Understanding the influence of online information, misinformation, disinformation and reinformation on COVID-19 vaccine acceptance: Protocol for a multicomponent study

Body Image, Autonomy, and Vaccine Hesitancy: A Psychodynamic Approach to Anti-Vaccine Individuals' Resistance

This study examines the psychological and psychodynamic factors influencing vaccine hesitancy, focusing on body image and emotional processing. A cross-sectional observational design was used. Participants from five European countries completed the Body Image and Schema Test (BIST). ANOVA analyses compared cognitive, affective, and behavioral traits between pro- and anti-vaccine individuals. Findings indicate that anti-vaccine individuals exhibit higher levels of autonomy, distrust of authority, and emotional intensity, particularly in the form of heightened fear and anger. Their resistance to vaccination is linked to concerns about bodily integrity and a strong sense of self-protection, reflecting deep-seated psychological dispositions. This study highlights the role of defense mechanisms, personality traits, and social influences in shaping vaccine attitudes. By understanding these psychodynamic underpinnings, public health strategies can be better tailored to address vaccine resistance through targeted communication and interventions. The findings provide valuable insights for policymakers and healthcare professionals in designing more effective public health campaigns. The repository Open Science Framework link contains data, a complete presentation of the BIST theoretical framework, and a full description of the meaning of BIST Factors and Items.

Intersecting Inequities in COVID-19 Vaccination: A Discourse Analysis of Information Use and Decision-Making Among Ethnically Diverse Parents in Canada

BACKGROUND

Little is known about how intersecting social privilege and disadvantage contribute to inequities in COVID-19 information use and vaccine access. This study explored how social inequities intersect to shape access to and use of COVID-19 information and vaccines among parents in Canada.

METHODS

We conducted semi-structured interviews on COVID-19 vaccination information use with ethnically diverse parents of children ages 11 to 18 years from April to August 2022. We purposefully invited parents from respondents to a national online survey to ensure representation across diverse intersecting social identities. Five researchers coded transcripts in NVivo using a discourse analysis approach informed by intersectionality. Our analysis focused on use of vaccine information and intersecting privileges and oppressions, including identifying with equity-denied group(s).

RESULTS

Interview participants (N = 48) identified as ethnically diverse non-Indigenous (n = 40) and Indigenous (n = 8) Peoples from seven Canadian provinces. Racialized minority or Indigenous participants reflected on historical and contemporary events of racism from government and medical institutions as barriers to trust and access to COVID-19 information, vaccines, and the Canadian healthcare system. Participants with privileged social locations showed greater comfort in resisting public health measures. Despite the urgency to receive COVID-19 vaccines, information gaps and transportation barriers delayed vaccination among some participants living with chronic medical conditions.

CONCLUSION

Historicization of colonialism and ongoing events of racism are a major barrier to trusting public health information. Fostering partnerships with trusted leaders and/or healthcare workers from racialized communities may help rebuild trust. Healthcare systems need to continuously implement strategies to restore trust with Indigenous and racialized populations.

Naive skepticism scale: development and validation tests applied to the chilean population

BACKGROUND

Skepticism has traditionally been associated with critical thinking. However, philosophy has proposed a particular type of skepticism, termed naive skepticism, which may increase susceptibility to misinformation, especially when contrasting information from official sources. While some scales propose to measure skepticism, they are scarce and only measure specific topics; thus, new instruments are needed to assess this construct.

OBJECTIVE

This study aimed to develop a scale to measure naive skepticism in the adult population.

METHOD

The study involved 446 individuals from the adult population. Subjects were randomly selected for either the pilot study (phase 2; n = 126) or the validity-testing study (phase 3; n = 320). Parallel analyses and exploratory structural equation modelling were conducted to assess the internal structure of the test. Scale reliability was estimated using Cronbach's alpha and McDonald's omega coefficients Finally, a multigroup confirmatory factor analysis was performed to assess invariance, and a Set- Exploratory Structural Equation Modeling was applied to estimate evidence of validity based on associations with other variables.

RESULTS

The naive skepticism scale provided adequate levels of reliability (ω > 0.8), evidence of validity based on the internal structure of the test (CFI = 0.966; TLI = 0.951; RMSEA = 0.079), gender invariance, and a moderate inverse effect on attitudes towards COVID-19 vaccines.

CONCLUSIONS

The newly developed naive skepticism scale showed acceptable psychometric properties in an adult population, thus enabling the assessment of naive skepticism in similar demographics. This paper discusses the implications for the theoretical construct and possible limitations of the scale.

Caregiver knowledge and attitudes relating to paediatric pneumonia and antimicrobial stewardship: a qualitative study

OBJECTIVE

The objective of this study was to understand caregiver perspectives and experiences relating to the treatment of paediatric community-acquired pneumonia (CAP).

DESIGN, SETTING AND PATIENTS

This was a phenomenological qualitative study involving interviews with caregivers of young children in Hamilton, Ontario. Caregivers were asked open-ended questions relating to germ theory, pneumonia and the role of antibiotic treatment. The principles of conventional content analysis guided the coding and synthesis of the transcribed interviews.

RESULTS

Eleven caregivers were interviewed. Many knew that antibiotics were not effective against all types of infections and stated that there was an increased risk of developing resistance with frequent use. However, there were misconceptions that probiotics effectively mitigated antibiotic side effects, and few were familiar with the potential long-term consequences of antibiotic use in children.There was variability in the perceived severity of paediatric CAP. Some participants thought that antibiotic treatment would accelerate recovery and prevent caregivers from feeling helpless. However, others also thought it was inappropriate for physicians to prescribe antibiotics solely to make the caregiver feel better. Many caregivers also felt strongly that clinical follow-up and discussions on treatment risks/benefits would be desirable to counteract feelings of helplessness that result from being sent home without a prescription.

CONCLUSION

Recognising that parents may have misperceptions about antibiotic use for CAP (and may seek antibiotics without strong rationale) can inform clinicians' efforts to better educate and support caregivers in the emergency department. Care strategies informed by caregiver experiences can improve parent-provider communication and reduce antibiotic misuse.

Job Insecurity According to the Mental Health of Workers in 25 Peruvian Cities during the COVID-19 Pandemic

The pandemic brought various problems among workers, one of them being job insecurity, since many lost their jobs and others had the possibility of being fired, which could influence their mental health. The aim of this analytical cross-sectional study was to determine the relationship between job insecurity and mental health among workers in 25 Peruvian cities during the COVID-19 pandemic. Previously validated surveys were used to inquire about job insecurity and three mental health disorders (depression, anxiety, and stress) as well as other variables. Of the 1855 workers, 14% had moderate or higher levels of stress, 30% had anxiety, and 16% had depression. Having had job insecurity was associated with moderate or higher levels of depression (RPa: 1.71; 95% CI: 1.51–1.94; p-value < 0.001), anxiety (RPa: 1.43; 95% CI: 1.25–1.64; p-value < 0.001), and stress (RPa: 1.77; 95% CI: 1.41–2.22; p-value < 0.001). Depression was also associated with having been fired during the pandemic and associated with eight professions. Anxiety was associated with being a man and having been fired, while stress was associated with three professions. There is a clear association between having job insecurity and suffering from the three mental pathologies evaluated, which highlights the importance of assessing the mental impact.