (n = 251) or SM alone (n = 251). SM + FB group received smartphone pop-up messages thrice/week tailored to their PA SM data. The assessment included neighborhood walkability via Walk Score (low [<50] vs. high [≥50]), moderate to vigorous PA (MVPA) and step count via Fitbit Charge 2™, and weight via smart scale. We report adjusted linear regression coefficients (b) with standard errors (SE). The analysis included participants who were primarily white, female, and with obesity. In adjusted models, neighborhood walkability did not moderate the effect of treatment assignment on log-transformed (ln) MVPA or steps count over 12 months. The SM + FB group had greater lnMVPA than the SM group, but lnMVPA and steps were similar between walkability groups. There were no significant interactions for group and time or group, time, and walkability. These findings suggest that adding FB to SM had a small but significant positive impact on PA over 12 months, but neighborhood walkability did not moderate the treatment effect of FB on PA.

在自我监测(SM)中添加反馈信息(FB)可强化行为改变。然而,社会环境条件(如公园交通不便或步行率低)可能会限制人们对以身体活动(PA)为重点的反馈信息做出反应的能力。在本分析中,我们假设高步行能力社区将积极改变 FB 对体力活动的治疗效果,并且高步行能力社区的居民在 12 个月后的体力活动水平将高于低步行能力社区的居民。该研究是对一项为期 12 个月的行为减肥试验的二次分析。超重/肥胖成年人被随机分配到SM + FB(251人)或单独SM(251人)组。SM + FB 组每周三次收到根据他们的 PA SM 数据定制的智能手机弹出消息。评估内容包括通过步行评分(低[vs.高[≥50]])进行的邻里步行能力评估、通过 Fitbit Charge 2™ 进行的中度至剧烈 PA (MVPA) 和步数评估,以及通过智能体重秤进行的体重评估。我们报告了调整后的线性回归系数 (b) 和标准误差 (SE)。分析对象主要为白人、女性和肥胖症患者。在调整后的模型中,邻里步行能力并不影响治疗分配对12个月内MVPA或步数的对数变换(ln)影响。SM+FB组的lnMVPA大于SM组,但步行能力组之间的lnMVPA和步数相似。组别与时间或组别、时间和步行能力之间没有明显的交互作用。这些研究结果表明,在SM的基础上增加FB,在12个月内对PA有微小但显著的积极影响,但邻里步行能力并不能调节FB对PA的治疗效果。
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引用次数: 0
Mental Health and Substance Misuse Indicators Associated with First-Time Homelessness among a Community Sample of Sexual and Gender Minority Adults. 性与性别少数群体成人社区样本中与首次无家可归相关的心理健康和药物滥用指标。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-08 DOI: 10.1080/08964289.2023.2241105
Timothy J Grigsby, Andrea Lopez, Reimund Serafica, Amy L Stone, Robert Salcido, Phillip W Schnarrs

Homelessness is a priority public health issue in the United States (U.S.) given its strong associations with multiple adverse health outcomes. While overall rates of homelessness have decreased over the last decade, some populations-such as sexual and gender minorities-have not seen equitable decreases. The present study explores the relationship between experiences of first-time homelessness with substance misuse (assessed via the DAST-10) and depression and anxiety (assessed via the PHQ-4) in an adult sample of SGM individuals in South Central Texas. The analytic sample (n = 907) was majority gay/lesbian or same-gender loving (55.8%) followed by bisexual or pansexual (34.7%) or another sexual identity (9.5%) and 12.5% were transgender. First-time homelessness was more common in childhood than adulthood. Multivariate logistic regression models were used to evaluate relationships between first-time homelessness and outcomes of interest. The odds of substance misuse (DAST > 3) were marginally higher for those experiencing first-time homelessness in childhood and significantly higher for those reporting first-time homelessness in adulthood. The odds of experiencing past 2-week depression were significantly greater for those reporting homelessness in childhood or adulthood. However, only first-time homelessness in adulthood was significantly associated with past two-week anxiety. These findings underscore the need to consider intersectionality when exploring solutions to existing health disparities, as this work suggests that both sexual and gender identity and homelessness are important factors in shaping mental and behavioral health outcomes.

