scholarly journals Transmission of Vaccination Attitudes and Uptake Based on Social Contagion Theory: A Scoping Review

Vaccines ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 607
Author(s):  
Pinelopi Konstantinou ◽  
Katerina Georgiou ◽  
Navin Kumar ◽  
Maria Kyprianidou ◽  
Christos Nicolaides ◽  
...  
Keyword(s):  
Social Networks ◽  
Scoping Review ◽  
Race And Ethnicity ◽  
Social Contagion ◽  
Vaccine Hesitancy ◽  
Cross Sectional ◽  
Vaccination Uptake ◽  
Health Authorities ◽  
Positive Attitudes ◽  
Public Health Authorities

Vaccine hesitancy is a complex health problem, with various factors involved including the influence of an individual’s network. According to the Social Contagion Theory, attitudes and behaviours of an individual can be contagious to others in their social networks. This scoping review aims to collate evidence on how attitudes and vaccination uptake are spread within social networks. Databases of PubMed, PsycINFO, Embase, and Scopus were searched with the full text of 24 studies being screened. A narrative synthesis approach was used to collate the evidence and interpret findings. Eleven cross-sectional studies were included. Participants held more positive vaccination attitudes and greater likelihood to get vaccinated or vaccinate their child when they were frequently exposed to positive attitudes and frequently discussing vaccinations with family and friends. We also observed that vaccination uptake was decreased when family and friends were hesitant to take the vaccine. Homophily—the tendency of similar individuals to be connected in a social network—was identified as a significant factor that drives the results, especially with respect to race and ethnicity. This review highlights the key role that social networks play in shaping attitudes and vaccination uptake. Public health authorities should tailor interventions and involve family and friends to result in greater vaccination uptake.

scholarly journals Acceptance and Attitudes Toward COVID-19 Vaccines: A Cross-Sectional Study from Jordan

2020 ◽  
Author(s):  
Tamam El-Elimat ◽  
Mahmoud M. AbuAlSamen ◽  
Basima A. Almomani ◽  
Nour A. Al-Sawalha ◽  
Feras Q. Alali
Keyword(s):  
Public Health ◽  
Healthcare Providers ◽  
Vaccine Hesitancy ◽  
Sources Of Information ◽  
Cross Sectional ◽  
The Public ◽  
Awareness Campaigns ◽  
Health Authorities ◽  
Public Acceptability ◽  
Public Health Authorities

AbstractBackgroundVaccines are effective interventions that can reduce the high burden of diseases globally. However, public vaccine hesitancy is a pressing problem for public health authorities. With the availability of COVID-19 vaccines, little information is available on the public acceptability and attitudes towards the COVID-19 vaccines in Jordan. This study aimed to investigate the acceptability of COVID-19 vaccines and its predictors in addition to the attitudes towards these vaccines among public in Jordan.MethodsAn online, cross-sectional, and self-administered questionnaire was instrumentalized to survey adult participants from Jordan on the acceptability of COVID-19 vaccines. Logistic regression analysis was used to find the predictors of COVID-19 vaccines’ acceptability.ResultsA total of 3,100 participants completed the survey. The public acceptability of COVID-19 vaccines was fairly low (37.4%) in Jordan. Males (OR=2.488, 95CI%=1.834–3.375, p<.001) and those who took the seasonal influenza vaccine (OR=2.036, 95CI%=1.306–3.174, p=.002) were more likely to accept Covid-19 vaccines. Similarly, participants who believed that vaccines are generally safe (OR=9.258, 95CI%=6.020–14.237, p<.001) and those who were willing to pay for vaccines (OR=19.223, 95CI%=13.665–27.042, p<.001), once available, were more likely to accept the COVID-19 vaccines. However, those above 35 years old (OR=0.376, 95CI%=0.233-0.607, p<.001) and employed participants (OR=0.542, 95CI%=0.405-0.725, p<.001) were less likely to accept the COVID-19 vaccines. Moreover, participants who believed that there was a conspiracy behind COVID-19 (OR=0.502, 95CI%=0.356- 0.709, p<.001) and those who do not trust any source of information on COVID-19 vaccines (OR=0.271, 95CI%=0.183 – 0.400, p<.001), were less likely to have acceptance towards them. The most trusted sources of information on COVID-19 vaccines were healthcare providers.ConclusionSystematic interventions are required by public health authorities to reduce the levels of vaccines’ hesitancy and improve their acceptance. We believe these results and specifically the low rate of acceptability is alarming to Jordanian health authorities and should stir further studies on the root causes and the need of awareness campaigns. These interventions should take the form of reviving the trust in national health authorities and structured awareness campaigns that offer transparent information about the safety and efficacy of the vaccines and the technology that was utilized in their production.

