ABSTRACT
BACKGROUND: COVID-19 vaccine hesitancy has emerged as a major public health challenge. Although medical and scientific misinformation has been known to fuel vaccine hesitancy in the past, misinformation surrounding COVID-19 seems to be rampant, and increasing evidence suggests that it is contributing to COVID-19 vaccine hesitancy today. The relationship between misinformation and COVID-19 vaccine hesitancy is complex, however, and it is relatively understudied. METHODS: In this article, we report qualitative data from two related but distinct studies from a larger project. Study 1 included semi-structured, open-ended interviews conducted in October-November 2020 via phone with 30 participants to investigate the relationship between misinformation and COVID-19 vaccine hesitancy. Study 1's results then informed the design of open-ended questions for Study 2, an online survey conducted in May-June 2021 to consider the relationship between misinformation and vaccine hesitancy further. The data were examined with thematic analysis. RESULTS: Study 1 led to the identification of positive and negative themes related to attitudes toward COVID-19 vaccines. In Study 2, responses from vaccine-hesitant participants included six categories of misinformation: medical, scientific, political, media, religious, and technological. Across both Study 1 and Study 2, six vaccine hesitancy themes were identified from the data: concerns about the vaccines' future effects, doubts about the vaccines' effectiveness, commercial profiteering, preference for natural immunity, personal freedom, and COVID-19 denial. CONCLUSIONS: The relationship between misinformation and vaccine hesitancy is complicated. Various types of misinformation exist, with each related to a specific type of vaccine hesitancy-related attitude. Personal freedom and COVID-19 denial are vaccine attitudes of particular interest, representing important yet understudied phenomena. Medical and scientific approaches may not be sufficient to combat misinformation based in religion, media, or politics; and public health officials may benefit from partnering with experts from those fields to address harmful misinformation that is driving COVID-19 vaccine hesitancy.
ABSTRACT
Understanding the factors that influence trust in public health information is critical for designing successful public health campaigns during pandemics such as COVID-19. We present findings from a cross-sectional survey of 454 US adults-243 older (65+) and 211 younger (18-64) adults-who responded to questionnaires on human values, trust in COVID-19 information sources, attention to information quality, self-efficacy, and factual knowledge about COVID-19. Path analysis showed that trust in direct personal contacts (B = 0.071, p = .04) and attention to information quality (B = 0.251, p < .001) were positively related to self-efficacy for coping with COVID-19. The human value of self-transcendence, which emphasizes valuing others as equals and being concerned with their welfare, had significant positive indirect effects on self-efficacy in coping with COVID-19 (mediated by attention to information quality; effect = 0.049, 95% CI 0.001-0.104) and factual knowledge about COVID-19 (also mediated by attention to information quality; effect = 0.037, 95% CI 0.003-0.089). Our path model offers guidance for fine-tuning strategies for effective public health messaging and serves as a basis for further research to better understand the societal impact of COVID-19 and other public health crises.
ABSTRACT
Since December 2019, COVID-19 has spurred rapid and extensive research, but this research has focused on some perspectives with others understudied. In particular, studies have not yet explored the complexities of community-dwelling older adults’ lived experiences during the pandemic. This study aimed to address this gap. Community-dwelling older adults living in Central Texas (N = 200;age, 65–92 years, M = 73.6± 6.33) responded to open- and closed-ended questions over the telephone during June–August 2020. Data were analyzed using inductive thematic analysis. We identified three key themes. (1) Positive experiences, with 4 subthemes: perception that the pandemic has not changed one’s lifestyle;adjusting well—particularly with the aid of technology;being positive in perspective;and a “loner advantage” (being a “loner” pre-pandemic was advantageous during the pandemic). (2) Mixed experiences, with 4 subthemes: doing okay but unhappy about changing lifestyle routines;doing okay but unhappy about loss of in-person interactions with family and friends;doing okay but frustrated by witnessing absence of social distancing or facemask use by others;and maintaining physical health with fluctuating symptoms of depression or anxiety. (3) Negative experiences, with 3 subthemes: bitter about others/society/government not caring for older adults;feeling isolated, bored, and powerless;and worsening as time goes by. A thematic map was subsequently developed. These findings reveal the complexities of community-dwelling older adults’ lived experiences, illustrating effective coping and resilience during the pandemic and dissatisfaction owing to the pandemic’s effects on their lives and to their observations of others’ behaviors.
ABSTRACT
During the COVID-19 pandemic, much of our social interaction has transitioned from in-person to online. This study examined older adults’ social interaction during COVID-19, online and offline. Participants were recruited from community-dwelling older adults in Central Texas. Data collection took place via the telephone during June-August 2020 (N = 200;age range: 65-92 years;Mean: 73.6;SD: 6.33). Participants used a variety of communication modes, including phone or texting (used by 99% of the participants);email (44%);in person (35%);video chat (31%);social media (24%);and postal mail (4%). Most participants (77%) used more than one communication mode. Participants discussed their preferences for and challenges of technology (i.e., smart phones) and its applications (i.e., video chat, telehealth, and social media). Participants’ self-reported experiences ranged from positive (50%), mixed (35%), to negative (15%). These findings will inform policy and community interventions to promote older adults’ social interactions during the pandemic.
ABSTRACT
Older adults, disproportionally affected by the COVID-19 pandemic, face health, social and structural vulnerabilities. Their experiences require systematic examination. Our study aimed to examine factors predicting community-dwelling older adults’ experiences during COVID-19. We collected data via the telephone between June-August 2020 from a convenience sample of older adults in Central Texas (N= 200;age range=65-92 years;Mean=73.6, SD=6.33). We conducted multinomial logistic regression analyses to model relationships between self-reported COVID-19 experiences (positive, mixed, negative) and age, gender, race, income, education, frequency of communication with family and friends, feelings of loneliness and amount of COVID-19 information obtained. Factorial analysis revealed no statistically significant interaction effect. Multinomial logistic regression analysis revealed statistically significant main effects of annual household income, feelings of loneliness and amount of COVID-19 information obtained on predicting COVID-19 experiences. Age, gender, race, education, and frequency of communication with family and friends were not significant predictors. The odds of having a positive COVID-19 experience rather than negative experiences increased by 6.94 for an annual household of $60,000- $99,999, and by 6.02 for not feeling lonely. The odds of having a positive experience during COVID-19 rather than mixed increased by 9.90 for an annual household income of $100,000 or more. Participants who reported having “too much information” about COVID-19 were more likely to have mixed experiences compared to those with positive experiences. Our findings underscore the crucial role of financial security and social connections in reducing economic and emotional challenges older adults are facing during this crisis.
ABSTRACT
Increasing research is investigating the COVID-19 pandemic's impact on older adults, but relatively little is known about the complexities of community-dwelling older adults' lived experiences during this historical period. This study aimed to address this gap in the literature by taking a bottom-up, theory-generating, inductive approach. Older adults living in Central Texas (N = 200; age, 65-92 years, M = 73.6 ± 6.33) responded to a telephone interview during June-August 2020. Data were analyzed using inductive thematic analysis. We identified three key themes: positive, mixed, and negative experiences, with a total of 11 subthemes. A thematic map was developed, illustrating potential connections to mental health. These findings reveal the complexities of older adults' lived experiences during COVID-19 and have implications for developing aging-related policies and community-based interventions during future public health crises. Recognizing the complexities of older adults' lived experiences, tailored policies and interventions can be developed to effectively leverage older adults' effective coping and resilience while at the same time helping overcome negative effects among specific subgroups.