在美国,无家可归与多种不良健康后果密切相关,因此是一个优先的公共卫生问题。虽然无家可归者的总体比例在过去十年中有所下降,但一些人群--如性和性别少数群体--并没有看到公平的下降。本研究探讨了德克萨斯州中南部 SGM 成人样本中首次无家可归经历与药物滥用(通过 DAST-10 评估)、抑郁和焦虑(通过 PHQ-4 评估)之间的关系。分析样本(n = 907)中大多数为同性恋或同性爱者(55.8%),其次是双性恋或泛双性恋者(34.7%)或其他性身份者(9.5%),12.5%为变性者。童年期首次无家可归的情况比成年期更为常见。多变量逻辑回归模型用于评估首次无家可归与相关结果之间的关系。童年时期首次无家可归者滥用药物(DAST > 3)的几率略高,而成年后首次无家可归者滥用药物(DAST > 3)的几率明显更高。在童年或成年期无家可归的人中,过去两周抑郁的几率明显更高。然而,只有成年后首次无家可归才与过去两周的焦虑情绪有显著关联。这些发现强调,在探索解决现有健康差异的方法时,需要考虑交叉性,因为这项工作表明,性和性别认同以及无家可归都是影响心理和行为健康结果的重要因素。
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引用次数: 0
Health Related Quality of Life and Cardiovascular Risk Factors. 与健康相关的生活质量和心血管风险因素。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-05-24 DOI: 10.1080/08964289.2023.2202847
Konstantinos Kontoangelos, Dimitris Soulis, Stergios Soulaidopoulos, Christos Konstantinos Antoniou, Sofia Tsiori, Christos Papageorgiou, Sofia Martinaki, Iraklis Mourikis, Konstantinos Tsioufis, Charalabos Papageorgiou, Vasiliki Katsi

Cardiovascular diseases (CVD) is associated with deteriorating of quality of life (QOL) and exercise capacity (EC) but less is known on how EC interplays with QOL. The present study explores the relationship between quality of life and cardiovascular risk factors in people who present in cardiology clinics. A total of 153 adult presentations completed the SF-36 Health Survey and provided data for hypertension, diabetes mellitus, smoking, obesity, hyperlipidemia and history of coronary heart disease. Physical capacity was assessed by treadmill test. were correlated with the scores of the psychometric questionnaires. Participants with longer duration on treadmill exercise score higher on the scale of physical functioning. The study found that treadmill exercise intensity and duration were associated with improved scores in dimensions of the physical component summary and the physical functioning of SF-36, respectively. The presence of cardiovascular risk factors is related to a decreased quality of life. Patients with cardiovascular diseases should undergo particularly detailed analysis of the quality of life along with specific mental factors such as depersonalization and posttraumatic stress disorder.

心血管疾病(CVD)与生活质量(QOL)和运动能力(EC)的恶化有关,但人们对运动能力如何与生活质量相互影响知之甚少。本研究探讨了心脏科门诊就诊者的生活质量与心血管风险因素之间的关系。共有 153 名成人完成了 SF-36 健康调查,并提供了有关高血压、糖尿病、吸烟、肥胖、高脂血症和冠心病病史的数据。体能通过跑步机测试进行评估。跑步机运动时间较长的参与者在身体机能量表中得分较高。研究发现,跑步机运动强度和持续时间分别与 SF-36 体能部分摘要和体能功能方面得分的提高有关。心血管风险因素的存在与生活质量的下降有关。心血管疾病患者应特别详细地分析生活质量以及特定的精神因素,如人格解体和创伤后应激障碍。
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引用次数: 0
Experiences of Isolation among Patients Hospitalized during an Infectious Disease Outbreak: A Systematic Review and Meta-Ethnography. 传染病爆发期间住院患者的隔离经历:系统综述与 Meta-Ethnography。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-06-21 DOI: 10.1080/08964289.2023.2214717
Andrea Rodríguez-Prat, Denise Pergolizzi, Iris Crespo, Cristina Monforte-Royo