scholarly journals Acceptance and attitudes toward COVID-19 vaccines: A cross-sectional study from Jordan

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250555
Author(s):  
Tamam El-Elimat ◽  
Mahmoud M. AbuAlSamen ◽  
Basima A. Almomani ◽  
Nour A. Al-Sawalha ◽  
Feras Q. Alali
Keyword(s):  
Public Health ◽  
Healthcare Providers ◽  
Vaccine Hesitancy ◽  
Sources Of Information ◽  
Cross Sectional ◽  
The Public ◽  
Awareness Campaigns ◽  
Health Authorities ◽  
Public Acceptability ◽  
Public Health Authorities

Vaccines are effective interventions that can reduce the high burden of diseases globally. However, public vaccine hesitancy is a pressing problem for public health authorities. With the availability of COVID-19 vaccines, little information is available on the public acceptability and attitudes towards the COVID-19 vaccines in Jordan. This study aimed to investigate the acceptability of COVID-19 vaccines and its predictors in addition to the attitudes towards these vaccines among public in Jordan. An online, cross-sectional, and self-administered questionnaire was instrumentalized to survey adult participants from Jordan on the acceptability of COVID-19 vaccines. Logistic regression analysis was used to find the predictors of COVID-19 vaccines’ acceptability. A total of 3,100 participants completed the survey. The public acceptability of COVID-19 vaccines was fairly low (37.4%) in Jordan. Males (OR = 2.488, 95CI% = 1.834–3.375, p < .001) and those who took the seasonal influenza vaccine (OR = 2.036, 95CI% = 1.306–3.174, p = .002) were more likely to accept COVID-19 vaccines. Similarly, participants who believed that vaccines are generally safe (OR = 9.258, 95CI% = 6.020–14.237, p < .001) and those who were willing to pay for vaccines (OR = 19.223, 95CI% = 13.665–27.042, p < .001), once available, were more likely to accept the COVID-19 vaccines. However, those above 35 years old (OR = 0.376, 95CI% = 0.233–0.607, p < .001) and employed participants (OR = 0.542, 95CI% = 0.405–0.725, p < .001) were less likely to accept the COVID-19 vaccines. Moreover, participants who believed that there was a conspiracy behind COVID-19 (OR = 0.502, 95CI% = 0.356–0.709, p < .001) and those who do not trust any source of information on COVID-19 vaccines (OR = 0.271, 95CI% = 0.183–0.400, p < .001), were less likely to have acceptance towards them. The most trusted sources of information on COVID-19 vaccines were healthcare providers. Systematic interventions are required by public health authorities to reduce the levels of vaccines’ hesitancy and improve their acceptance. We believe these results and specifically the low rate of acceptability is alarming to Jordanian health authorities and should stir further studies on the root causes and the need of awareness campaigns. These interventions should take the form of reviving the trust in national health authorities and structured awareness campaigns that offer transparent information about the safety and efficacy of the vaccines and the technology that was utilized in their production.

scholarly journals Reported COVID-19 Vaccination Coverage and Associated Factors among Members of Athens Medical Association: Results from a Cross-Sectional Study

