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Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study

Mass vaccination against the COVID-19 pandemic is ongoing worldwide to achieve herd immunity among the general population. However, little is known about how the COVID-19 vaccination would affect mental health and preventive behaviors toward the COVID-19 pandemic. In this study, we conducted a cross...

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Autores principales: Yuan, Yue, Deng, Zhaomin, Chen, Musha, Yin, Di, Zheng, Jiazhen, Liu, Yajie, Liu, Xinglai, Zou, Huachun, Zhang, Chunhuan, Sun, Caijun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473427/
https://www.ncbi.nlm.nih.gov/pubmed/34579281
http://dx.doi.org/10.3390/vaccines9091044
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author Yuan, Yue
Deng, Zhaomin
Chen, Musha
Yin, Di
Zheng, Jiazhen
Liu, Yajie
Liu, Xinglai
Zou, Huachun
Zhang, Chunhuan
Sun, Caijun
author_facet Yuan, Yue
Deng, Zhaomin
Chen, Musha
Yin, Di
Zheng, Jiazhen
Liu, Yajie
Liu, Xinglai
Zou, Huachun
Zhang, Chunhuan
Sun, Caijun
author_sort Yuan, Yue
collection PubMed
description Mass vaccination against the COVID-19 pandemic is ongoing worldwide to achieve herd immunity among the general population. However, little is known about how the COVID-19 vaccination would affect mental health and preventive behaviors toward the COVID-19 pandemic. In this study, we conducted a cross-sectional survey to address this issue among 4244 individuals at several COVID-19 vaccination sites in Guangzhou, China. Using univariate analysis and multiple linear regression models, we found that major demographic characteristics, such as biological sex, age, education level, and family per capita income, are the dominant influencing factors associated with health beliefs, mental health, and preventive behaviors. After propensity score matching (PSM) treatment, we further assessed the changes in the scores of health belief, mental health, and preventive behaviors between the pre-vaccination group and the post-vaccination group. When compared to individuals in the pre-vaccination group, a moderate but statistically significant lower score was observed in the post-vaccination group (p = 0.010), implying possibly improved psychological conditions after COVID-19 vaccination. In addition, there was also a moderate but statistically higher score of preventive behaviors in the post-vaccination group than in the pre-vaccination group (p < 0.001), suggesting a higher probability to take preventive measures after COVID-19 vaccination. These findings have implications for implementing non-pharmaceutical interventions combined with mass vaccination to control the rebound of COVID-19 outbreaks.
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spelling pubmed-84734272021-09-28 Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study Yuan, Yue Deng, Zhaomin Chen, Musha Yin, Di Zheng, Jiazhen Liu, Yajie Liu, Xinglai Zou, Huachun Zhang, Chunhuan Sun, Caijun Vaccines (Basel) Article Mass vaccination against the COVID-19 pandemic is ongoing worldwide to achieve herd immunity among the general population. However, little is known about how the COVID-19 vaccination would affect mental health and preventive behaviors toward the COVID-19 pandemic. In this study, we conducted a cross-sectional survey to address this issue among 4244 individuals at several COVID-19 vaccination sites in Guangzhou, China. Using univariate analysis and multiple linear regression models, we found that major demographic characteristics, such as biological sex, age, education level, and family per capita income, are the dominant influencing factors associated with health beliefs, mental health, and preventive behaviors. After propensity score matching (PSM) treatment, we further assessed the changes in the scores of health belief, mental health, and preventive behaviors between the pre-vaccination group and the post-vaccination group. When compared to individuals in the pre-vaccination group, a moderate but statistically significant lower score was observed in the post-vaccination group (p = 0.010), implying possibly improved psychological conditions after COVID-19 vaccination. In addition, there was also a moderate but statistically higher score of preventive behaviors in the post-vaccination group than in the pre-vaccination group (p < 0.001), suggesting a higher probability to take preventive measures after COVID-19 vaccination. These findings have implications for implementing non-pharmaceutical interventions combined with mass vaccination to control the rebound of COVID-19 outbreaks. MDPI 2021-09-19 /pmc/articles/PMC8473427/ /pubmed/34579281 http://dx.doi.org/10.3390/vaccines9091044 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Yuan, Yue
Deng, Zhaomin
Chen, Musha
Yin, Di
Zheng, Jiazhen
Liu, Yajie
Liu, Xinglai
Zou, Huachun
Zhang, Chunhuan
Sun, Caijun
Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title_full Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title_fullStr Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title_full_unstemmed Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title_short Changes in Mental Health and Preventive Behaviors before and after COVID-19 Vaccination: A Propensity Score Matching (PSM) Study
title_sort changes in mental health and preventive behaviors before and after covid-19 vaccination: a propensity score matching (psm) study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8473427/
https://www.ncbi.nlm.nih.gov/pubmed/34579281
http://dx.doi.org/10.3390/vaccines9091044
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