墨西哥裔青少年接种 COVID-19 疫苗的社会文化前因和机制。

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Su Yeong Kim, Wen Wen, Kiera M Coulter, Hin Wing Tse, Yayu Du, Shanting Chen, Yang Hou, Yishan Shen
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引用次数: 0

摘要

墨西哥裔青年是美国青年中一个庞大且不断增长的群体,他们受到 COVID-19 的影响尤为严重。了解哪些社会文化因素、何时以及如何影响他们对 COVID-19 疫苗的接种,可以为当前和未来促进墨西哥裔青少年疫苗接种行为的大流行应对干预措施提供参考。本研究采用发展的方法揭示了 198 名墨西哥裔青少年 COVID-19 疫苗接种行为的长期和短期社会文化前因,并基于知识-态度-行为模型探讨了这些关联的内在机制。本研究采用了一项大型研究中的第 1 波(2012-2015 年)和第 4 波(2021-2022 年)自我报告数据。研究分析了四个社会文化前因(日常歧视、民族歧视、外国人压力和家庭经济压力)的四个中介模型。我们观察到,在第 4 波时,较高水平的并发社会文化风险因素对较低的 COVID-19 疫苗接种概率产生了一致的间接影响,即对 COVID-19 疫苗的了解较少,对 COVID-19 疫苗的态度较不积极。在第 1 波民族歧视/第 4 波日常歧视与 COVID-19 疫苗接种概率之间发现了显著的直接影响,但方向相反。这些发现强调了考虑先前和同时存在的社会文化前因以及知识-态度-行为途径对墨西哥裔青少年接种 COVID-19 疫苗的重要性,并表明歧视对接种 COVID-19 疫苗的影响可能取决于所经历的歧视类型(如日常歧视或种族歧视)和背景(如是否在 COVID-19 大流行期间)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sociocultural Antecedents and Mechanisms of COVID-19 Vaccine Uptake among Mexican-Origin Youth.

Mexican-origin youth, as a large and growing population among U.S. youth, have been disproportionately affected by COVID-19. Understanding what, when, and how sociocultural factors may influence their COVID-19 vaccine uptake could inform current and future pandemic-response interventions promoting vaccination behaviors among Mexican-origin youth. The current study takes a developmental approach to reveal the long-term and short-term sociocultural antecedents of 198 Mexican-origin adolescents' COVID-19 vaccination uptake behaviors and explores the underlying mechanism of these associations based on the Knowledge-Attitude-Behavior model. The current study adopted Wave 1 (2012-2015) and Wave 4 (2021-2022) self-reported data from a larger study. Analyses were conducted to examine four mediation models for four sociocultural antecedents-daily discrimination, ethnic discrimination, foreigner stress, and family economic stress-separately. Consistent indirect effects of higher levels of concurrent sociocultural risk factors on a lower probability of COVID-19 vaccine uptake were observed to occur through less knowledge about the COVID-19 vaccines and less positive attitudes toward the COVID-19 vaccines at Wave 4. Significant direct effects, but in opposite directions, were found for the associations between Wave 1 ethnic discrimination/Wave 4 daily discrimination and the probability of COVID-19 vaccine uptake. The findings highlight the importance of considering prior and concurrent sociocultural antecedents and the Knowledge-Attitude-Behavior pathway leading to COVID-19 vaccination uptake among Mexican-origin youth and suggest that the impact of discrimination on COVID-19 vaccination uptake may depend on the type (e.g., daily or ethnic) and the context (e.g., during the COVID-19 pandemic or not) of discrimination experienced.

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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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