AUTHOR=Agurto-Ramírez Adriana , Pino-Rosón Candela , Ayala Alba , Falcón María , Rodríguez-Blázquez Carmen , Forjaz Maria João , Romay-Barja María 

TITLE=Association Between Pandemic Fatigue and Disease Knowledge, Attitudes, Concerns, and Vaccination Intention at Two Key Moments of the COVID-19 Pandemic

JOURNAL=International Journal of Public Health

VOLUME=Volume 68 - 2023

YEAR=2023

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1606049

DOI=10.3389/ijph.2023.1606049

ISSN=1661-8564

ABSTRACT=Objective: This study aimed to describe the change in knowledge, attitudes, concerns, perceptions, preventive practices and vaccination intention at two key time points of the pandemic and to assess whether these changes varied by level of pandemic fatigue. 
Methods: Data included in this study come from the third and the ninth round of the COSMO-Spain cross-sectional study. A general linear model were performed in interaction terms between rounds and level of pandemic fatigue. 
Results: Changes between rounds were observed in knowledge, attitudes, concerns, perceptions, behaviours and vaccination intention. Significant interactions between rounds indicated that those with low level of pandemic fatigue had  greater increase in  knowledge, lower decrease in concerns, greater decrease in agreement with the decisions made and lower increase in vaccination intention compared to those with high pandemic fatigue. 
Conclusions: As a pandemic evolves, it becomes necessary to consider the level of pandemic fatigue of the population and how this affects knowledge, concerns and agreement with the measures adopted as they influence the population's adherence to public health recommendations aimed at controlling infections and protecting the most vulnerable.