Psychological reactance, misinformation, and distrust: A mixed methods analysis of COVID-19 vaccine uptake.

Autor:	Huang L; Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA., Huschka TR; Robert D. and Patricia E. Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA., Barwise AK; Program in Biomedical Ethics Research, Mayo Clinic, Rochester, MN, USA.; Division of Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN, USA., Allen JP; Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USA., Wolfersteig W; Southwest Interdisciplinary Research Center, Arizona State University, Tempe, AZ, USA., Hamm K; Southwest Interdisciplinary Research Center, Arizona State University, Tempe, AZ, USA., Cardenas LD; Maricopa County Department of Public Health, Phoenix, AZ, USA., Phelan SM; Robert D. and Patricia E. Kern Center for Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA., Allyse MA; Department of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA.; Program in Biomedical Ethics Research, Mayo Clinic, Rochester, MN, USA.; Department of Obstetrics & Gynecology, Mayo Clinic, Rochester, MN, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2024 Jan 30; Vol. 8 (1), pp. e48. Date of Electronic Publication: 2024 Jan 30 (Print Publication: 2024).
DOI:	10.1017/cts.2024.15
Abstrakt:	Background: Assessing perceptions of the COVID-19 vaccines is essential for understanding vaccine hesitancy and for improving uptake during public health emergencies. In the complicated landscape of COVID-19 vaccine mandates and rampant misinformation, many individuals faced challenges during vaccination decision-making. The purpose of our mixed methods study is to elucidate factors affecting vaccine decision-making and to highlight the discourse surrounding the COVID-19 vaccines in diverse and underserved communities. Methods: This mixed methods study was conducted in Arizona, Florida, Minnesota, and Wisconsin between March and November 2021, combining a cross-sectional survey ( n = 3593) and focus groups ( n = 47). Results: The groups least likely to report receiving a vaccination were non-Hispanic Whites, Indigenous people, males, and those with moderate socioeconomic status (SES). Those indicating high and low SES reported similar vaccination uptake. Focus group data highlighted resistance to mandates, distrust, misinformation, and concerns about the rapid development surrounding the COVID-19 vaccines. Psychological reactance theory posits that strongly persuasive messaging and social pressure can be perceived as a threat to freedom, encouraging an individual to take action to restore that freedom. Conclusion: Our findings indicate that a subsection of participants felt pressured to get the vaccine, which led to weaker intentions to vaccinate. These results suggest that vaccine rollout strategies should be reevaluated to improve and facilitate informed decision-making. Competing Interests: None. (© The Author(s) 2024.)
Databáze:	MEDLINE
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