Vaccines ◽  
2021 ◽  
Vol 9 (10) ◽  
pp. 1134
Author(s):  
Georgios Marinos ◽  
Dimitris Lamprinos ◽  
Panagiotis Georgakopoulos ◽  
Georgios Patoulis ◽  
Georgia Vogiatzi ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Association ◽  
Vaccination Coverage ◽  
Online Survey ◽  
Health Workers ◽  
High Reliability ◽  
Cross Sectional ◽  
Vaccination Uptake ◽  
Health Authorities ◽  
Public Health Authorities

There are limited data on the prevalence and determinants of COVID-19 vaccination coverage among physicians. A cross-sectional, questionnaire-based, online study was conducted among the members of the Athens Medical Association (I.S.A.) over the period 25 February to 13 March 2021. All members of I.S.A. were invited to participate in the anonymous online survey. A structured, anonymous questionnaire was used. Overall, 1993 physicians participated in the survey. The reported vaccination coverage was 85.3%. The main reasons of no vaccination were pending vaccination appointment followed by safety concerns. Participants being informed about the COVID-19 vaccines by social media resulted in lower COVID-19 vaccination coverage than health workers being informed by other sources. Logistic regression analysis demonstrated that no fear over COVID-19 vaccination-related side effects, history of influenza vaccination for flu season 2020–2021, and the perception that the information on COVID-19 vaccination from the national public health authorities is reliable, were independent factors of reported COVID-19 vaccination coverage. Our results demonstrate a considerable improvement of the COVID-19 vaccination uptake among Greek physicians. The finding that participants reported high reliability of the information related to COVID-19 vaccination provided by the Greek public health authorities is an opportunity which should be broadly exploited by policymakers in order to combat vaccination hesitancy, and further improve COVID-19 vaccination uptake and coverage among physicians/HCWs, and the general population.

scholarly journals SARS-CoV-2: Vaccine Hesitancy among Underrepresented Racial and Ethnic Groups with HIV in Miami, Florida

2021 ◽  
Author(s):  
Deborah L Jones ◽  
Ana S Salazar ◽  
Violeta J Rodriguez ◽  
Raymond R Balise ◽  
Claudia Uribe Starita ◽  
...  
Keyword(s):  
Race And Ethnicity ◽  
Cross Sectional Study ◽  
Vaccine Uptake ◽  
Vaccine Hesitancy ◽  
Baseline Survey ◽  
Advisory Group ◽  
Medical Mistrust ◽  
Cross Sectional ◽  
Exact Test ◽  
Novel Coronavirus

Abstract Background SARS-CoV-2 and HIV disproportionally affect underrepresented ethnoracial groups in the US. Medical mistrust and vaccine hesitancy will likely impact acceptability of SARS-CoV-2 vaccines. This study examined SARS-CoV-2 vaccine hesitancy among underrepresented ethnoracial groups with HIV and identified factors that may reduce vaccine uptake. Methods We conducted a cross-sectional study of adults ≥18 years with HIV residing in Miami, FL. Participants were invited to participate in the ACTION (A Comprehensive Translational Initiative on Novel Coronavirus) cohort study. A baseline survey was administered from April-August 2020 and followed by a COVID-19 vaccine hesitancy survey from August-November 2020. The COVID-19 vaccine hesitancy survey was adapted from the Strategic Advisory Group Experts survey. Comparisons by race and ethnicity were performed using the Freedman-Haltmann extension of Fisher’s exact test Results A total of 94 participants were enrolled, mean age 54.4 years, 52% female, 60% Black non-Latinx, and 40% non-Black Latinx. Black non-Latinx participants were less likely to agree that vaccinations are important for health when compared to non-Black Latinx (67.8% vs 92.1%, p=0.009), less likely to agree that vaccines are effective in preventing disease (67.8% vs 84.2%, p=0.029), less likely to believe that vaccine information is reliable and trustworthy (35.7% vs 71.1%, p=0.002), and less likely to believe vaccines were unnecessary because COVID-19 would disappear soon (11% vs 21%, p=0.049). Conclusion Medical mistrust, vaccine hesitancy and negative sentiments about SARS-CoV-2 vaccines are prevalent among underrepresented ethnoracial groups with HIV, particularly Black non-Latinx. Targeted strategies to increase vaccine uptake in this population are warranted.

