Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study
Aims and Objectives To investigate whether chronic diseases are associated with higher COVID‐19 vaccine hesitancy and explore factors that influence COVID‐19 vaccine hesitancy in patients with chronic diseases. Background Vaccine hesitancy has been acknowledged as one of the greatest hazards to publ...
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| Veröffentlicht in: | Journal of clinical nursing 2024-06, Vol.33 (6), p.2165-2177 |
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| container_title | Journal of clinical nursing |
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| creator | Miao, Yudong Shen, Zhanlei Li, Quanman Ma, Mingze Xu, Dongyang Tarimo, Clifford Silver Gu, Jianqin Wei, Wei Zhou, Xue Zhao, Lipei Feng, Yifei Wu, Jian Wang, Meiyun |
| description | Aims and Objectives
To investigate whether chronic diseases are associated with higher COVID‐19 vaccine hesitancy and explore factors that influence COVID‐19 vaccine hesitancy in patients with chronic diseases.
Background
Vaccine hesitancy has been acknowledged as one of the greatest hazards to public health. However, little information is available about COVID‐19 vaccine hesitancy among patients with chronic diseases who may be more susceptible to COVID‐19 infection, severe disease or death.
Methods
From 6 to 9 August 2021, we performed an internet‐based cross‐sectional survey with 22,954 participants (14.78% participants with chronic diseases). Propensity score matching with 1:1 nearest neighbourhood was used to reduce confounding factors between patients with chronic diseases and the general population. Using a multivariable logistic regression model, the factors impacting COVID‐19 vaccine hesitancy were identified among patients with chronic diseases.
Results
Both before and after propensity score matching, patients with chronic diseases had higher COVID‐19 vaccine hesitancy than the general population. In addition, self‐reported poor health, multiple chronic diseases, lower sociodemographic backgrounds and lower trust in nurses and doctors were associated with COVID‐19 vaccine hesitancy among patients with chronic diseases.
Conclusions
Patients with chronic diseases were more hesitant about the COVID‐19 vaccine. Nurses should focus on patients with chronic diseases with poor health conditions, low socioeconomic backgrounds and low trust in the healthcare system.
Relevance to Clinical Practice
Clinical nurses are recommended to not only pay more attention to the health status and sociodemographic characteristics of patients with chronic diseases but also build trust between nurses and patients by improving service levels and professional capabilities in clinical practice.
Patient or Public Contribution
Patients or the public were not involved in setting the research question, the outcome measures, or the design or implementation of the study. However, all participants were invited to complete the digital informed consent and questionnaires. |
| doi_str_mv | 10.1111/jocn.16958 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2920573474</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3042741470</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3578-23e212d56d283c56d7924eb47756ec5045f9ebad5f065092d996ad739152ba813</originalsourceid><addsrcrecordid>eNp9kb2O1DAQxy0E4paDhgdAlmgQUg5_xHFMd1q-Fp3YhqONHHvCepXYi-2A0vEIVDwgT4L39qCgYJrR2D_9NKM_Qo8puaClXuyD8Re0UaK9g1aUN6JikrC7aEVUwypKGnmGHqS0J4Ryxvh9dMZbpiivxQr9vPYWYsraW-c_47wD7KaDNhmHAZtdDN4ZbF0CnSDh4PF6-2nz6tf3H1Thr9oY5wHvILkiMAue01FyiOEAvrwtOJkQAU86m135eYk3PkP0kIugL0aLTQwplSmByS54PeKUZ7s8RPcGPSZ4dNvP0fWb1x_X76qr7dvN-vKqMlzItmIcGGVWNJa13JQmFauhr6UUDRhBajEo6LUVA2kEUcwq1WgruaKC9bql_Bw9O3nLzl9mSLmbXDIwjtpDmFPHFCNC8lrWBX36D7oPcywbp46Tmsma1pIU6vmJujkswtAdopt0XDpKumNa3TGt7iatAj-5Vc79BPYv-ieeAtAT8M2NsPxH1b3frj-cpL8B-PKjug</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3042741470</pqid></control><display><type>article</type><title>Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study</title><source>Access via Wiley Online Library</source><creator>Miao, Yudong ; Shen, Zhanlei ; Li, Quanman ; Ma, Mingze ; Xu, Dongyang ; Tarimo, Clifford Silver ; Gu, Jianqin ; Wei, Wei ; Zhou, Xue ; Zhao, Lipei ; Feng, Yifei ; Wu, Jian ; Wang, Meiyun</creator><creatorcontrib>Miao, Yudong ; Shen, Zhanlei ; Li, Quanman ; Ma, Mingze ; Xu, Dongyang ; Tarimo, Clifford Silver ; Gu, Jianqin ; Wei, Wei ; Zhou, Xue ; Zhao, Lipei ; Feng, Yifei ; Wu, Jian ; Wang, Meiyun</creatorcontrib><description>Aims and Objectives
To investigate whether chronic diseases are associated with higher COVID‐19 vaccine hesitancy and explore factors that influence COVID‐19 vaccine hesitancy in patients with chronic diseases.
