Multilevel determinants of COVID-19 vaccination hesitancy in the United States: A rapid systematic review

Preventive Medicine Reports, Год журнала: 2021, Номер 25, С. 101673 - 101673

Опубликована: Дек. 16, 2021

Vaccine hesitancy is a challenge for the success and optimal implementation of COVID-19 immunization programs in US. The objective this study was to summarize multilevel determinants vaccination intention US inform future intervention opportunities. To end, we conducted rapid systematic review by searching published articles via PubMed October 5, 2021, following PRISMA guidelines. One hundred six were included. According nationally representative studies, overall acceptance rate ranges from 53.6% 84.4%. Individual (demographics, health history, behaviors beliefs), interpersonal (having close friend/family member impacted COVID-19), healthcare societal level factors (healthcare provider recommendations, source/credential related information, conspiracy theories) all contributed vaccine This demonstrates that vaccines influenced various factors, particularly role providers enhancing public intent vaccination. Potential interventions mitigate people's concerns over address vaccine-related conspiracy/misinformation social media are also critical encourage uptake

Язык: Английский

---

A qualitative study of COVID-19 vaccine intentions and mistrust in Black Americans: Recommendations for vaccine dissemination and uptake

PLoS ONE, Год журнала: 2022, Номер 17(5), С. e0268020 - e0268020

Опубликована: Май 3, 2022

COVID-19 vaccination rates among Black Americans have been lower than White and are disproportionate to their population size impact. This study examined reasons for low intentions preferred strategies promote vaccination.

Язык: Английский

---

Addressing and Inspiring Vaccine Confidence in Black, Indigenous, and People of Color During the Coronavirus Disease 2019 Pandemic

Open Forum Infectious Diseases, Год журнала: 2021, Номер 8(9)

Опубликована: Авг. 9, 2021

Abstract During the coronavirus disease 2019 (COVID-19) pandemic, we have witnessed profound health inequities suffered by Black, Indigenous, and People of Color (BIPOC). These manifested as differential access to testing early in rates severe death 2–3 times higher than white Americans, and, now, significantly lower vaccine uptake compared with their share population affected COVID-19. This article explores impact these COVID-19 (and underlying cause, structural racism) on acceptance BIPOC populations, ways establish trustworthiness healthcare institutions, increase for communities, inspire confidence vaccines.

Язык: Английский

---

The influence of social norms varies with “others” groups: Evidence from COVID-19 vaccination intentions

Proceedings of the National Academy of Sciences, Год журнала: 2022, Номер 119(29)

Опубликована: Июль 11, 2022

The theory that health behaviors spread through social groups implies efforts to control COVID-19 vaccination will succeed if people believe others in their are getting vaccinated. But “others” can refer many groups, including one’s family, neighbors, fellow city or state dwellers, copartisans. One challenge examining these understudied distinctions is factors may confound observed relationships between perceived norms (what do) and intended themselves do), as there plausible common causes for both. We address issues using survey data collected the United States during late fall 2020 ( n = 824) spring 2021 996) a matched design approximates pair-randomized experiments. find strong relationship intentions when controlling real risk (e.g., age), well dimensions known predict preventive trust scientists). strength of declines queried group grows larger more heterogeneous. copartisans second magnitude family friends among Republicans but undetectable Democrats. Sensitivity analysis shows could be explained away only by an unmeasured variable with large effects (odds ratios 2 15) on perceptions intentions. In addition, prediction from “false consensus” view cause not supported. discuss implications public policy understanding norms.

Язык: Английский

---

Medical mistrust, discrimination, and COVID-19 vaccine behaviors among a national sample U.S. adults

SSM - Population Health, Год журнала: 2022, Номер 20, С. 101278 - 101278

Опубликована: Ноя. 12, 2022

COVID-19 vaccine uptake has been suboptimal and disparities in have exacerbated health inequities. It postulated that mistrust the healthcare system experiences of discrimination or unfair treatment other settings may be barriers to vaccine, although few studies date investigated medical perceived together. We conducted a cross-sectional online survey between April 23-May 3, 2021, among national sample U.S. adults ages 18 years older. assessed receipt intention vaccinated for associations with validated Medical Mistrust Index Everyday Discrimination Scale. 1449 individuals responded, whom 70.2% either had ≥1 dose reported they were 'very' 'somewhat' likely future. In bivariate analyses, vaccination status was significantly associated age, race/ethnicity, education, income, employment, marital status, insurance, political party affiliation. multivariable analyses comparing those who get future not any doses did intend vaccinated, each additional point independently 16% decrease odds (adjusted ratio = 0.84; 95% confidence interval 0.81, 0.86). Discriminatory behavior analyses. is intentions. Increasing vaccines will require substantive efforts on part public officials build trust are yet fully vaccinated. recommend these focus building 'trustworthiness' entities, an approach paradigm shift away from correcting individual beliefs knowledge, acknowledging addressing root causes underlying mistrust.

