Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States
Abstract
1. Introduction
2. Method
2.1. Participants
2.2. Assessment Instruments
2.3. Procedure
2.4. Data Analytic Plan
3. Results
3.1. Factor Analyses
3.2. Predicting Post-traumatic Stress
3.3. Predicting Vaccine Intent
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Mongolia (n = 629) | India (n = 400) | United States (n = 400) | ||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Variable | B | SE B | β | Adj. R2 | M | SD | B | SE B | β | Adj. R2 | M | SD | B | SE B | β | Adj. R2 | M | SD |
Post-traumatic Stress | 35.69 | 11.11 | 69.92 | 17.25 | 51.13 | 23.65 | ||||||||||||
Post-traumatic Growth | 2.92 | 0.99 | 4.07 | 0.87 | 3.15 | 1.36 | ||||||||||||
Step 1: Demographics | 0.02 c | 0.25 c | 0.00 | |||||||||||||||
Gender | 3.09 | 0.90 | 0.14 c | - | - | 1.32 | 1.74 | 0.03 | - | - | 0.69 | 2.48 | 0.01 | - | - | |||
Age | −0.06 | 0.04 | −0.07 | 38 | 13 | −1.21 | 0.12 | −0.47 c | 31 | 7 | −0.17 | 0.11 | −0.08 | 41 | 12 | |||
Education | −0.051 | 0.32 | −0.07 | - | - | −4.14 | 1.02 | −0.18 c | - | - | 2.01 | 1.50 | 0.07 | - | - | |||
Step 2: Stigma | 0.04 c | 0.71 c | 0.78 c | |||||||||||||||
Experience | 3.16 | 1.30 | 0.10 a | 1.12 | 0.36 | 7.84 | 0.87 | 0.51 c | 3.17 | 1.12 | 6.76 | 1.12 | 0.39 c | 2.17 | 1.36 | |||
Behavior Change | 1.18 | 0.35 | 0.14 c | 3.17 | 1.26 | 4.88 | 0.71 | 0.23 c | 3.52 | 0.82 | 2.37 | 0.65 | 0.11 c | 2.96 | 1.11 | |||
Exclusion | 2.76 | 1.73 | 0.07 | 1.05 | 0.26 | 2.05 | 0.79 | 0.15 b | 3.16 | 1.23 | 7.25 | 0.99 | 0.44 c | 2.14 | 1.43 | |||
Step 3: Blame for Spread | 0.10 c | 0.74 | 0.78 | |||||||||||||||
Blaming groups | 2.47 | 1.06 | 0.09 c | 1.13 | 0.42 | 3.59 | 0.83 | 0.20 c | 3.24 | 0.96 | 1.49 | 0.75 | 0.07 a | 2.57 | 1.18 | |||
General anger | 2.39 | 0.55 | 0.18 c | 2.57 | 0.86 | 2.65 | 0.70 | 0.12 c | 3.62 | 0.79 | 0.22 | 0.65 | 0.01 | 3.20 | 1.11 | |||
Step 4: Illness Concerns | 0.23 c | 0.79 c | 0.82 c | |||||||||||||||
Susceptibility to Illness | 1.89 | 0.37 | 0.19 c | 1.87 | 0.98 | 1.63 | 0.50 | 0.09 c | 3.36 | 0.90 | −0.04 | 0.57 | 0.00 | 3.08 | 1.15 | |||
COVID-19 Fear | 3.78 | 0.51 | 0.31 c | 2.57 | 0.90 | 6.46 | 0.82 | 0.32 c | 3.46 | 0.86 | 7.03 | 0.80 | 0.33 c | 2.89 | 1.12 | |||
Step 5: Threat and Self-Protection | 0.29 c | 0.80 c | 0.83 c | |||||||||||||||
Others Control Decisions | 2.52 | 0.39 | 0.24 c | 2.39 | 0.62 | 0.12 c | 3.11 | 0.87 | 1.75 | 0.54 | 0.09 c | 2.69 | 1.18 | |||||
Minimizing the Threat | 0.88 | 0.45 | 0.07 a | 2.53 | 0.93 | 0.00 | 0.79 | 0.00 | 3.32 | 0.99 | 0.64 | 0.82 | 0.04 | 2.55 | 1.32 | |||
COVID-19 Self-Protection | −0.09 | 0.29 | −0.01 | 2.59 | 1.38 | 1.64 | 0.62 | 0.09 b | 3.45 | 0.92 | 0.25 | 0.67 | 0.01 | 2.69 | 1.34 | |||
