Lessons for Future Vaccination Policies: COVID-19 Vaccination Intention in People With and Without Chronic Diseases
	    		
		   		
		   			
		   		
	    	
    	 
    	10.1016/j.anr.2024.07.008
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Jieun JU
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Kihye HAN
			        		
			        		;
		        		
		        		
		        		
			        		Jieun KIM
			        		
			        		;
		        		
		        		
		        		
			        		Yunhyung KWON
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Chung-Ang University Graduate School Department of Nursing, 84 Heukseok-ro Dongjak-gu, South Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Research Article
 
        	
        	
            
            
            	- From:Asian Nursing Research
	            		
	            		 2024;18(3):288-295
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Purpose:This study compared COVID-19 vaccination intentions in those with and without chronic diseases (CDs and non-CDs) in South Korea. We hypothesized that the factors associated with COVID-19 vaccination intentions would differ between CDs and non-CDs in South Korea. 
				        	
				        
				        	Methods:Using survey data collected through a Korean online panel in June 2021, we conducted a crosssectional secondary data analysis. Of the 2292 participants, 411 had at least one chronic disease. To construct a comparable dataset, we selected non-CDs via a 1:1 case-control matching for age and gender.We then utilized a multivariable binary logistic regression model to explore the factors contributing to COVID-19 vaccination intentions in CDs and non-CDs. 
				        	
				        
				        	Results:All told, over 75% of participants in both groups indicated that they intended to vaccinate against COVID-19. In both groups, those who mistrusted general vaccine benefits reported significantly lower COVID-19 vaccination intentions. Regarding factors associated with vaccination intentions, CDs identified anxiety regarding coronavirus and exposure to COVID-19 vaccination promotions at the community level, while non-CDs highlighted hesitancy regarding vaccines and confidence in government/health services. 
				        	
				        
				        	Conclusion:Improving vaccination acceptance will require the development and implementation of tailored approaches for CDs and non-CDs and efforts to minimize general vaccine mistrust.