Associations Between Social Networks and COVID-19 Vaccine Uptake in 4 Rural Alabama Counties: Survey Findings.

Autor: McCollum, Greer, Allgood, Ashleigh, Agne, April, Cleveland, Dave, Gray, Cicily, Ford, Eric, Baral, Stefan, Mugavero, Michael, Hall, Allyson G.
Zdroj: Public Health Reports; Nov/Dec2024, Vol. 139 Issue 6, p691-698, 8p
Abstrakt: Objectives: The COVID-19 pandemic demonstrated how vaccination decisions are influenced by misinformation, disinformation, and social pressures, leading to varied and inequitable uptake rates. In this study, we examined how COVID-19 vaccine messages received via social networks were associated with vaccine uptake in rural Alabama. Methods: From November 2021 through March 2022, we collected 700 responses to a telephone survey administered in 4 rural Alabama counties. We asked respondents to indicate whether certain social relationships (eg, family, businesses) tried to influence them to (1) obtain or (2) avoid a COVID-19 vaccine. We used χ2 tests, Kruskal–Wallis tests, Mantel–Haenszel χ2 tests, and Fisher exact tests to examine the associations between vaccination status and survey responses. Results: Respondents in majority–African American counties were significantly more likely than those in majority–White counties to have received ≥1 dose of COVID-19 vaccine (89.8% vs 72.3%; P <.001). Respondents who received ≥1 dose had a significantly higher mean age than those who had not (58.0 vs 39.0 years; P <.001). Respondents who were encouraged to get vaccinated by religious leaders were more likely to have received ≥1 dose (P =.001), and those who were encouraged to avoid vaccination by family (P =.007), friends (P =.02), coworkers (P =.003), and health care providers (P <.001) were less likely to have received ≥1 dose. Respondents with more interpersonal relationships that encouraged them to avoid vaccination were more likely to be unvaccinated (P <.001). Conclusions: Interpersonal relationships and demographic characteristics appeared to be important in COVID-19 vaccine decision-making in rural Alabama. Further research needs to identify how to facilitate vaccine-positive interpersonal relationships, such as peer mentoring and trusted messenger interventions. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index