Explaining the gender gap in COVID-19 vaccination attitudes

European Journal of Public Health, Journal Year: 2023, Volume and Issue: 33(3), P. 490 - 495

Published: May 13, 2023

Abstract Background Women have been significantly more likely than men to express hesitancy toward COVID-19 vaccination and, a lesser extent, refuse altogether. This gender gap is puzzling because women perceive higher risks from COVID-19, approve restrictive measures fight the pandemic and be compliant with such measures. Methods article studies in attitudes using two nationally representative surveys of public opinion fielded February 2021 May 27 European countries. The data are analyzed generalized additive models multivariate logistic regression. Results analyses show that hypotheses about (i) pregnancy, fertility breastfeeding concerns, (ii) trust Internet social networks as sources medical information, (iii) lower health authorities (iv) perceived getting infected cannot account for vaccine hesitancy. One explanation receives support believe vaccines unsafe ineffective this leads them net benefits associated risks. Conclusions results large extent perceiving vaccines. While accounting other factors decreases hesitancy, it does not eliminate completely, which suggests further research needed.

Language: Английский

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Uptake of COVID-19 vaccination among people who inject drugs

Harm Reduction Journal, Journal Year: 2022, Volume and Issue: 19(1)

Published: June 3, 2022

People who inject drugs (PWID) may be at elevated risk of adverse outcomes from SARS-CoV-2 infection; however, data on COVID-19 vaccine uptake among PWID are scarce. This study aimed to determine PWID, identify factors associated with sub-optimal uptake, and compare the general population.The Australian Needle Syringe Program Survey is an annual sentinel surveillance project, comprising a self-completed questionnaire provision dried blood sample for HIV HCV testing. In 2021, respondents provided information their vaccination status. Multivariate logistic regression models identified correlates uptake.Among 1166 respondents, 49% had been vaccinated in most states territories, was significantly lower than population. Independent predictors were longer duration eligibility (AOR 3.42, 95% CI 2.65, 4.41); prior diagnostic testing 2.90, 2.22, 3.79); injection opioids 1.91, 1.20, 3.05); current opioid agonist therapy 1.70, 1.23, 2.33). Women 0.70, 0.54, 0.92) those reported daily or more frequent 0.75, 0.57, 1.00) less likely vaccinated.In lagged Increased efforts required ensure have equitable access vaccination. Vaccination programmes within harm reduction services via outreach, coupled increased support peers act as champions, reduce barriers improve this

Language: Английский

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Estimating COVID-19 vaccine uptake and its drivers among migrants, homeless and precariously housed people in France

Communications Medicine, Journal Year: 2023, Volume and Issue: 3(1)

Published: Feb. 20, 2023

Migrants, people experiencing homelessness (PEH), or precariously housed (PH) are at high risk for COVID-19 infection, hospitalization, and death from COVID-19. However, while data on vaccine uptake in these populations available the USA, Canada, Denmark, we lacking, to best of our knowledge, France.In late 2021, carried out a cross-sectional survey determine coverage PEH/PH residing Ile-de-France Marseille, France, explore its drivers. Participants aged over 18 years were interviewed face-to-face where they slept previous night, their preferred language, then stratified analysis into three housing groups (Streets, Accommodated, Precariously Housed). Standardized vaccination rates computed compared French population. Multilevel univariate multivariable logistic regression models built.We find that 76.2% (95% confidence interval [CI] 74.3-78.1) 3690 participants received least one dose 91.1% population did so. Vaccine varies by stratum, with highest (85.6%; reference) PH, followed Accommodated (75.4%; adjusted odds-ratio = 0.79; 95% CI 0.51-1.09 vs. PH) lowest Streets (42.0%; AOR 0.38; 95%CI 0.25-0.57 PH). Use certificate, age, socioeconomic factors, hesitancy is associated coverage.In PEH/PH, especially most excluded, less likely than general receive vaccines. While mandate has proved an effective strategy, targeted outreach, on-site vaccinations, sensitization activities strategies enhancing can easily be replicated future campaigns other settings.Vulnerable populations, such as homelessness, have vaccine. We aimed identify potential reasons this, interviewing homeless/precariously France. found although homeless been vaccinated, lower Among homeless, vaccinated those living streets. The need certificates support social workers positive drivers uptake, influence family/friends, fear negatively affect uptake. Providing vaccines tailoring programs better target vulnerable should priorities. Raising awareness involving trusted third parties also key countering negative beliefs. Our insights apply beyond crisis, when routinely supporting health populations.

