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      Identifying the determinants of COVID-19 preventative behaviors and vaccine intentions among South Carolina residents

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          Abstract

          Coronavirus disease 2019 (COVID-19) has presented a global pandemic in 2020 and 2021, and has therefore spurred a flurry of research, whether related directly to the disease and its treatment or regarding its spread, containment, and effect on everyday lives. In particular, two pressing streams of research have investigated antecedents to COVID-19 preventative behaviors and vaccination intentions. This nascent research has led to many interesting and practically important findings, however, there remains many segmented, compartmentalized studies that address topics that, while certainly generative and meaningful, may not provide a full lens to possible antecedents. The current study takes an interdisciplinary approach that investigates commonly studied variables from biology and public health, political science, and psychology as they relate to COVID-19 preventative behaviors and vaccine intentions in a stratified sample of South Carolina residents ( N = 1695). Results from correlations and multiple regression substantiated the findings of many previous studies, however, it was found that, when controlling for shared variance among predictors via relative weights analysis, COVID-19 knowledge, trust in science, age, and Trump approval were the strongest predictors of preventative behaviors. Alternatively, trust in science, gender, age, and conservatism were the strongest predictors of vaccine intentions. Understanding the variables that contribute to the practice of preventative behaviors and vaccine intentions can be used by public health officials to better target and tailor their educational campaign in the community.

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          Most cited references45

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          Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review

          The coronavirus disease 2019 (COVID-19) pandemic, due to the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has caused a worldwide sudden and substantial increase in hospitalizations for pneumonia with multiorgan disease. This review discusses current evidence regarding the pathophysiology, transmission, diagnosis, and management of COVID-19.
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            A global survey of potential acceptance of a COVID-19 vaccine

            Several coronavirus disease 2019 (COVID-19) vaccines are currently in human trials. In June 2020, we surveyed 13,426 people in 19 countries to determine potential acceptance rates and factors influencing acceptance of a COVID-19 vaccine. Of these, 71.5% of participants reported that they would be very or somewhat likely to take a COVID-19 vaccine, and 61.4% reported that they would accept their employer’s recommendation to do so. Differences in acceptance rates ranged from almost 90% (in China) to less than 55% (in Russia). Respondents reporting higher levels of trust in information from government sources were more likely to accept a vaccine and take their employer’s advice to do so.
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              Knowledge, attitudes, and practices towards COVID-19 among Chinese residents during the rapid rise period of the COVID-19 outbreak: a quick online cross-sectional survey

              Unprecedented measures have been adopted to control the rapid spread of the ongoing COVID-19 epidemic in China. People's adherence to control measures is affected by their knowledge, attitudes, and practices (KAP) towards COVID-19. In this study, we investigated Chinese residents' KAP towards COVID-19 during the rapid rise period of the outbreak. An online sample of Chinese residents was successfully recruited via the authors' networks with residents and popular media in Hubei, China. A self-developed online KAP questionnaire was completed by the participants. The knowledge questionnaire consisted of 12 questions regarding the clinical characteristics and prevention of COVID-19. Assessments on residents' attitudes and practices towards COVID-19 included questions on confidence in winning the battle against COVID-19 and wearing masks when going out in recent days. Among the survey completers (n=6910), 65.7% were women, 63.5% held a bachelor degree or above, and 56.2% engaged in mental labor. The overall correct rate of the knowledge questionnaire was 90%. The majority of the respondents (97.1%) had confidence that China can win the battle against COVID-19. Nearly all of the participants (98.0%) wore masks when going out in recent days. In multiple logistic regression analyses, the COVID-19 knowledge score (OR: 0.75-0.90, P<0.001) was significantly associated with a lower likelihood of negative attitudes and preventive practices towards COVID-2019. Most Chinese residents of a relatively high socioeconomic status, in particular women, are knowledgeable about COVID-19, hold optimistic attitudes, and have appropriate practices towards COVID-19. Health education programs aimed at improving COVID-19 knowledge are helpful for Chinese residents to hold optimistic attitudes and maintain appropriate practices. Due to the limited sample representativeness, we must be cautious when generalizing these findings to populations of a low socioeconomic status.
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                Author and article information

                Contributors
                Role: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: Writing – original draftRole: Writing – review & editing
                Role: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Writing – original draftRole: Writing – review & editing
                Role: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Writing – original draftRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                25 August 2021
                2021
                25 August 2021
                : 16
                : 8
                : e0256178
                Affiliations
                [1 ] Department of Psychology, University of South Carolina Upstate, Spartanburg, SC, United States of America
                [2 ] Department of History, Political Science, Philosophy, & American Studies, University of South Carolina Upstate, Spartanburg, SC, United States of America
                [3 ] Division of Natural Sciences and Engineering, University of South Carolina Upstate, Spartanburg, SC, United States of America
                University of Haifa, ISRAEL
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0003-3319-6516
                Article
                PONE-D-21-11658
                10.1371/journal.pone.0256178
                8386860
                34432817
                047d661e-d87f-49d1-a0d2-a1fc64e6af15
                © 2021 Travis et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 8 April 2021
                : 1 August 2021
                Page count
                Figures: 0, Tables: 4, Pages: 15
                Funding
                Funded by: University of South Carolina Upstate
                Award Recipient :
                Funded by: University of South Carolina Upstate
                Award Recipient :
                J.T. received funding from the Office of the Provost at the University of South Carolina Upstate. G.W. received funding from the University of South Carolina Upstate Office of Sponsored Awards and Research Support. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
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                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Viral Diseases
                Covid 19
                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Infectious Disease Control
                Vaccines
                Biology and Life Sciences
                Psychology
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                All relevant data are within the manuscript and its Supporting Information files.
                COVID-19

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