Background
Vaccine hesitancy has been acknowledged as one of the greatest hazards to public health. However, little information is available about COVID‐19 vaccine hesitancy among patients with chronic diseases who may be more susceptible to COVID‐19 infection, severe disease or death.
Methods
From 6 to 9 August 2021, we performed an internet‐based cross‐sectional survey with 22,954 participants (14.78% participants with chronic diseases). Propensity score matching with 1:1 nearest neighbourhood was used to reduce confounding factors between patients with chronic diseases and the general population. Using a multivariable logistic regression model, the factors impacting COVID‐19 vaccine hesitancy were identified among patients with chronic diseases.
Results
Both before and after propensity score matching, patients with chronic diseases had higher COVID‐19 vaccine hesitancy than the general population. In addition, self‐reported poor health, multiple chronic diseases, lower sociodemographic backgrounds and lower trust in nurses and doctors were associated with COVID‐19 vaccine hesitancy among patients with chronic diseases.
Conclusions
Patients with chronic diseases were more hesitant about the COVID‐19 vaccine. Nurses should focus on patients with chronic diseases with poor health conditions, low socioeconomic backgrounds and low trust in the healthcare system.
Relevance to Clinical Practice
Clinical nurses are recommended to not only pay more attention to the health status and sociodemographic characteristics of patients with chronic diseases but also build trust between nurses and patients by improving service levels and professional capabilities in clinical practice.
Patient or Public Contribution
Patients or the public were not involved in setting the research question, the outcome measures, or the design or implementation of the study. However, all participants were invited to complete the digital informed consent and questionnaires.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.16958</identifier><identifier>PMID: 38291345</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Chronic illnesses ; Clinical medicine ; COVID-19 vaccines ; COVID‐19 vaccine hesitancy ; internet‐based cross‐sectional study ; Nurses ; patients with chronic diseases ; propensity score matching ; Sociodemographics</subject><ispartof>Journal of clinical nursing, 2024-06, Vol.33 (6), p.2165-2177</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><rights>Copyright © 2024 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3578-23e212d56d283c56d7924eb47756ec5045f9ebad5f065092d996ad739152ba813</citedby><cites>FETCH-LOGICAL-c3578-23e212d56d283c56d7924eb47756ec5045f9ebad5f065092d996ad739152ba813</cites><orcidid>0000-0002-7654-7243</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.16958$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.16958$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38291345$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miao, Yudong</creatorcontrib><creatorcontrib>Shen, Zhanlei</creatorcontrib><creatorcontrib>Li, Quanman</creatorcontrib><creatorcontrib>Ma, Mingze</creatorcontrib><creatorcontrib>Xu, Dongyang</creatorcontrib><creatorcontrib>Tarimo, Clifford Silver</creatorcontrib><creatorcontrib>Gu, Jianqin</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><creatorcontrib>Zhou, Xue</creatorcontrib><creatorcontrib>Zhao, Lipei</creatorcontrib><creatorcontrib>Feng, Yifei</creatorcontrib><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Wang, Meiyun</creatorcontrib><title>Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aims and Objectives
To investigate whether chronic diseases are associated with higher COVID‐19 vaccine hesitancy and explore factors that influence COVID‐19 vaccine hesitancy in patients with chronic diseases.