Step 6: Life Satisfaction | 0.34 c | 0.80 b | 3.29 | 0.68 | 0.83 b | 3.28 | 0.88 | |||||||||||
Step 7: Resource Loss | 0.44 c | 36.24 | 13.38 | 0.82 c | 59.56 | 14.15 | 0.90 c | 44.00 | 19.73 |
India | United States | |||||||
---|---|---|---|---|---|---|---|---|
Variable | B | SE B | β | Adj. R2 | B | SE B | β | Adj. R2 |
Step 1: Demographics | 0.00 | 0.01 | ||||||
Gender | −0.09 | 0.12 | −0.04 | −0.27 | 0.14 | −0.10 | ||
Age | 0.00 | 0.01 | −0.03 | 0.01 | 0.01 | 0.07 | ||
Education | 0.00 | 0.07 | 0.00 | 0.16 | 0.08 | 0.09 | ||
Step 2: Stigma | 0.08 c | 0.11 c | ||||||
Experience | 0.27 | 0.09 | 0.31 b | −0.09 | 0.12 | −0.09 | ||
Behavior Change | 0.24 | 0.07 | 0.19 b | 0.48 | 0.07 | 0.41 c | ||
Exclusion | −0.12 | 0.08 | −0.15 | −0.11 | 0.11 | 0.11 | ||
Step 3: Blame for Spread | 0.14 c | 0.19 c | ||||||
Blaming groups | 0.19 | 0.09 | 0.18 a | −0.11 | 0.08 | 0.10 | ||
General anger | 0.33 | 0.07 | 0.26 c | 0.42 | 0.07 | 0.35 c | ||
Step 4: Illness Concerns | 0.17 b | 0.19 | ||||||
Susceptibility to Illness | 0.16 | 0.06 | 0.14 b | 0.15 | 0.07 | 0.13 a | ||
COVID-19 Fear | 0.19 | 0.04 | 0.16 a | 0.10 | 0.09 | 0.09 | ||
Step 5: Threat and Self-Protection | 0.19 b | 0.23 c | ||||||
Others Control Decisions | −0.10 | 0.07 | −0.09 | −0.14 | 0.06 | −0.12 a | ||
Minimizing the Threat | −0.20 | 0.09 | −0.20 a | −0.06 | 0.09 | −0.06 | ||
Self-Protection | 0.17 | 0.07 | 0.15 a | −0.19 | 0.08 | −0.20 a | ||
Step 6: Life Satisfaction | 0.19 | 0.25 c | ||||||
Step 7: Resource Loss | 0.19 | 0.25 |
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Sattler, D.N.; Bishkhorloo, B.; Lawley, K.A.; Hackler, R.; Byambajav, C.; Munkhbat, M.; Smith-Galeno, B. Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States. Int. J. Environ. Res. Public Health 2023, 20, 2084. https://doi.org/10.3390/ijerph20032084
Sattler DN, Bishkhorloo B, Lawley KA, Hackler R, Byambajav C, Munkhbat M, Smith-Galeno B. Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States. International Journal of Environmental Research and Public Health. 2023; 20(3):2084. https://doi.org/10.3390/ijerph20032084
Chicago/Turabian StyleSattler, David N., Boldsuren Bishkhorloo, Kendall A. Lawley, Ruth Hackler, Chuluunbileg Byambajav, Michidmaa Munkhbat, and Brooklyn Smith-Galeno. 2023. "Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States" International Journal of Environmental Research and Public Health 20, no. 3: 2084. https://doi.org/10.3390/ijerph20032084
APA StyleSattler, D. N., Bishkhorloo, B., Lawley, K. A., Hackler, R., Byambajav, C., Munkhbat, M., & Smith-Galeno, B. (2023). Stigma, Post-traumatic Stress, and COVID-19 Vaccination Intent in Mongolia, India, and the United States. International Journal of Environmental Research and Public Health, 20(3), 2084. https://doi.org/10.3390/ijerph20032084