The role of place-based consciousness in COVID-19 vaccine hesitancy: A survey analysis across rural and urban subgroups in the U.S.

IF 4.9 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Social Science & Medicine Pub Date : 2025-03-25 DOI:10.1016/j.socscimed.2025.118019

Ramsey W. Ash , Elizabeth Carpenter-Song , Anne N. Sosin , Erika L. Moen , Christine Gunn

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引用次数: 0

Abstract

Background

Nuanced understandings of the origins of vaccine hesitancy are imperative to increasing vaccine uptake in hesitant populations. This paper examines the viability of the framework of place-based consciousness and its components (out-group resentment and in-group identity) to predict vaccine hesitancy across rural and urban subgroups.

Methods

We conducted a national survey of 300 U.S. adults (150 urban, 150 rural) from February 12 to March 5, 2024. We used bivariate correlation tests to assess differences in urban and rural place-based consciousness and regression models to assess the relationship between place-based consciousness and influenza and COVID-19 vaccine hesitancy, controlling for measured personal characteristics.

Results

The relationship between place-based consciousness and vaccine hesitancy was significantly modified by rurality for COVID-19 but not influenza vaccine hesitancy. Rural, but not urban, place-based consciousness was a significant predictor of greater odds of COVID-19 vaccine hesitancy. Out-group resentment among rural participants (anti-urban resentment) significantly predicted greater COVID-19 vaccine hesitancy while strength of rural in-group identity was a significant predictor of decreased COVID-19 vaccine hesitancy, both controlling for measured personal characteristics including political leaning, race, and education level.

Conclusions

Our finding that rural resentment, but not identity, predicted greater odds of COVID-19 vaccine hesitancy suggests a rural ethos which encourages rural community members to protect their community health via vaccination while rural resentment toward urban-appearing vaccines and their dissemination may be an important facet of rural vaccine hesitancy. Further exploration into these relationships should adopt ethnographic methods of deep inquiry to render visible the mechanisms through whichthey may operate.

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基于地方的意识在COVID-19疫苗犹豫中的作用：美国农村和城市亚组的调查分析

背景：细致入微地了解疫苗犹豫的起源对于增加犹豫人群的疫苗吸收率至关重要。本文研究了基于地方的意识框架及其组成部分（群体外怨恨和群体内认同）的可行性，以预测农村和城市亚群体的疫苗犹豫。方法我们于2024年2月12日至3月5日对300名美国成年人（150名城市成年人，150名农村成年人）进行了全国性调查。我们使用双变量相关检验来评估城市和农村基于地方的意识差异，并使用回归模型来评估基于地方的意识与流感和COVID-19疫苗犹豫之间的关系，控制测量的个人特征。结果地方意识与疫苗犹豫之间的关系受COVID-19乡村性的影响显著，但对流感疫苗犹豫没有影响。农村（而非城市）基于地方的意识是COVID-19疫苗犹豫几率更大的重要预测因素。农村参与者的群体外怨恨（反城市怨恨）显著预测了更大的COVID-19疫苗犹豫，而农村群体内认同的强度是降低COVID-19疫苗犹豫的显著预测因子，两者都控制了测量的个人特征，包括政治倾向、种族和教育水平。结论农村怨恨（而非认同）预测COVID-19疫苗犹豫的几率更高，表明农村精神鼓励农村社区成员通过接种疫苗来保护社区健康，而农村对出现在城市的疫苗及其传播的怨恨可能是农村疫苗犹豫的一个重要方面。对这些关系的进一步探索应该采用深入探究的民族志方法，以揭示它们可能运作的机制。

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

Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

9.10

自引率

5.60%

发文量

762

审稿时长

38 days

期刊介绍： Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.