Top

Gepubliceerd in:

15-01-2022

Hesitant but vaccinated: assessing COVID-19 vaccine hesitancy among the recently vaccinated

Auteurs: Don E. Willis, James P. Selig, Jennifer A. Andersen, Spencer Hall, Emily Hallgren, Mark Williams, Keneshia Bryant-Moore, Pearl A. McElfish

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1-2/2023

Abstract

We administered a survey during the fifteen-minute wait time after the COVID-19 vaccine was given (N = 1475) to examine attitudes towards COVID-19 vaccines among adults who were vaccinated in Arkansas between April 22nd and July 6th, 2021. We found 60% of those who had just been vaccinated reported some level of hesitancy, including 10% who reported being “very hesitant.” Hesitancy was not evenly distributed across sociodemographic groups (age, sex, race/ethnicity, and education) and was associated with whether a non-English language is spoken in the home, health care coverage, and flu vaccination over the past five years in bivariate analysis. Generalized ordered logistic regression results reveal associations between the log-ordered odds of COVID-19 vaccine hesitancy and age, sex, race/ethnicity, health care coverage, health literacy, and flu vaccination over the past five years. Surprisingly, a prior COVID-19 diagnosis was not significantly associated with COVID-19 vaccine hesitancy. These results can inform health care and communication strategies. Further attention to “hesitant adopters” can provide insights into the process of overcoming vaccine hesitancy that are critical to vaccine uptake.

vorige artikel Has the COVID-19 pandemic affected general vaccination hesitancy? Findings from a national study

volgende artikel COVID-19 vaccine uptake and attitudes towards mandates in a nationally representative U.S. sample

American Community Survey. (2019). U.S. Census Bureau QuickFacts: United States. https://www.census.gov/quickfacts/fact/table/AR,US/PST045219

Arias, E., Betzaida, T.-V., Ahmad, F., & Kochanek, K. (2021). Provisional life expectancy estimates for 2020. National Center for Health Statistics (U.S.). https://doi.org/10.15620/cdc:107201

Bedford, H., Attwell, K., Danchin, M., Marshall, H., Corben, P., & Leask, J. (2018). Vaccine hesitancy, refusal and access barriers: The need for clarity in terminology. Vaccine, 36, 6556–6558. https://doi.org/10.1016/j.vaccine.2017.08.004CrossRefPubMed

Brewer, N. T., Chapman, G. B., Rothman, A. J., Leask, J., & Kempe, A. (2017). Increasing vaccination: Putting psychological science into action. Psychological Science in the Public Interest: A Journal of the American Psychological Society, 18, 149–207. https://doi.org/10.1177/1529100618760521CrossRefPubMed

Calarco, J. M., & Anderson, E. M. (2021). “I’m Not Gonna Put That On My Kids”: Gendered Opposition to New Public Health Initiatives. SocArXiv. https://doi.org/10.31235/osf.io/tv8zw

CDC. (2020). Behavioral Risk Factor Surveillance System Survey Questionnaire. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

Chang, C. R., Penaia, C., & Thomas, K. (2020). Count Native Hawaiian And Pacific Islanders In COVID-19 Data—It’s An OMB Mandate | Health Affairs Blog. https://www.healthaffairs.org/do/https://doi.org/10.1377/hblog20200825.671245/full/

Chew, L. D., Griffin, J. M., Partin, M. R., Noorbaloochi, S., Grill, J. P., Snyder, A., Bradley, K. A., Nugent, S. M., Baines, A. D., & VanRyn, M. (2008). Validation of screening questions for limited health literacy in a large VA outpatient population. Journal of General Internal Medicine, 23, 561–566. https://doi.org/10.1007/s11606-008-0520-5CrossRefPubMedPubMedCentral

Daly, M., & Robinson, E. (2021). Willingness to vaccinate against COVID-19 in the U.S.: Representative longitudinal evidence from April to October 2020. American Journal of Preventive Medicine, 60, 766. https://doi.org/10.1016/j.amepre.2021.01.008CrossRefPubMedPubMedCentral

Dubé, E., Laberge, C., Guay, M., Bramadat, P., Roy, R., & Bettinger, J. A. (2013). Vaccine hesitancy: An overview. Human Vaccines & Immunotherapeutics, 9, 1763–1773. https://doi.org/10.4161/hv.24657CrossRef

Enkel, S. L., Attwell, K., Snelling, T. L., & Christian, H. E. (2018). ‘Hesitant compliers’: Qualitative analysis of concerned fully-vaccinating parents. Vaccine, 36, 6459–6463. https://doi.org/10.1016/j.vaccine.2017.09.088CrossRefPubMed

Hadden, K. B., Prince, L. Y., Rojo, M. O., Selig, J. P., & McElfish, P. A. (2019). Screening patients who speak spanish for low health literacy. Health Literacy Research and Practice, 3(2), e110–e116. https://doi.org/10.3928/24748307-20190408-03

Hamel, L., Lopes, L., Sparks, G., Kirzinger, A., Kearney, A., Stokes, M., & Brodie, M. (2021). KFF COVID-19 Vaccine Monitor: October 2021. KFF. https://www.kff.org/coronavirus-covid-19/poll-finding/kff-covid-19-vaccine-monitor-october-2021/

Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap)—A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381. https://doi.org/10.1016/j.jbi.2008.08.010CrossRefPubMed

HHS, & CDC. (2021). COVID-19 State Profile Report—Combined Set. https://healthdata.gov/Community/COVID-19-State-Profile-Report-Combined-Set/5mth-2h7d

