@文章{信息:doi/10.2196/38076，作者=“Weerakoon, Sitara M和Henson-Garcia, Mike和Valerio-Shewmaker, Melissa A和Messiah, Sarah E和Knell, Gregory”，标题=“可信度、健康素养和自我效能在COVID-19疫苗沟通中的贡献——犹豫不决的受众:基于网络的调查研究”，期刊=“JMIR Form Res”，年份=“2022”，月份=“Aug”，日期=“1”，卷=“6”，数量=“8”，页数=“e38076”，关键词=“疫苗犹豫;健康知识;COVID-19;COVID-19疫苗犹豫;健康的沟通;疫苗接种;卫生专业;背景:COVID-19大流行期间大规模的卫生传播挑战，如广泛的错误信息和对卫生保健专业人员的不信任，影响了不愿接种COVID-19疫苗，也称为疫苗犹豫。对卫生专业人员的信任、适当的卫生知识普及和高度的自我效能是积极采取预防性和保护性卫生保健措施的关键组成部分。这些因素可能与寻求和完成COVID-19疫苗剂量的意图有关。 Objective: The objective of this analysis was to identify factors associated with COVID-19 vaccine hesitancy. Methods: In February 2021, US adults (N=5872) responded to a web-based survey on COVID-19 vaccine hesitancy and components of health communication (trust in sources of health information, health literacy, and self-efficacy). Multivariable logistic regression models were used to explore associations between these factors and vaccine hesitancy while adjusting for key demographics. We hypothesized that low levels of trust, health literacy, and self-efficacy would be associated with increased vaccine hesitancy. Results: The adjusted odds of vaccine hesitancy was greater among those who placed little to no trust in health professionals compared to those who held a lot of trust (adjusted odds ratio [AOR] 8.54, 95{\%} CI 6.52-11.19). The odds of vaccine hesitancy was also greater among those who felt frustrated about finding health information compared to those who did not (AOR 2.10, 95{\%} CI 1.62-2.70). Participants who had little to no confidence in receiving health advice or information had greater odds of vaccine hesitancy compared to those who had a lot of confidence (AOR 3.05, 95{\%} CI 2.34-3.97). Conclusions: This study underscores the importance of trust between health professionals and their patients, and a need for improving health literacy regarding vaccines. Perceptions of mistrust and low levels of health literacy were associated with high levels of vaccine hesitancy, providing empirical support of framing these factors as perceived barriers to vaccine uptake. ", issn="2561-326X", doi="10.2196/38076", url="https://formative.www.mybigtv.com/2022/8/e38076", url="https://doi.org/10.2196/38076", url="http://www.ncbi.nlm.nih.gov/pubmed/35878123" }