scholarly journals Fueling the Covid-19 pandemic: summer school holidays and incidence rates in German districts

2021 ◽  
Author(s):  
Thomas Plümper ◽  
Eric Neumayer
Keyword(s):  
Public Health ◽  
Fixed Effects ◽  
Summer School ◽  
Incidence Rates ◽  
Contact Tracing ◽  
Robert Koch Institute ◽  
Cross Sectional ◽  
Holiday Period ◽  
Health Authorities ◽  
Public Health Authorities

AbstractBackgroundThe Robert-Koch-Institute reports that during the summer holiday period a foreign country is stated as the most likely place of infection for an average of 27 and a maximum of 49% of new SARS-CoV-2 infections in Germany.MethodsCross-sectional study on observational data. In Germany, summer school holidays are coordinated between states and spread out over 13 weeks. Employing a dynamic model with district fixed effects, we analyze the association between these holidays and weekly incidence rates across 401 German districts.ResultsWe find effects of the holiday period of around 45% of the average district incidence rates in Germany during their respective final week of holidays and the 2 weeks after holidays end. Western states tend to experience stronger effects than Eastern states. We also find statistically significant interaction effects of school holidays with per capita taxable income and the share of foreign residents in a district’s population.ConclusionsOur results suggest that changed behavior during the holiday season accelerated the pandemic and made it considerably more difficult for public health authorities to contain the spread of the virus by means of contact tracing. Germany’s public health authorities did not prepare adequately for this acceleration.

scholarly journals Patient health engagement model: explaining citizens noncompliance and maladaptive behaviors

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Graffigna ◽  
S Barello ◽  
L Palamenghi ◽  
M Savarese ◽  
G Castellini
Keyword(s):  
Healthcare Services ◽  
Cross Sectional Study ◽  
Health Prevention ◽  
Prevention Measures ◽  
Cross Sectional ◽  
Health Authorities ◽  
Patient Health ◽  
Public Health Authorities ◽  
High Level ◽  
Restrictive Measures

Abstract Background At the end of February 2020 a new case was diagnosed with COVID-19 in north Italy, suddenly followed by new cases. Italian health authorities decided to enforce restrictive measures. Northern areas of Italy were identified as “red areas” to slow down the epidemic and its impact on the healthcare system. From this perspective, the COVID-19 epidemic in Italy constitutes a testing ground for the assessment of the ability of consumers to cope with this health risk. Methods A cross-sectional study on a representative sample of 1000 Italian citizens was conducted over the period 27 February- 5 March exploring the following hypotheses: 1) less engaged individuals are more concerned for the health emergency and feel more vulnerable; 2) less engaged have higher probability to develop negative attitudes and dysfunctional behaviors. Results only the 16% the interviewees presented a high level of engagement. Lower levels of engagement were measured in the southern parts of Italy (not yet touched by the epidemics at the time of data collection). People with lowers levels of engagement reported higher fears for the contagion and sense of vulnerability. Furthermore, they showed the lower levels of trust in the Public Health Authorities, in medical research and in vaccines. Finally, they appeared more dismissive in their preventive behaviors and more disorganized in the fruition of the healthcare services. Conclusions A psychological analysis of processes of attitudinal and role change in the direction of becoming more engaged in health prevention is worthy in order to forecast potential dysfunctional reactions to restrictive health prevention measures and to orient personalized education initiatives to consumers with different level of engagement. Key messages Profiling based on the levels of health engagement is important in order to plan more effective healthcare measures during epidemics. Targeted educational initiatives should take into account citizens' engagement profiles.

