Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults
Despite being a major threat to health, vaccine hesitancy (i.e., refusal or reluctance to vaccinate despite vaccine availability) is on the rise. Using a longitudinal cohort of young adults (N = 1260) from Los Angeles County, California we investigated the neurobehavioral mechanisms underlying COVID...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335523001717 |
| _version_ | 1797680864927154176 |
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| author | Roberta Freitas-Lemos Devin C. Tomlinson Yu-Hua Yeh Candice L. Dwyer Hongying Daisy Dai Adam Leventhal Allison N. Tegge Warren K. Bickel |
| author_facet | Roberta Freitas-Lemos Devin C. Tomlinson Yu-Hua Yeh Candice L. Dwyer Hongying Daisy Dai Adam Leventhal Allison N. Tegge Warren K. Bickel |
| author_sort | Roberta Freitas-Lemos |
| collection | DOAJ |
| description | Despite being a major threat to health, vaccine hesitancy (i.e., refusal or reluctance to vaccinate despite vaccine availability) is on the rise. Using a longitudinal cohort of young adults (N = 1260) from Los Angeles County, California we investigated the neurobehavioral mechanisms underlying COVID-19 vaccine hesitancy. Data were collected at two time points: during adolescence (12th grade; fall 2016; average age = 16.96 (±0.42)) and during young adulthood (spring 2021; average age = 21.33 (±0.49)). Main outcomes and measures were delay discounting (DD; fall 2016) and tendency to act rashly when experiencing positive and negative emotions (UPPS-P; fall 2016); self-reported vaccine hesitancy and vaccine beliefs/knowledge (spring 2021). A principal components analysis determined four COVID-19 vaccine beliefs/knowledge themes: Collective Responsibility, Confidence and Risk Calculation, Complacency, and Convenience. Significant relationships were found between themes, COVID-19 vaccine hesitancy, and DD. Collective Responsibility (β = -1.158[-1.213,-1.102]) and Convenience (β = -0.132[-0.185,-0.078]) scores were negatively associated, while Confidence and Risk Calculation (β = 0.283[0.230,0.337]) and Complacency (β = 0.412[0.358,0.466]) scores were positively associated with COVID-19 vaccine hesitancy. Additionally, Collective Responsibility (β = -0.060[-0.101,-0.018]) was negatively associated, and Complacency (β = -0.063[0.021,0.105]) was positively associated with DD from fall 2016. Mediation analysis revealed immediacy bias during adolescence, measured by DD, predicted vaccine hesitancy 4 years later while being mediated by two types of vaccine beliefs/knowledge: Collective Responsibility (β = 0.069[0.022,0.116]) and Complacency (β = 0.026[0.008,0.044]). These findings provide a further understanding of individual vaccine-related decision-making among young adults and inform public health messaging to increase vaccination acceptance. |
| first_indexed | 2024-03-11T23:36:28Z |
| format | Article |
| id | doaj.art-ee21b352d3264629a4bb285aa98dae17 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-03-11T23:36:28Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-ee21b352d3264629a4bb285aa98dae172023-09-20T04:20:53ZengElsevierPreventive Medicine Reports2211-33552023-10-0135102280Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adultsRoberta Freitas-Lemos0Devin C. Tomlinson1Yu-Hua Yeh2Candice L. Dwyer3Hongying Daisy Dai4Adam Leventhal5Allison N. Tegge6Warren K. Bickel7Fralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USAFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA; Graduate Program in Translational Biology, Medicine, and Health, Virginia Tech, Blacksburg, VA, USAFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USAFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USACollege of Public Health, University of Nebraska Medical Center, Omaha, NE, USADepartment of Preventive Medicine, University of Southern California Keck School of Medicine, Los Angeles, CA, USA; Department of Psychology, University of Southern California, Los Angeles, CA, USAFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA; Department of Statistics, Virginia Tech, Blacksburg, VA, USAFralin Biomedical Research Institute at Virginia Tech Carilion, Roanoke, VA, USA; Corresponding author at: Fralin Biomedical Research Institute at VTC, 2 Riverside Circle, Roanoke, VA 24016, USA.Despite being a major threat to health, vaccine hesitancy (i.e., refusal or reluctance to vaccinate despite vaccine availability) is on the rise. Using a longitudinal cohort of young adults (N = 1260) from Los Angeles County, California we investigated the neurobehavioral mechanisms underlying COVID-19 vaccine hesitancy. Data were collected at two time points: during adolescence (12th grade; fall 2016; average age = 16.96 (±0.42)) and during young adulthood (spring 2021; average age = 21.33 (±0.49)). Main outcomes and measures were delay discounting (DD; fall 2016) and tendency to act rashly when experiencing positive and negative emotions (UPPS-P; fall 2016); self-reported vaccine hesitancy and vaccine beliefs/knowledge (spring 2021). A principal components analysis determined four COVID-19 vaccine beliefs/knowledge themes: Collective Responsibility, Confidence and Risk Calculation, Complacency, and Convenience. Significant relationships were found between themes, COVID-19 vaccine hesitancy, and DD. Collective Responsibility (β = -1.158[-1.213,-1.102]) and Convenience (β = -0.132[-0.185,-0.078]) scores were negatively associated, while Confidence and Risk Calculation (β = 0.283[0.230,0.337]) and Complacency (β = 0.412[0.358,0.466]) scores were positively associated with COVID-19 vaccine hesitancy. Additionally, Collective Responsibility (β = -0.060[-0.101,-0.018]) was negatively associated, and Complacency (β = -0.063[0.021,0.105]) was positively associated with DD from fall 2016. Mediation analysis revealed immediacy bias during adolescence, measured by DD, predicted vaccine hesitancy 4 years later while being mediated by two types of vaccine beliefs/knowledge: Collective Responsibility (β = 0.069[0.022,0.116]) and Complacency (β = 0.026[0.008,0.044]). These findings provide a further understanding of individual vaccine-related decision-making among young adults and inform public health messaging to increase vaccination acceptance.http://www.sciencedirect.com/science/article/pii/S2211335523001717COVID-19Vaccine hesitancyDelay discountingDecision-making |
| spellingShingle | Roberta Freitas-Lemos Devin C. Tomlinson Yu-Hua Yeh Candice L. Dwyer Hongying Daisy Dai Adam Leventhal Allison N. Tegge Warren K. Bickel Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults Preventive Medicine Reports COVID-19 Vaccine hesitancy Delay discounting Decision-making |
| title | Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults |
| title_full | Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults |
| title_fullStr | Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults |
| title_full_unstemmed | Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults |
| title_short | Can delay discounting predict vaccine hesitancy 4-years later? A study among US young adults |
| title_sort | can delay discounting predict vaccine hesitancy 4 years later a study among us young adults |
| topic | COVID-19 Vaccine hesitancy Delay discounting Decision-making |
| url | http://www.sciencedirect.com/science/article/pii/S2211335523001717 |
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