Background
Vaccine hesitancy has been acknowledged as one of the greatest hazards to public health. However, little information is available about COVID‐19 vaccine hesitancy among patients with chronic diseases who may be more susceptible to COVID‐19 infection, severe disease or death.
Methods
From 6 to 9 August 2021, we performed an internet‐based cross‐sectional survey with 22,954 participants (14.78% participants with chronic diseases). Propensity score matching with 1:1 nearest neighbourhood was used to reduce confounding factors between patients with chronic diseases and the general population. Using a multivariable logistic regression model, the factors impacting COVID‐19 vaccine hesitancy were identified among patients with chronic diseases.
Results
Both before and after propensity score matching, patients with chronic diseases had higher COVID‐19 vaccine hesitancy than the general population. In addition, self‐reported poor health, multiple chronic diseases, lower sociodemographic backgrounds and lower trust in nurses and doctors were associated with COVID‐19 vaccine hesitancy among patients with chronic diseases.
Conclusions
Patients with chronic diseases were more hesitant about the COVID‐19 vaccine. Nurses should focus on patients with chronic diseases with poor health conditions, low socioeconomic backgrounds and low trust in the healthcare system.
Relevance to Clinical Practice
Clinical nurses are recommended to not only pay more attention to the health status and sociodemographic characteristics of patients with chronic diseases but also build trust between nurses and patients by improving service levels and professional capabilities in clinical practice.
Patient or Public Contribution
Patients or the public were not involved in setting the research question, the outcome measures, or the design or implementation of the study. However, all participants were invited to complete the digital informed consent and questionnaires.</description><subject>Chronic illnesses</subject><subject>Clinical medicine</subject><subject>COVID-19 vaccines</subject><subject>COVID‐19 vaccine hesitancy</subject><subject>internet‐based cross‐sectional study</subject><subject>Nurses</subject><subject>patients with chronic diseases</subject><subject>propensity score matching</subject><subject>Sociodemographics</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kb2O1DAQxy0E4paDhgdAlmgQUg5_xHFMd1q-Fp3YhqONHHvCepXYi-2A0vEIVDwgT4L39qCgYJrR2D_9NKM_Qo8puaClXuyD8Re0UaK9g1aUN6JikrC7aEVUwypKGnmGHqS0J4Ryxvh9dMZbpiivxQr9vPYWYsraW-c_47wD7KaDNhmHAZtdDN4ZbF0CnSDh4PF6-2nz6tf3H1Thr9oY5wHvILkiMAue01FyiOEAvrwtOJkQAU86m135eYk3PkP0kIugL0aLTQwplSmByS54PeKUZ7s8RPcGPSZ4dNvP0fWb1x_X76qr7dvN-vKqMlzItmIcGGVWNJa13JQmFauhr6UUDRhBajEo6LUVA2kEUcwq1WgruaKC9bql_Bw9O3nLzl9mSLmbXDIwjtpDmFPHFCNC8lrWBX36D7oPcywbp46Tmsma1pIU6vmJujkswtAdopt0XDpKumNa3TGt7iatAj-5Vc79BPYv-ieeAtAT8M2NsPxH1b3frj-cpL8B-PKjug</recordid><startdate>202406</startdate><enddate>202406</enddate><creator>Miao, Yudong</creator><creator>Shen, Zhanlei</creator><creator>Li, Quanman</creator><creator>Ma, Mingze</creator><creator>Xu, Dongyang</creator><creator>Tarimo, Clifford Silver</creator><creator>Gu, Jianqin</creator><creator>Wei, Wei</creator><creator>Zhou, Xue</creator><creator>Zhao, Lipei</creator><creator>Feng, Yifei</creator><creator>Wu, Jian</creator><creator>Wang, Meiyun</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7654-7243</orcidid></search><sort><creationdate>202406</creationdate><title>Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study</title><author>Miao, Yudong ; Shen, Zhanlei ; Li, Quanman ; Ma, Mingze ; Xu, Dongyang ; Tarimo, Clifford Silver ; Gu, Jianqin ; Wei, Wei ; Zhou, Xue ; Zhao, Lipei ; Feng, Yifei ; Wu, Jian ; Wang, Meiyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3578-23e212d56d283c56d7924eb47756ec5045f9ebad5f065092d996ad739152ba813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Chronic illnesses</topic><topic>Clinical medicine</topic><topic>COVID-19 vaccines</topic><topic>COVID‐19 vaccine hesitancy</topic><topic>internet‐based cross‐sectional study</topic><topic>Nurses</topic><topic>patients with chronic diseases</topic><topic>propensity