Knowledge and perception of COVID-19 in Mexico through online surveys: a descriptive and cross-sectional study. (Preprint)

2020 ◽  
Author(s):  
Catalina García-Vielma ◽  
Teresa Carolina Villarreal-Benavides ◽  
Mario Ernesto Villarreal-Benavides
Keyword(s):  
Social Networks ◽  
Chronic Diseases ◽  
Online Survey ◽  
Cross Sectional Study ◽  
Mexican Population ◽  
Sectional Study ◽  
Online Surveys ◽  
Cross Sectional ◽  
Health Authorities ◽  
The Media

BACKGROUND COVID-19 pandemic has a great impact on the Mexican population. People have different perceptions and reactions to an event of such magnitude. This can be investigated by applying online surveys distributed by social networks that guarantee high response rates and results in short time OBJECTIVE Inquire about knowledge and perception of the COVID 19 pandemic in Mexico METHODS Descriptive and cross-sectional study. The data was collected through an online survey with personal data and general knowledge of virus and disease, economic and social aspects, and news images and related with emotions perceived by the population. Was distributed by social networks Facebook© and WhatsApp© from April 5th-9th, 2020, during phase 2 of pandemic in Mexico. The participation was voluntary, anonymous and confidential. A percentage of all results were determined. RESULTS 2798 responses were analyzed. 99.9% answered the survey. The main data were: age 21-40 years (51%), gender: female (81%), almost 100% recognized the transmission and symptoms of COVID-19. 99% implement washes hands. 74.9% enjoy "good" health status, however, 50% suffer chronic diseases. The predominant state of mind was concern. Conclusion: Social media and online surveys could be an important tool to investigate knowledge and perceptions among the population. Our results could help society in general; health authorities and the media, to know the perceptions and needs of the Mexican population during the pandemic and take preventive measures, especially due to the high percentage of people with chronic diseases that could complicate the prognosis of the disease. CONCLUSIONS The use of online surveys allows quick results to be obtained from the knowledge of a population on a particular topic. In Mexico, the COVID-19 pandemic is a problem perceived with concern. Part of this could be real, due to the country's resources, and the presence of chronic diseases in a large percentage of the Mexican population. On the other hand, there is a large amount of fake news in various media, which increases this. Actions by government and society to reduce these levels of worry and anxiety could save many lives. We consider that the results of this descriptive study could be useful for health authorities, medical personnel, the media and the general population, to know the perception of Mexican inhabitants about COVID-19 and save data on measurements and patterns that can be applied in the future for other disease outbreaks.

Investigation of Alcohol Consumption Determinants in Turkey With Multinomial Probit Model

2020 ◽  
pp. 134-161
Author(s):  
Ömer Alkan ◽  
İkram Yusuf Yarbaşı
Keyword(s):  
Alcohol Consumption ◽  
Probit Model ◽  
Multinomial Probit ◽  
Key Factors ◽  
Cross Sectional ◽  
Statistical Institute ◽  
Health Authorities ◽  
Multinomial Probit Model ◽  
Public Health Authorities ◽  
Key Variables

The main objective of this study is to determine key factors that may have a significant effect on alcohol consumption in Turkey. For this purpose, the cross-sectional data obtained from the Turkish Health Survey conducted in 2010 and 2012 by the Turkish Statistical Institute were analyzed through the multinomial probit model. Results revealed that several key variables were found to be a significant determinant of alcohol consumption, such as gender, age, education, marital status, income, general health status, tooth brushing frequency, situation of violence, fruit consumption frequency, tobacco use, exposure to tobacco smoke, and survey year. It is apparent that alcoholics need help to get rid of an addiction. Therefore, it would be inevitable for governments to intervene through national and international public health authorities. In particular, the ability of governments to design and implement comprehensive prevention strategies that combine the strengths of different policy approaches is critical to success.

