Impact of perceived neighborhood social cohesion on vaccination intentions in the post-pandemic era

Chupak, Anna L., Rudisill, Caroline, Harrison, Sayward, Linvill, Katie, Costa-Font, Joan ORCID: 0000-0001-7174-7919, Hung, Peiyin and Li, Xiaoming (2024) Impact of perceived neighborhood social cohesion on vaccination intentions in the post-pandemic era. Preventive Medicine, 189. ISSN 0091-7435

Text (YPMED-24-1381_R3) - Accepted Version Repository staff only until 7 November 2025. Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (2MB)

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Abstract

Objective To examine the relationship between perceived neighborhood social cohesion (NSC) and intentions to obtain seasonal influenza and COVID-19 vaccines among US adults post COVID-19 pandemic. Methods We conducted a cross-sectional, nationally representative survey of US residents (N = 2189) in May 2023 on their perceived NSC, COVID-19 and seasonal influenza vaccination intentions, healthcare access, perceived risk of COVID-19 or flu infection, loneliness, and trust in doctors. We used bivariate probit regressions to examine joint associations between perceived NSC and intentions to receive influenza and COVID-19 vaccines, controlling for several participant characteristics (e.g., race). Results 2164 respondents provided consent to study questions. Trust-related NSC (trust in neighbors) was positively associated with intentions to become vaccinated against both influenza and COVID-19 viruses. Higher relational NSC (perception of a close-knit neighborhood) was positively associated while higher value-based NSC (perception that neighbors share the same values) was negatively associated with intentions to become vaccinated against COVID-19. Healthcare access, perceived risk of infection (COVID-19 or flu), and trust in doctors were positively associated with intentions to become vaccinated against both viruses. Conclusions In a post-pandemic era, higher trust-related and relational, perceived NSC (vaccine-dependent), greater access to healthcare, higher perceived risk of infection, and greater trust in doctors were related to higher influenza and COVID-19 vaccination intentions, while higher value-based NSC was related to lower COVID-19 vaccination intentions among US adults. Thus, specific aspects of NSC, healthcare access barriers, misinformation on infection risk, and medical mistrust may influence an individual's willingness and ultimate decision to become vaccinated.

Item Type:	Article
Additional Information:	© 2024 Elsevier
Divisions:	Health Policy
Subjects:	H Social Sciences R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	31 Oct 2024 09:42
Last Modified:	15 Nov 2024 17:21
URI:	http://eprints.lse.ac.uk/id/eprint/125932

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