Multilevel analysis of individual, household, and community factors influencing COVID-19 vaccination intention: evidence from the 2021 Korea Community Health Survey.

IF 2.1 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ji-Seon Seong, Jong-Yeon Kim
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引用次数: 0

Abstract

Objectives: This study aimed to investigate the combined effects of individual, household, and community-level factors on coronavirus disease 2019 (COVID-19) vaccination intention using a multilevel analysis.

Methods: This cross-sectional study analyzed raw data from the 2021 Korea Community Health Survey and regional statistics from 255 health centers, with a final sample of 229,216 individuals. Multilevel analysis was conducted, focusing on individual, household, and community-level factors. Individual-level factors included demographics, health status, and COVID-19 concerns; household-level factors included income and marital status; and community-level factors included city type and vaccination rates.

Results: At the individual level, significant differences were observed across all variables. At the household level, higher vaccination intention was associated with households of 4 or more members and a monthly income of 4 million Korean won or more. At the community level, higher flu vaccination rates, greater concern about COVID-19 infection, and higher COVID-19 vaccination rates were linked to increased vaccination intention.

Conclusion: This study highlights that COVID-19 vaccination intention is influenced by factors at the individual, household, and community levels. Vaccination strategies that integrate household and community-level approaches may be more effective. Policymakers should consider both individual and social health factors when designing vaccination policies.

影响COVID-19疫苗接种意向的个人、家庭和社区因素的多水平分析:来自2021年韩国社区健康调查的证据
目的:本研究旨在通过多水平分析,探讨个人、家庭和社区因素对2019冠状病毒病(COVID-19)疫苗接种意愿的综合影响。方法:本横断面研究分析了2021年韩国社区卫生调查的原始数据和255个卫生中心的地区统计数据,最终样本为229,216人。进行了多水平分析,重点关注个人、家庭和社区层面的因素。个人层面的因素包括人口统计、健康状况和对COVID-19的担忧;家庭层面的因素包括收入和婚姻状况;社区层面因素包括城市类型和疫苗接种率。结果:在个体水平上,在所有变量之间观察到显著差异。在家庭层面上,4人以上家庭和月收入在400万韩元以上的家庭,接种意愿越高。在社区层面,更高的流感疫苗接种率、对COVID-19感染的更大关注和更高的COVID-19疫苗接种率与疫苗接种意愿的增加有关。结论:本研究强调COVID-19疫苗接种意愿受个人、家庭和社区层面因素的影响。将家庭和社区层面的方法结合起来的疫苗接种战略可能更有效。决策者在设计疫苗接种政策时应同时考虑个人和社会健康因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Osong Public Health and Research Perspectives
Osong Public Health and Research Perspectives Medicine-Public Health, Environmental and Occupational Health
CiteScore
10.30
自引率
2.30%
发文量
44
审稿时长
16 weeks
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