scholarly journals Prevalence and Determinants of Fall-Related Injuries among Older Adults in Ecuador

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Carlos H. Orces
Keyword(s):  
Older Adults ◽  
Fall Prevention ◽  
Regression Models ◽  
Drinking Alcohol ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Health Authorities ◽  
Aging Study ◽  
Public Health Authorities ◽  
Type Of Injury

Objectives. To estimate the prevalence and determinants of fall-related injuries in the previous year among adults aged 60 years or older in Ecuador.Methods. The prevalence of fall-related injuries was estimated using cross-sectional data from the first national survey of Health, Wellbeing, and Aging study. Logistic regression models were used to examine the associations between participants’ demographic characteristics and fall-related injuries.Results. Of 5,227 participants with a mean age of 72.6 years, 11.4% (95% CI, 10.3%–12.7%) reported a fall-related injury in Ecuador, representing an estimated 136,000 adults aged 60 years or older. Fall-related injuries were more frequently reported among older adults residing in the most urbanized and populated provinces of the country. After controlling for potential confounders, self-reported race as Indigenous (OR 2.2; 95% CI, 2.11–2.31), drinking alcohol regularly (OR 2.54; 95% CI, 2.46–2.63), subjects with greater number of comorbid conditions (OR 2.03; 95% CI, 1.97–2.08), and urinary incontinence (OR 1.83; 95% CI, 1.79–1.87) were factors independently associated with increased odds of sustaining fall-related injuries.Conclusions. Fall-related injuries represent a considerable burden for older adults in Ecuador. The present findings may assist public health authorities to implement fall prevention programs among subjects at higher risk for this type of injury.

scholarly journals Parent’s Perspective towards Child COVID-19 Vaccination: An Online Cross-Sectional Study in Mexico

2021 ◽  
Vol 19 (1) ◽  
pp. 290
Author(s):  
Juan Luis Delgado-Gallegos ◽  
Gerardo R. Padilla-Rivas ◽  
Lilia Julieta Gastelum-Arias ◽  
Erika Zuñiga-Violante ◽  
Gener Avilés-Rodríguez ◽  
...  
Keyword(s):  
Adverse Effects ◽  
Cross Sectional Study ◽  
Vaccine Hesitancy ◽  
Design Strategies ◽  
Cross Sectional ◽  
Vaccine Acceptance ◽  
Vaccination Programs ◽  
Health Authorities ◽  
Stepwise Method ◽  
Significant Factors

COVID-19 vaccination programs continue in child populations. Thus, parents’ attitude towards COVID-19 vaccination of their children is crucial for these strategies to succeed. The present study derives from the application of an online COVID-19 Vaccine Acceptance & Hesitancy Questionnaire (COV-AHQ) in which we measure parent’s hesitancy towards children’s vaccination (section 4 of the COV-AHQ) and other significant factors. A logistic regression analysis with backward stepwise method was used to quantify the associations between factors and parent’s hesitancy. According to the correlation analysis, the most representative factors predicting vaccine hesitancy/acceptance were positive attitude towards vaccination, parents believing that the COVID-19 vaccine will enhance the economic situation of the country, parents actively researching information, having the willingness to obtain the COVID-19 vaccine themselves, and the possibility of their children developing adverse effects. Our findings also showed that parents are highly interested in having their children vaccinated. Nonetheless, parents expressed high levels of concern involving their children in developing adverse effects from the vaccine. In addition, obtaining influenza immunization prompted interest in obtaining the COVID-19 vaccine, and younger-aged parents are much more concerned with having their children vaccinated. Therefore, in order to ensure successful vaccination programs, policymakers and health authorities should design strategies to gain confidence and provide security amongst the population, including giving continuous information about the benefits of vaccination and presenting the frequency of side effects to bring parents on board with vaccinating their children.

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