tetano
Editor, Senior Moderator
Clin Transl Sci
. 2021 Jul 2.
doi: 10.1111/cts.13077. Online ahead of print.
COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear
Don E Willis[SUP] 1 [/SUP], Jennifer A Andersen[SUP] 1 [/SUP], Keneshia Bryant-Moore[SUP] 2 [/SUP], James P Selig[SUP] 2 [/SUP], Christopher R Long[SUP] 1 [/SUP], Holly C Felix[SUP] 2 [/SUP], Geoffrey M Curran[SUP] 3 [/SUP], Pearl A McElfish[SUP] 1 [/SUP]
Affiliations
Abstract
Understanding and minimizing coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID-19 health literacy, fear of COVID-19 infection, general trust in vaccines, and COVID-19 vaccine hesitancy using bivariate analysis and a full information maximum likelihood (FIML) logistic regression model. One in five people (21,21.86%) reported hesitancy to take a COVID-19 vaccine. Prevalence of COVID-19 vaccine hesitancy was highest among Black/African Americans (50.00%), respondents with household income less than $25K (30.68%), some college (32.17%), little to no fear of infection from COVID-19 (62.50%), and low trust in vaccines in general (55.84%). Odds of COVID-19 vaccine hesitancy were 2.42 greater for Black/African American respondents compared to White respondents (p < 0.001), 1.67 greater for respondents with some college/technical degree compared to respondents with a 4-year degree (p < 0.05), 5.48 greater for respondents with no fear of COVID-19 infection compared to those who fear infection to a great extent (p < 0.001), and 11.32 greater for respondents with low trust in vaccines (p < 0.001). Sociodemographic differences in COVID-19 vaccine hesitancy raise concerns about the potential of vaccine implementation to widen existing health disparities in COVID-19 related infections, particularly among Black/African Americans. Fear of infection and general mistrust in vaccines are significantly associated with vaccine hesitancy.
. 2021 Jul 2.
doi: 10.1111/cts.13077. Online ahead of print.
COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear
Don E Willis[SUP] 1 [/SUP], Jennifer A Andersen[SUP] 1 [/SUP], Keneshia Bryant-Moore[SUP] 2 [/SUP], James P Selig[SUP] 2 [/SUP], Christopher R Long[SUP] 1 [/SUP], Holly C Felix[SUP] 2 [/SUP], Geoffrey M Curran[SUP] 3 [/SUP], Pearl A McElfish[SUP] 1 [/SUP]
Affiliations
- PMID: 34213073
- DOI: 10.1111/cts.13077
Abstract
Understanding and minimizing coronavirus disease 2019 (COVID-19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID-19 health literacy, fear of COVID-19 infection, general trust in vaccines, and COVID-19 vaccine hesitancy using bivariate analysis and a full information maximum likelihood (FIML) logistic regression model. One in five people (21,21.86%) reported hesitancy to take a COVID-19 vaccine. Prevalence of COVID-19 vaccine hesitancy was highest among Black/African Americans (50.00%), respondents with household income less than $25K (30.68%), some college (32.17%), little to no fear of infection from COVID-19 (62.50%), and low trust in vaccines in general (55.84%). Odds of COVID-19 vaccine hesitancy were 2.42 greater for Black/African American respondents compared to White respondents (p < 0.001), 1.67 greater for respondents with some college/technical degree compared to respondents with a 4-year degree (p < 0.05), 5.48 greater for respondents with no fear of COVID-19 infection compared to those who fear infection to a great extent (p < 0.001), and 11.32 greater for respondents with low trust in vaccines (p < 0.001). Sociodemographic differences in COVID-19 vaccine hesitancy raise concerns about the potential of vaccine implementation to widen existing health disparities in COVID-19 related infections, particularly among Black/African Americans. Fear of infection and general mistrust in vaccines are significantly associated with vaccine hesitancy.