Language: Английский

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Confidence in COVID-19 vaccine effectiveness and safety and its effect on vaccine uptake in Tanzania: A community-based cross-sectional study

Human Vaccines & Immunotherapeutics, Journal Year: 2023, Volume and Issue: 19(1)

Published: Jan. 2, 2023

COVID-19 is a major public health threat associated with increased disease burden, mortality, and economic loss to countries communities. Safe efficacious vaccines are key in halting reversing the pandemic. Low confidence has been one of factors leading hesitancy. We aimed assess vaccine (safety effectiveness), factors, its effects on uptake among general community members Tanzania. This was community-based cross-sectional survey conducted from December 2021 April 2022 six regions Tanzania mainland two Zanzibar. Participants were interviewed using an electronic questionnaire. Multiple logistic regression models estimated odds ratios (ORs) 95% interval (CI) for confidence. All analyses performed SPSS version 25.0. The study enrolled 3470 Tanzanian members; their mean age 40.3 (standard deviation ±14.9) years, 34% males. proportion 54.6%. Geographical region, residence area, risk perception, good knowledge significantly Confidence over three times higher uptake. low Innovative engagement strategies region-specific interventions needed improve comprehensive address perceptions attitudes toward vaccines.

Language: Английский

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Acceptability and feasibility of pre-exposure prophylaxis for bacterial STIs: a systematic review

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(2), P. e0317669 - e0317669

Published: Feb. 6, 2025

Background A recent resurgence of bacterial sexually transmitted infections (STIs) is placing a major burden on high-risk populations, physicians, and the healthcare system. Treatment in form antibiotic pre-exposure prophylaxis (STI PrEP) potential solution. However, little known about acceptability feasibility this approach populations. Methods comprehensive search strategy was developed executed October 2024 across six databases adhering to PRISMA guidelines. Results Eight studies met inclusion criteria. These were all conducted high-income countries, used various methods, focussed sexual minority men. Findings consistently identified moderate high levels among GBMSM (54.3% - 67.5%). Factors such as engagement perceived ‘high risk’ encounters, past diagnosis STIs strengthened acceptability, while others (e.g., antimicrobial resistance concerns stigma) act barriers. Only one study included perspectives workers, indicating willingness prescribe, which would increase under governing-body endorsement. Discussion Overall, there some promise STI PrEP GBMSM, vast gaps knowledge remain. Knowledge transfer and, hence, sustainability capacity needed for success yet be examined understood. successfully adopted, it essential not only assess its but also focus transfer. dynamic iterative process, involving synthesis, dissemination, exchange, application an ethically sound manner. This process supports improvement health outcomes, strengthens systems, ensures that interventions, PrEP, are effectively understood implemented by both providers at-risk Similarly, populations beyond have been omitted, understanding impact their differing socio-cultural contexts around sex-related behaviour Western pharmaceutical interventions acceptance uptake. Conclusion Further research into diverse groups, professionals, policymakers necessary create strong foundation implementing PrEP.

Language: Английский

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‘I am not an anti‐vaxxer’: Women's Diverging Representations of COVID‐19 Vaccination and Pregnancy

Journal of Community & Applied Social Psychology, Journal Year: 2025, Volume and Issue: 35(2)

Published: March 1, 2025

ABSTRACT Despite a disproportionate risk of harm from contracting COVID‐19, pregnant women in Australia are reluctant to vaccinate. Drawing social representations theory, this study investigated lay knowledge associated with women, pregnancy and COVID‐19 vaccination towards the end pandemic. Women regional New South Wales ( N = 103; M age 39.76) completed an online survey comprising risk/benefit scales word association task. Results revealed that considering perceived ‘pregnant women’ as being at high virus AstraZeneca vaccine. Regardless status, patterns women's vaccines differed by status reasoning. Risk issues frequently co‐occurred associations. However, meaning these associations varied relation experiences. Conceptualised ‘thema’ risk/safety was central representational field elaborated among women. Aspects were elicited depending on self/other relations diverging emancipated polemic response institutional messaging.

