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Prev Med Rep . Why are Some People Reluctant to be Vaccinated for COVID-19? A Cross-Sectional Survey among U.S. Adults in May-June 2020

tetano

Editor, Senior Moderator
Prev Med Rep


. 2021 Jul 14;101494.
doi: 10.1016/j.pmedr.2021.101494. Online ahead of print.
Why are Some People Reluctant to be Vaccinated for COVID-19? A Cross-Sectional Survey among U.S. Adults in May-June 2020


Jennifer D Allen[SUP] 1 [/SUP], Wenhui Feng[SUP] 2 [/SUP], Laura Corlin[SUP] 2 3 [/SUP], Thalia Porteny[SUP] 4 [/SUP], Andrea Acevedo[SUP] 1 [/SUP], Deborah Schildkraut[SUP] 5 [/SUP], Erin King[SUP] 6 [/SUP], Keren Ladin[SUP] 2 4 [/SUP], Qiang Fu[SUP] 1 [/SUP], Thomas J Stopka[SUP] 2 7 [/SUP]



Affiliations

Abstract

Understanding reasons for COVID-19 vaccine hesitancy is necessary to ensure maximum uptake, needed for herd immunity. We conducted a cross-sectional online survey between May 29-June 20, 2020 among a national sample of U.S. adults ages 18 years and over to assess cognitive, attitudinal and normative beliefs associated with not intending to get a COVID-19 vaccine. Of 1,219 respondents, 17.7% said that they would not get a vaccine and 24.2% were unsure. In multivariable analyses controlled for gender, age, income, education, religious affiliation, health insurance coverage, and political party affiliation, those who reported that they were unwilling be vaccinated (versus those who were willing) were less likely to agree that vaccines are safe/effective (Relative Risk Ratio (RRR): 0.45, 95% confidence interval (CI): 0.31, 0.66), that everyone has a responsibility to be vaccinated (RRR: 0.39, 95% CI: 0.30, 0.52), that public authorities should be able to mandate vaccination (RRR: 0.75, 95% CI: 0.58, 0.98), and that if everyone else were vaccinated they would not need a vaccine (RRR: 1.36, 95% CI: 1.04, 1.78). Our results suggest that health messages should emphasize the safety and efficacy of vaccines, as well as the fact that vaccinating oneself is important, even if the level of uptake in the community is high.

Keywords: COVID-19; Coronavirus; United States; attitudes; health disparities; vaccine.
 
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