score matching</topic><topic>Sociodemographics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miao, Yudong</creatorcontrib><creatorcontrib>Shen, Zhanlei</creatorcontrib><creatorcontrib>Li, Quanman</creatorcontrib><creatorcontrib>Ma, Mingze</creatorcontrib><creatorcontrib>Xu, Dongyang</creatorcontrib><creatorcontrib>Tarimo, Clifford Silver</creatorcontrib><creatorcontrib>Gu, Jianqin</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><creatorcontrib>Zhou, Xue</creatorcontrib><creatorcontrib>Zhao, Lipei</creatorcontrib><creatorcontrib>Feng, Yifei</creatorcontrib><creatorcontrib>Wu, Jian</creatorcontrib><creatorcontrib>Wang, Meiyun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miao, Yudong</au><au>Shen, Zhanlei</au><au>Li, Quanman</au><au>Ma, Mingze</au><au>Xu, Dongyang</au><au>Tarimo, Clifford Silver</au><au>Gu, Jianqin</au><au>Wei, Wei</au><au>Zhou, Xue</au><au>Zhao, Lipei</au><au>Feng, Yifei</au><au>Wu, Jian</au><au>Wang, Meiyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2024-06</date><risdate>2024</risdate><volume>33</volume><issue>6</issue><spage>2165</spage><epage>2177</epage><pages>2165-2177</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and Objectives
To investigate whether chronic diseases are associated with higher COVID‐19 vaccine hesitancy and explore factors that influence COVID‐19 vaccine hesitancy in patients with chronic diseases.
Background
Vaccine hesitancy has been acknowledged as one of the greatest hazards to public health. However, little information is available about COVID‐19 vaccine hesitancy among patients with chronic diseases who may be more susceptible to COVID‐19 infection, severe disease or death.
Methods
From 6 to 9 August 2021, we performed an internet‐based cross‐sectional survey with 22,954 participants (14.78% participants with chronic diseases). Propensity score matching with 1:1 nearest neighbourhood was used to reduce confounding factors between patients with chronic diseases and the general population. Using a multivariable logistic regression model, the factors impacting COVID‐19 vaccine hesitancy were identified among patients with chronic diseases.
Results
Both before and after propensity score matching, patients with chronic diseases had higher COVID‐19 vaccine hesitancy than the general population. In addition, self‐reported poor health, multiple chronic diseases, lower sociodemographic backgrounds and lower trust in nurses and doctors were associated with COVID‐19 vaccine hesitancy among patients with chronic diseases.
Conclusions
Patients with chronic diseases were more hesitant about the COVID‐19 vaccine. Nurses should focus on patients with chronic diseases with poor health conditions, low socioeconomic backgrounds and low trust in the healthcare system.
Relevance to Clinical Practice
Clinical nurses are recommended to not only pay more attention to the health status and sociodemographic characteristics of patients with chronic diseases but also build trust between nurses and patients by improving service levels and professional capabilities in clinical practice.
Patient or Public Contribution
Patients or the public were not involved in setting the research question, the outcome measures, or the design or implementation of the study. However, all participants were invited to complete the digital informed consent and questionnaires.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38291345</pmid><doi>10.1111/jocn.16958</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-7654-7243</orcidid></addata></record> |
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| ispartof | Journal of clinical nursing, 2024-06, Vol.33 (6), p.2165-2177 |
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| subjects | Chronic illnesses Clinical medicine COVID-19 vaccines COVID‐19 vaccine hesitancy internet‐based cross‐sectional study Nurses patients with chronic diseases propensity score matching Sociodemographics |
| title | Understanding the impact of chronic diseases on COVID‐19 vaccine hesitancy using propensity score matching: Internet‐based cross‐sectional study |
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