@Article{info:doi/10.2196/29329，作者=“陈浩与李，小梅与高，君凌与刘，小西与毛，一梦与王，汝如与郑，品品与肖，谦一与贾，英南与傅，华与戴俊明”，标题=“健康信念模型视角下中国控制新冠肺炎疫苗犹豫与促进疫苗接种:“基于web的横断面研究”，期刊=“J Med Internet Res”，年=“2021”，月=“9”，日=“6”，卷=“23”，数=“9”，页=“e29329”，关键词=“COVID-19大流行;疫苗接种行为;疫苗犹豫;背景:控制疫苗犹豫，促进疫苗接种是防控新冠肺炎的关键保护措施。目的:评估疫苗犹豫率和疫苗接种率，探讨健康信念模型(HBM)各因素与疫苗接种率的关系。方法:于2021年1月1日至24日，选取中国大陆31个省、自治区的2531名有效参与者作为便利样本，进行在线调查研究。在控制其他协变量后，采用多变量logistic回归来确定疫苗接种率和HBM因素与疫苗犹豫患病率的关系。结果:疫苗犹豫率为44.3% {\%}(95{\%}CI为42.3{\%}~ 46.2%{\%})，接种率为10.4%{\%}(9.2%}~ 11.6%{\%})。直接促进疫苗接种行为的因素是缺乏疫苗犹豫(比值比[OR] 7.75, 95% {\%} CI 5.03-11.93)，同意朋友或家人的疫苗接种建议(比值比[OR] 3.11, 95% {\%} CI 1.75-5.52)，以及没有感知到COVID-19疫苗接种障碍(比值比[OR] 0.51, 95% {\%} CI 0.35-0.75)。 The factors that were directly associated with a higher vaccine hesitancy rate were a high level of perceived barriers (OR 1.63, 95{\%} CI 1.36-1.95) and perceived benefits (OR 0.51, 95{\%} CI 0.32-0.79). A mediating effect of self-efficacy, influenced by perceived barriers (standardized structure coefficient [SSC]=−0.71, P<.001), perceived benefits (SSC=0.58, P<.001), agreement with recommendations from authorities (SSC=0.27, P<.001), and agreement with recommendations from friends or family (SSC=0.31, P<.001), was negatively associated with vaccination (SSC=−0.45, P<.001) via vaccine hesitancy (SSC=−0.32, P<.001). Conclusions: It may be possible to increase the vaccination rate by reducing vaccine hesitancy and perceived barriers to vaccination and by encouraging volunteers to advocate for vaccination to their friends and family members. It is also important to reduce vaccine hesitancy by enhancing self-efficacy for vaccination, due to its crucial mediating function. ", issn="1438-8871", doi="10.2196/29329", url="//www.mybigtv.com/2021/9/e29329", url="https://doi.org/10.2196/29329", url="http://www.ncbi.nlm.nih.gov/pubmed/34280115" }

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