Language: Английский

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Political Orientation and Vaccination Attitude: The Moderating Role of Power Distance Belief

Journal of Consumer Affairs, Journal Year: 2025, Volume and Issue: 59(2)

Published: April 11, 2025

ABSTRACT In the US and in other economically developed western countries, vaccine resistance persists despite medical evidence that vaccines are safe effective. This research seeks to explore role individual differences, driven by one's values ethical beliefs, play intent comply with mandates. We propose political ideologies shape perceived ethicality of vaccination mandates as well decision get vaccinated. Across three studies, we posit show power distance belief interacts orientation increase compliance. Further, test a communication strategy implies such can help improve intention among conservatives. provides unique context evaluate develop strategies for how public policies require population‐wide acceptance adoption be better communicated implemented appealing beliefs.

Language: Английский

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COVID-19 vaccination acceptance among older adults: A qualitative study in New South Wales, Australia

Public Health in Practice, Journal Year: 2022, Volume and Issue: 5, P. 100349 - 100349

Published: Dec. 10, 2022

The COVID-19 pandemic has had a severe impact on people across the world, particularly older adults who have higher risk of death and health complications. We aimed to explore adults’ intention towards vaccination factors that influenced their motivation get vaccinated. A qualitative study was conducted in New South Wales, Australia (April 2021), involving interviews with (aged 70 years older). In-depth were carried out 14 perceptions around vaccination. program just commenced at time data collection. thematically analysed organised themes within Behavioural Social Drivers Vaccination (BeSD) Framework. found most participants accepting Participants’ vaccinated by way they thought felt about disease (including vaccine safety, effectiveness, benefits, risk, brand preferences) social influences norms, healthcare provider recommendation, influential others). uptake also mediated practical issues such as convenience, availability, affordability. Efforts increase acceptance this population should focus highlighting benefits Support be given immunisation providers enhance efforts discuss recommend high-risk group.

Language: Английский

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The predictive role of parental attitudes toward COVID-19 vaccines and child vulnerability: A multi-country study on the relationship between parental vaccine hesitancy and financial well-being

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 16, 2023

Background and purpose Recent new mutations increases in transmission of COVID-19 among adolescents children highlight the importance identifying which factors influence parental decisions regarding vaccinating their children. The current study aims to explore whether child vulnerability parents' attitudes toward vaccines mediate association between perceived financial well-being vaccine hesitancy parents. Method A predictive, cross-sectional, multi-country online questionnaire was administered with a convenience sample 6,073 parents (Australia, 2,734; Iran, 2,447; China, 523; Turkey, 369). Participants completed Parent Attitude About Child Vaccines (PACV), Vulnerability Scale (CVS), Financial Well-being (FWB) measure, Parental Vaccine Hesitancy (PVH) questionnaire. Results revealed that had significant negative associations Australian sample. Contrary findings, results from Chinese participants indicated positive predictive effects on parent vaccines, vulnerability, hesitancy. Iranian significantly negatively predicted Conclusion relationship about vulnerability; however, it did not predict Turkish as for Australia, China. Findings have policy implications how certain countries may tailor vaccine-related health messages low wellbeing vulnerable

Language: Английский

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Pre-travel vaccine information needs, attitudes, drivers of uptake and the role for decision aids in travel medicine

Journal of Travel Medicine, Journal Year: 2023, Volume and Issue: 30(4)

Published: April 19, 2023

Many travellers do not receive vaccines pre-travel. Tools such as vaccine decision aids could support informed decision-making. We aimed to characterise Australians' pre-travel attitudes, behaviours and information needs examine the role for in travel medicine.

Language: Английский

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