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1.
Proc Natl Acad Sci U S A ; 121(13): e2313013121, 2024 Mar 26.
Artigo em Inglês | MEDLINE | ID: mdl-38498713

RESUMO

Democratic regimes flourish only when there is broad acceptance of an extensive set of norms and values. In the United States, fundamental democratic norms have recently come under threat from prominent Republican officials. We investigate whether this antidemocratic posture has spread from the elite level to rank-and-file partisans. Exploiting data from a massive repeated cross-sectional and panel survey ([Formula: see text] = 45,095 and 5,231 respectively), we find that overwhelming majorities of the public oppose violations of democratic norms, and virtually nobody supports partisan violence. This bipartisan consensus remains unchanged over time despite high levels of affective polarization and exposure to divisive elite rhetoric during the 2022 political campaign. Additionally, we find no evidence that elected officials' practice of election denialism encourages their constituents to express antidemocratic attitudes. Overall, these results suggest that the clear and present threat to American democracy comes from unilateral actions by political elites that stand in contrast to the views of their constituents. In closing, we consider the implications of the stark disconnect between the behavior of Republican elites and the attitudes of Republican voters.


Assuntos
Atitude , Política , Estados Unidos , Consenso
2.
Vaccine ; 41(1): 101-108, 2023 01 04.
Artigo em Inglês | MEDLINE | ID: mdl-36404172

RESUMO

We examined parents' COVID-19 vaccination intentions for their children, reasons for not vaccinating, and the potential impact of a school/daycare vaccination requirement or pediatrician's recommendation on vaccination intentions. Two online surveys were conducted in June-July and September-October 2021, before pediatric COVID-19 vaccines were authorized for emergency use in children age < 12 years, with an internet-based, non-probability sample of U.S. adults. Respondents with children (age < 18 years) in the household were asked about their intention (likelihood) of vaccinating these children against COVID-19. Weighted Chi-square tests using a Rao-Scott correction were performed. Vaccinated (45.7 %) versus unvaccinated (6.9 %) parents were almost seven times more likely to have vaccinated their 12-17-year-old children against COVID-19. Approximately 58.4 % of respondents with unvaccinated children ages 2-11 years and 42.4 % of those with children < 2 years said they are "very" or "extremely likely" to vaccinate these children against COVID-19. Female parents were significantly more likely (p < .01 to p < .001) to express lower levels of COVID-19 vaccine intentions. Across all age groups of children unvaccinated against COVID-19, parental vaccine intentions increased with increased household income and education levels. COVID-19 vaccine side effects and safety concerns were primary reasons for not vaccinating children. Strategies including school vaccination requirements and recommendations from pediatricians were shown to increase parental COVID-19 vaccination intentions for some. More research is needed on factors that increase/hinder COVID-19 pediatric vaccine uptake.


Assuntos
Vacinas contra COVID-19 , COVID-19 , Adulto , Criança , Feminino , Humanos , Pré-Escolar , Adolescente , Vacinas contra COVID-19/uso terapêutico , Intenção , COVID-19/prevenção & controle , Pais , Vacinação
3.
Vaccine ; 40(52): 7571-7578, 2022 12 12.
Artigo em Inglês | MEDLINE | ID: mdl-36357290

RESUMO

OBJECTIVES: We examined COVID-19 vaccination status, intention, and hesitancy and the effects of five strategies to increase the willingness of unvaccinated adults (≥18 years) to get a COVID vaccine. METHODS: Online surveys were conducted between October 1-17, 2020 (N = 14,946), December 4-16, 2020 (N = 15,229), April 8-22, 2021 (N = 14,557), June 17-July 6, 2021 (N = 30,857), and September 3-October 4, 2021 (N = 33,088) with an internet-based, non-probability opt-in sample of U.S. adults matching demographic quotas. Respondents were asked about current COVID-19 vaccination status, intention and hesitancy to get vaccinated, and reasons for vaccine hesitancy. Unvaccinated respondents were assigned to treatment groups to test the effect of five strategies (endorsements, changing social restrictions, financial incentives, vaccine requirements for certain activities, and vaccine requirements for work). Chi-square tests of independence were performed to detect differences in the response distributions. RESULTS: Willingness to be vaccinated (defined as being vaccinated or planning to be) increased over time from 47.6 % in October 2020 to 81.1 % in October 2021. By October 2021, across most demographic groups, over 75 % of survey respondents had been or planned to be vaccinated. In terms of strategies: (1) endorsements had no positive effect, (2) relaxing the need for masks and social distancing increased Intention to Get Vaccinated (IGV) by 6.4 % (p < 0.01), (3) offering financial incentives increased the IGV between 12.3 and 18.9 % (p <.001), (4) vaccine requirements for attending sporting events or traveling increased IGV by 7.8 % and 9.1 %, respectively (p = 0.02), and vaccine requirement for work increased IGV by 35.4 %. The leading causes (not mutually exclusive) for hesitancy were concerns regarding vaccine safety (52.5 %) or side effects (51.6 %), trust in the government's motives (41.0 %), and concerns about vaccine effectiveness (37.6 %). CONCLUSIONS: These findings suggest that multiple strategies may be effective and needed to increase COVID-19 vaccination among hesitant adults during the pandemic.


Assuntos
COVID-19 , Intenção , Adulto , Humanos , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Distanciamento Físico , Vacinação , Inquéritos e Questionários
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