Vaccine Hesitancy at Nine Community Sites Across the United States, Early in COVID-19 Vaccine Rollout

被引:2
|
作者
Ratnayake, Aneeka [1 ]
Hernandez, Julie H. [1 ]
Justman, Jessica [2 ,3 ]
Farley, Jason E. [4 ]
Hirsch-Moverman, Yael [2 ,5 ]
Ho, Ken [6 ]
Mayer, Stockton [7 ]
Oluyomi, Abiodun [8 ]
Sobieszczyk, Magdalena E. [3 ]
Swaminathan, Shobha [9 ]
Skalland, Timothy [10 ]
Tapsoba, Jean de Dieu [10 ]
Kissinger, Patricia J. [1 ]
机构
[1] Tulane Univ, Sch Publ Hlth & Trop Med, 1440 Canal St,Suite 2004, New Orleans, LA 70112 USA
[2] Columbia Univ, Mailman Sch Publ Hlth, ICAP, New York, NY USA
[3] Columbia Univ, Vagelos Coll Phys & Surg, Aaron Diamond AIDS Res Ctr, Irving Med Ctr,Div Infect Dis, New York, NY USA
[4] Johns Hopkins Sch Nursing, Ctr Infect Dis & Nursing Innovat, Baltimore, MD USA
[5] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY USA
[6] Univ Pittsburgh, Dept Med, Pittsburgh, PA USA
[7] Univ Illinois, Coll Med, Chicago, IL USA
[8] Baylor Coll Med, Houston, TX USA
[9] Rutgers New Jersey Med Sch, Newark, NJ USA
[10] Fred Hutchinson Canc Ctr, Seattle, WA USA
关键词
COVID-19; Vaccine; Hesitancy; US; Time-location sampling; Community survey; HEALTH;
D O I
10.1007/s40615-024-02172-0
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundVaccine hesitancy has been a significant concern throughout the COVID-19 pandemic. Vaccine hesitancy can be attributed to lack of confidence in vaccines, complacency about the health threat, or lack of convenience of vaccination. To date, few studies have used methods designed to include populations underrepresented in research when identifying factors associated with vaccine hesitancy.MethodsBetween January and July 2021, potential participants were recruited from community venues selected through time-location sampling in 15 defined communities in the United States. Study staff administered a questionnaire on demographics, COVID-19 behaviors and attitudes, and vaccination status or intention to consenting individuals. Vaccine hesitancy was analyzed among those age 18 years and older from nine of the 15 sites and was defined as self-reported neutral, unlikely, or very unlikely vaccine intention. Logistic regression modeling, adjusted for site, identified factors associated with vaccine hesitancy.ResultsAmong 11,559 individuals, vaccine hesitancy by site ranged from 8.7 to 31.1%. Vaccine hesitancy was associated with being Black compared to White, being White compared to Asian, younger age, unstable housing, being unemployed, lower income, having a disability, providing care in home, not reporting inability to visit sick or elderly relatives during the pandemic, not reporting increased anxiety during the pandemic, and not spending more time with loved ones during the pandemic.ConclusionsIn these selected US communities, early in vaccine rollout, there were significant racial disparities in vaccine hesitancy. Additionally, individuals who were more marginalized due to their socioeconomic status were more likely to report vaccine hesitancy. Vaccine campaigns should make efforts to remove barriers to vaccination, by improving convenience.
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页数:12
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