Hospital isolation is common for people during infectious disease outbreaks. Anxiety, stress, depression and other psychosocial outcomes have been reported due to these measures. However, there is scarce evidence about the experience of being isolated and about best practices for empathic clinical care in these circumstances. The aim of this study was to explore the experience of isolation on patients hospitalized during an infectious disease outbreak. A systematic review and meta-ethnography was carried out. A search strategy was applied to the PubMed, CINAHL, Web of Science, and PsycINFO databases on April 14, 2021 and again May 2, 2022. Data synthesis was conducted using Noblit and Hare's method of qualitative thematic synthesis. Twenty reports were included in this review: 16 qualitative, two mixed-methods (only the qualitative part was analyzed), plus 2 personal view pieces. They described the experiences of a total of 337 people hospitalized and isolated with an infectious disease. Following analysis and coding of data, four themes emerged: 1) Feelings triggered by isolation; 2) Coping strategies; 3) Connection/disconnection; 4) Factors that influence the experience of isolation. Despite a sensitive search strategy, limited studies represent patient experiences using qualitative methods. The experience of isolation among patients hospitalized during an outbreak is characterized by fear, perceived stigma, and a sense of disconnection from others and the outside world due to a lack of information. Fostering a person-centered care model could help hospitalized patients develop adaptive mechanisms that minimize the impact of isolation.

在传染病爆发期间,医院隔离对人们来说很常见。据报道,这些措施会导致焦虑、压力、抑郁和其他社会心理后果。然而,有关被隔离的体验以及在这种情况下进行移情临床护理的最佳实践的证据却很少。本研究旨在探讨传染病爆发期间住院患者的隔离体验。研究采用了系统回顾和荟萃人种学的方法。研究人员于 2021 年 4 月 14 日和 2022 年 5 月 2 日分别在 PubMed、CINAHL、Web of Science 和 PsycINFO 数据库中采用了检索策略。数据综合采用 Noblit 和 Hare 的定性专题综合法。本综述共纳入 20 篇报告:16 篇定性报告、2 篇混合方法报告(只分析定性部分)以及 2 篇个人观点报告。这些报告共描述了 337 名住院和被隔离的传染病患者的经历。在对数据进行分析和编码后,产生了四个主题:1)由隔离引发的感觉;2)应对策略;3)连接/断开连接;4)影响隔离体验的因素。尽管采用了敏感的搜索策略,但使用定性方法反映病人经历的研究仍然有限。疫情爆发期间住院患者的隔离体验主要表现为恐惧、耻辱感以及因缺乏信息而与他人和外界断绝联系的感觉。促进以人为本的护理模式可以帮助住院患者建立适应机制,最大限度地减少隔离带来的影响。
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引用次数: 0
Examining the Relationship between Anti-Black Racism, Community and Police Violence, and COVID-19 Vaccination. 研究反黑人种族主义、社区和警察暴力与 COVID-19 疫苗接种之间的关系。
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-08-14 DOI: 10.1080/08964289.2023.2244626
Katherine G Quinn, Bijou R Hunt, Jacquelyn Jacobs, Jesus Valencia, Dexter Voisin, Jennifer L Walsh

In 2020, the COVID-19 pandemic emerged against a backdrop of long-standing racial inequities that contributed to significant disparities in COVID-19 mortality, morbidity, and eventually, vaccination rates. COVID-19 also converged with two social crises: anti-Black racism and community and police violence. The goal of this study was to examine the associations between community violence, police violence, anti-Black racism, and COVID-19 vaccination. Survey data were collected from a sample of 538 Black residents of Chicago between September 2021 and March 2022. Structural equation modeling was used to test associations between neighborhood violence, police violence, racism, medical mistrust, trust in COVID-related information, depressive symptoms, and having received a COVID-19 vaccination. In line with predictions, neighborhood violence had a significant indirect effect on vaccination via trust in COVID-related information from a personal doctor. Additionally, racism had a significant indirect effect on vaccination via trust in COVID-related information from a personal doctor, as well as via medical mistrust and trust in COVID-related information from a personal doctor. These findings add to the growing body of literature demonstrating the importance of medical mistrust when examining COVID-19 vaccination disparities. Furthermore, this study highlights the importance of considering how social and structural factors such as violence and racism can influence medical mistrust.