Язык: Английский

---

Racial discrimination in healthcare services among Black individuals in Canada as a major threat for public health: its association with COVID-19 vaccine mistrust and uptake, conspiracy beliefs, depression, anxiety, stress, and community resilience

Public Health, Год журнала: 2024, Номер 230, С. 207 - 215

Опубликована: Апрель 3, 2024

To examine the prevalence of major racial discrimination (MRD) in healthcare services and its association with COVID-19 vaccine mistrust uptake, conspiracy theories, COVID-19-related stressors, community resilience, anxiety, depression, stress symptoms. The study used a population-based cross-sectional design. Data from BlackVax dataset on vaccination Black individuals Canada was analyzed (n = 2002, 51.66% women). Logistic regression analyses were performed to between MRD independent variables. 32.55% participants declared having experienced services. Participants less vaccinated against COVID-19, presented higher scores mistrust, beliefs, related stress, had lower resilience. They more likely experience depression (AOR 2.13, P < 0.001), anxiety 2.00, symptoms 2.15, 0.001). who be unvaccinated 1.35, 0.009). Racial by health is public concern threat population Canada. Federal, provincial, municipal agencies should adapt their programs, strategies, tools, campaigns address created discrimination.

Язык: Английский

---

Willingness to accept COVID-19 vaccination among people living with HIV in a high HIV prevalence community

BMC Public Health, Год журнала: 2022, Номер 22(1)

Опубликована: Июнь 22, 2022

People living with HIV (PLWH) may have a poorer prognosis COVID-19 infection and are an important population for vaccination. We assessed the willingness reasons vaccine acceptance or hesitancy among PLWH in South Africa.

Язык: Английский

---

COVID-19 Vaccine Uptake among Healthcare Workers: A Systematic Review and Meta-Analysis

Vaccines, Год журнала: 2022, Номер 10(10), С. 1637 - 1637

Опубликована: Сен. 29, 2022

The vaccine-induced immunity of healthcare workers (HCWs) is crucial to controlling the COVID-19 pandemic. Therefore, we conducted a systematic review and meta-analysis assess vaccine uptake among HCWs worldwide identify predictors vaccination. We searched Scopus, Web Science, Medline, PubMed, ProQuest, CINAHL, medRxiv up 25 August 2022. applied Preferred Reporting Items for Systematic Reviews Meta-Analysis guidelines. found studies including 491,624 vaccinated HCWs, while full sample included 555,561 HCWs. overall proportion was 77.3%. Vaccine that were in North America (85.6%) higher than Asia (79.5%), Europe (72.8%), Africa (65.6%). prevalence 83.6% 77.4% physicians nurses, respectively. Older age, white race, physicians’ profession, seasonal influenza vaccine, direct patient care, confidence safety effectiveness positive uptake, history SARS-CoV-2 infection negative predictor. Deep understanding factors influence HCWs’ decisions receive critical implementing tailored communication strategies who are at risk not getting vaccinated.

Язык: Английский

---

Rural–Urban Differences in Vaccination and Hesitancy Rates and Trust: US COVID-19 Trends and Impact Survey on a Social Media Platform, May 2021–April 2022

American Journal of Public Health, Год журнала: 2023, Номер 113(6), С. 680 - 688

Опубликована: Апрель 13, 2023

Objectives. To analyze rural–urban differences in COVID-19 vaccination uptake, hesitancy, and trust information sources the United States. Methods. We used data from a large survey of Facebook users. computed vaccination, decline rates proportions among individuals hesitant toward for rural urban regions each state May 2021 to April 2022. Results. In 48 states with adequate data, on average, two thirds showed statistically significant monthly between regions, having lower rate at all times. Far fewer when comparing hesitancy versus regions. Doctors health professionals received highest level trust. Friends family were also most trusted areas where uptake was low. Conclusions. Rural–urban difference those still unvaccinated much smaller than rates, suggesting that access vaccines may be another contributor areas. (Am J Public Health. 2023;113(6):680–688. https://doi.org/10.2105/AJPH.2023.307274 )

Язык: Английский

---

Vaccine mistrust among Black individuals in Canada: The major role of health literacy, conspiracy theories, and racial discrimination in the healthcare system

Journal of Medical Virology, Год журнала: 2023, Номер 95(4)

Опубликована: Апрель 1, 2023

Abstract The COVID‐19 pandemic disproportionately affected Black communities in Canada terms of infection and mortality rates compared to the general population. Despite these facts, are among those with highest level vaccine mistrust (COVID‐19 VM). We collected novel data analyze sociodemographic characteristics factors associated VM Canada. A survey was conducted a representative sample 2002 individuals (51.66% women) aged 14−94 years ( M = 29.34; SD 10.13) across Vaccine assessed as dependent variable conspiracy theories, health literacy, major racial discrimination healthcare settings, participants were independent variables. Those history had higher score 11.92, 3.88) no 11.25, 3.83), t (1999) −3.85, p < 0.001. Participants who reported having experienced settings more likely report 4.03) than not 11.36, 3.77), −3.05, 0.002. Results also showed significant differences for age, education level, income, marital status, provinces, language, employment religion. final hierarchical linear regression that beliefs B 0.69, 0.001) positively VM, while literacy −0.05, 0.002) negatively it. mediated moderation model theories completely association between 1.71, 0.001). This moderated by interaction 0.42, 0.008), indicating despite high services developed mistrust. first study on exclusively provides can significantly impact development tools, trainings, strategies, programs make systems free racism increase their confidence vaccination other infectious diseases.

Язык: Английский

---