An audit test evaluation of state practices for supporting access to and promoting Covid-19 vaccinations

Heinrich, Carolyn J.; Camacho, Sayil; Binsted, Kaitlin; Gale, Shadlan

doi:10.1016/j.socscimed.2022.114880

Cited by 8 publications

(5 citation statements)

References 11 publications

(17 reference statements)

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“…Accordingly, the stringency of prevention policies should be modified in response to changes in the epidemic prevention and control environment. More stringent prevention measures can be taken in areas with low vaccination rates, increasing the cost of epidemic prevention for the population, and thus stimulating the population to vaccinate and achieving the goal of establishing universal immunization ( 63 ). In addition, differentiated guidance to encourage vaccination willingness among different people should be implemented.…”

Section: Discussionmentioning

confidence: 99%

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Zhong,

Zhuang,

Zhang

2024

Front. Public Health

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BackgroundThe sudden emergence of the COVID-19 pandemic in early 2020 posed an enormous threat to public health. Vaccination is currently recognized as the most cost-effective preventive and control measure against the COVID-19 pandemic worldwide and is the key to constructing a line of defense against the virus, while the epidemic prevention policies adopted by governments have an important impact on the protective behavior of the public. The purpose of this study is to analyze the mechanism by which the stringency of epidemic prevention policies affects public vaccination willingness and to explore the mediating effect of public risk perception.MethodsA cross-sectional survey was conducted among 387 adults from December 2022 to June 2023 in China. A multiple linear regression model was used to explore the impact of epidemic prevention policy stringency on public vaccination willingness, and a hierarchical regression model was used to test the mediating effect of public risk perception.ResultsOur results showed that public vaccination willingness increased by approximately 45.5% for every one-unit increase in the stringency of the epidemic prevention policies, which shows that the stringency of epidemic prevention policies has a significant positive influence on public vaccination willingness. In addition, public risk perception increased by approximately 38.9% during the period of stringent government policies on epidemic prevention. For every one-unit increase in risk perception, public vaccination willingness increased by approximately 40.9%, and the relationship between the stringency of epidemic prevention policies and public vaccination willingness was partially mediated by risk perception.ConclusionThe stricter the epidemic prevention policies, the stronger the public vaccination willingness; risk perception plays a mediating effect between the stringency of epidemic prevention policies and public vaccination willingness. This finding is particularly important for exploring and analyzing the factors influencing public vaccination willingness and for improving public health.

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Section: Discussionmentioning

confidence: 99%

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Zhong,

Zhuang,

Zhang

2024

Front. Public Health

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“…Third, this study implies that practitioners should consider administrative burdens when making public health policies. Understanding the determinants and outcomes of administrative burden could help reduce its adverse and inequitable effects and improve policy efforts (Cepiku & Mastrodascio, 2021; Christensen et al., 2020; Heinrich et al., 2022; Herd & Moynihan, 2019). Our findings suggest that there is room to enhance the existing vaccination policy practices iteratively in ways that increase voluntary compliance and free up resources for more difficult public service scenarios.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, previous literature on this topic has mainly focused on empirical cases in North America, Europe, and Australia, and employed nonexperimental methods to explore the relationship between barriers and administrative burdens in various welfare programs (Mikkelsen et al, 2023;Peeters & Campos, 2021;Tiggelaar & George, 2023). Therefore, in recent years, scholars have encouraged more experimental investigations on the origins and consequences of administrative burdens in non-Western countries from a comparative perspective (Halling & Baekgaard, 2022).…”

Section: Theorymentioning

confidence: 99%

“…Notably, unlike other recent studies on vaccine uptake focusing on COVID‐19 (Heinrich et al., 2022; Kreps & Kriner, 2021; Sallam, 2021), we used the monkeypox vaccination as our research case. According to the National Health Commission of China, by October 2022, 95% of the population between 18 and 59 were vaccinated against COVID‐19 for free 1 .…”

Section: Theorymentioning

confidence: 99%

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The origins and consequences of administrative burdens in mass immunization programs: Experimental evidence based on the monkeypox outbreak

Zhang,

Wang

2023

Governance

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Studies in medicine, bioscience, psychology, sociology, and public health have provided various contextual, individual, and vaccine‐specific explanations for vaccine uptake. However, one significant yet often ignored fact is that vaccination could be viewed as a site of citizen‐state interaction in implementing public vaccination policy. This begs the questions: What barriers create administrative burdens in vaccination? How do the experiences of administrative burdens (i.e., the learning, psychological, and compliance costs in citizen‐state interactions) shape the public's willingness to vaccinate? According to theoretical insights drawn from the extant literature on administrative burden and vaccine uptake, this study uses a conjoint experiment design based on a representative sample of China to reveal the role of administrative burdens in shaping the public's willingness to vaccinate against the monkeypox outbreak, a ‘Public Health Emergency of International Concern’ from July 2022 to May 2023. The experimental results suggest that multiple salient barriers have distinct effects on the respondents' learning, psychological, and compliance costs, thus significantly influencing their vaccine uptake. These findings have important implications for both future research and efforts to promote mass immunization programs.

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“…This grim finding reveals several opportunities for immediate action. The COVID pandemic exposed longstanding inequities built into the US immunization infrastructure [45] and administrative burdens that penalize communities of color [46]. Improving equity in the immunization infrastructure would potentially reduce racial disparities in sepsis-associated death.…”

Section: Discussionmentioning

confidence: 99%

System Failure: The Geographic Distribution of Sepsis-Associated Death in the USA and Factors Contributing to the Mortality Burden of Black Communities

Lippert

2022

J. Racial and Ethnic Health Disparities

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Sepsis is deadly and costly to health care systems, but these costs are disproportionately born by Black patients. Little empirical work has established the geographic patterning of sepsis or its area-level correlates. This study illustrates the geography of sepsis-associated death and racial composition of US counties with area socioeconomic indicators, health care access, and population health. Cartographic and spatially explicit analyses utilize mortality data from the National Cancer Institute and county data from the American Community Survey, Area Health Resource File, and County Health Rankings. Death rates are highest in the South, Southeast, and Appalachia. Counties disproportionately populated by Black people have higher death rates and associated risk indicators including poor air quality and vaccination coverage, socioeconomic distress, and impaired access to high-quality health care. Spatial Durbin error models suggest that conditions in nearby counties may also influence death rates within focal counties. Racial disparities in sepsis-associated death can be narrowed with improved health care equity—including immunization coverage—and by reducing socioeconomic distress in Black communities. Policy options for achieving these ends are discussed.

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An audit test evaluation of state practices for supporting access to and promoting Covid-19 vaccinations

Cited by 8 publications

References 11 publications

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

Impact of epidemic prevention policies on public vaccination willingness: empirical research in China

The origins and consequences of administrative burdens in mass immunization programs: Experimental evidence based on the monkeypox outbreak

System Failure: The Geographic Distribution of Sepsis-Associated Death in the USA and Factors Contributing to the Mortality Burden of Black Communities

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