2020 年,COVID-19 大流行是在长期存在的种族不平等背景下出现的,这种不平等导致 COVID-19 的死亡率、发病率以及最终的疫苗接种率存在显著差异。COVID-19 还与两个社会危机交织在一起:反黑人种族主义以及社区和警察暴力。本研究旨在探讨社区暴力、警察暴力、反黑人种族主义和 COVID-19 疫苗接种之间的关联。2021 年 9 月至 2022 年 3 月期间,对芝加哥的 538 名黑人居民进行了抽样调查。采用结构方程模型检验了社区暴力、警察暴力、种族主义、医疗不信任、对 COVID 相关信息的信任、抑郁症状和接种过 COVID-19 疫苗之间的关联。与预测结果一致,邻里暴力通过信任私人医生提供的 COVID 相关信息对疫苗接种产生了显著的间接影响。此外,种族主义通过信任私人医生提供的 COVID 相关信息,以及通过医疗不信任和信任私人医生提供的 COVID 相关信息,对疫苗接种产生了显著的间接影响。越来越多的文献表明,在研究 COVID-19 疫苗接种差异时,医疗不信任非常重要,而这些研究结果为这些文献增添了新的内容。此外,本研究还强调了考虑暴力和种族主义等社会和结构性因素如何影响医疗不信任的重要性。
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引用次数: 0
COVID-19 Booster Uptake: Are Hesitant Adopters Less Likely to Get a Booster Shot Than Nonhesitant Adopters? COVID-19 加强针的使用率:犹豫不决者是否比不犹豫不决者更不可能接受加强注射?
IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Pub Date : 2024-07-01 Epub Date: 2023-09-18 DOI: 10.1080/08964289.2023.2249168
Don E Willis, Ramey Moore, James P Selig, Sheena CarlLee, Morgan P Gurel-Headley, Lawrence E Cornett, Pearl A McElfish

The main objective of this study was to assess whether hesitancy toward receiving the initial COVID-19 vaccine was associated with uptake of the COVID-19 booster several months after it became available to all US adults. We ask whether hesitancy toward the initial COVID-19 vaccine was significantly associated with lower odds of COVID-19 booster uptake among adults. We test this association within the context of the highly rural state of Arkansas. By January 2022, the US had set a global record of nearly 1 million daily cases. The purpose of this study was to advance our understanding of vaccine hesitancy among those who have already received a dose of the COVID-19 vaccine and how that hesitancy may shape COVID-19 booster uptake. We analyzed data from a random sample survey of Arkansan adults (N = 2,201) between March 1 and March 28, 2022 and constrained our analytical sample to those who had received a vaccine (N = 1,649). Nearly two-thirds of vaccinated Arkansas residents had received a COVID-19 booster. Hesitancy was common even among vaccinated individuals and was significantly associated with reduced odds of COVID-19 booster uptake, even after controlling for other factors. Findings provide further support for conceptualizing vaccine hesitancy as an attitude related to-but separate from-the behavior of vaccination, as opposed to conflating vaccination with being nonhesitant. Public health interventions aimed at increasing COVID-19 booster uptake should pay attention to vaccine hesitancy indicated at the initiation of the series and should not ignore the vaccinated as an important population to target for intervention.

本研究的主要目的是评估对接种 COVID-19 初次疫苗的犹豫不决是否与 COVID-19 强化疫苗向所有美国成年人提供几个月后的接种率有关。我们的问题是,对初次接种 COVID-19 疫苗的犹豫不决是否与成年人接种 COVID-19 加强剂的几率较低有显著关联。我们以阿肯色州这个高度农村化的州为背景,检验了这种关联。截至 2022 年 1 月,美国创下了每天近 100 万例病例的全球记录。本研究的目的是加深我们对已接种过一剂 COVID-19 疫苗的人群的疫苗接种犹豫以及这种犹豫可能如何影响 COVID-19 强化接种率的理解。我们分析了 2022 年 3 月 1 日至 3 月 28 日期间对阿肯色州成年人(N = 2,201 人)进行的随机抽样调查数据,并将分析样本限定为已接种疫苗的人群(N = 1,649 人)。近三分之二接种过疫苗的阿肯色州居民接受过 COVID-19 强化接种。即使在已接种疫苗的人群中,犹豫不决的现象也很普遍,即使在控制了其他因素后,犹豫不决仍与 COVID-19 强化接种几率的降低有显著关系。研究结果进一步支持了将疫苗犹豫概念化,将其视为一种与接种行为相关但又独立的态度,而不是将接种疫苗与不犹豫混为一谈。旨在提高 COVID-19 强化接种率的公共卫生干预措施应关注疫苗接种开始时表现出的疫苗犹豫态度,并且不应忽视已接种疫苗者这一重要的干预目标人群。
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引用次数: 0
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Behavioral Medicine
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