Khubchandani, J., Sharma, S., Price, J. H., Wiblishauser, M. J., Sharma, M., & Webb, F. J. (2021). COVID-19 vaccination hesitancy in the United States: A rapid national assessment. Journal of Community Health, 46, 270–277. https://doi.org/10.1007/s10900-020-00958-xCrossRefPubMedPubMedCentral

Kirzinger, A., Sparks, G., & Brodie, M. (2021). KFF COVID-19 Vaccine Monitor: In Their Own Words, Six Months Later. KFF. https://www.kff.org/coronavirus-covid-19/poll-finding/kff-covid-19-vaccine-monitor-in-their-own-words-six-months-later/

Latkin, C., Dayton, L., Yi, G., Konstantopoulos, A., & Boodram, B. (2021). Trust in a COVID-19 vaccine in the U.S.: A social-ecological perspective. Social Science & Medicine, 270, 113684. https://doi.org/10.1016/j.socscimed.2021.113684CrossRef

Leatherby, L., & Walker, A. S. (2021a). Less vaccinated states are feeling the force of Delta’s surge in the U.S. The New York Times. https://www.nytimes.com/2021/07/17/world/less-vaccinated-states-are-feeling-the-force-of-deltas-surge-in-the-us.html

Leatherby, L., & Walker, A. S. (2021b). Unvaccinated States Feel Brunt of Delta-Led Covid Uptick. The New York Times. https://www.nytimes.com/interactive/2021/07/17/us/delta-variant-us-growth.html

MacDonald, N. E. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33, 4161–4164. https://doi.org/10.1016/j.vaccine.2015.04.036CrossRefPubMed

Malik, A. A., McFadden, S. M., Elharake, J., & Omer, S. B. (2020). Determinants of COVID-19 vaccine acceptance in the US. EClinicalMedicine. https://doi.org/10.1016/j.eclinm.2020.100495CrossRefPubMedPubMedCentral

Mandavilli, A. (2020). ‘Natural immunity’ from Covid is not safer than a vaccine. The New York Times. https://www.nytimes.com/2020/12/05/health/covid-natural-immunity.html

McElfish, P. A., Cleek, A. B., Willis, D. E., Purvis, R. S., & James, L. P. (2021a). Leveraging community engagement capacity to address COVID-19 disparities among Pacific Islander and Latinx Communities in Arkansas. Journal of Clinical and Translational Science, 5(1). https://doi.org/10.1017/cts.2020.562

McElfish, P. A., Purvis, R., Willis, D. E., & Riklon, S. (2021b). COVID-19 disparities among marshallese pacific islanders. Preventing Chronic Disease, 18, 200407. https://doi.org/10.5888/pcd18.200407

Nguyen, L. H., Joshi, A. D., Drew, D. A., Merino, J., Ma, W., Lo, C.-H., Kwon, S., Wang, K., Graham, M. S., Polidori, L., Menni, C., Sudre, C. H., Anyane-Yeboa, A., Astley, C. M., Warner, E. T., Hu, C. Y., Selvachandran, S., Davies, R., Nash, D., Consortium, on behalf of the C. (2021). Racial and ethnic differences in COVID-19 vaccine hesitancy and uptake (p. 2021.02.25.21252402). https://doi.org/10.1101/2021.02.25.21252402

Niño, M. D., Hearne, B. N., & Cai, T. (2021). Trajectories of COVID-19 vaccine intentions among U.S. adults: The role of race and ethnicity. SSM - Population Health, 15, 100824. https://doi.org/10.1016/j.ssmph.2021.100824CrossRefPubMedPubMedCentral

Quinn, S. C., Jamison, A. M., An, J., Hancock, G. R., & Freimuth, V. S. (2019). Measuring vaccine hesitancy, confidence, trust and flu vaccine uptake: Results of a national survey of White and African American adults. Vaccine, 37, 1168–1173. https://doi.org/10.1016/j.vaccine.2019.01.033CrossRefPubMed

Quinn, S. C., Jamison, A., Freimuth, V. S., An, J., Hancock, G. R., & Musa, D. (2017). Exploring racial influences on flu vaccine attitudes and behavior: Results of a national survey of White and African American adults. Vaccine, 35, 1167–1174. https://doi.org/10.1016/j.vaccine.2016.12.046CrossRefPubMedPubMedCentral

Savoia, E., Piltch-Loeb, R., Goldberg, B., Miller-Idriss, C., Hughes, B., Montrond, Am., Kayyem, Jn., & Testa, Ma. (2021). Predictors of COVID-19 vaccine hesitancy: Socio-demographics, co-morbidity and past experience of racial discrimination [Preprint]. Public and Global Health. https://doi.org/10.1101/2021.01.12.21249152CrossRef

Smith, T. W., Davern, M., Freese, J., & Morgan, S. L. (2019). General social surveys, 1972–2018: Cumulative codebook. NORC.

Ta Park, V. M., Dougan, M., Meyer, O. L., Nam, B., Tzuang, M., Park, L. G., Vuong, Q., & Tsoh, J. Y. (2021). Vaccine willingness: Findings from the COVID-19 effects on the mental and physical health of Asian Americans & Pacific Islanders survey study (COMPASS). Preventive Medicine Reports, 23, 101480. https://doi.org/10.1016/j.pmedr.2021.101480CrossRefPubMedPubMedCentral

Walker, K. K., Owens, H., & Zimet, G. (2020). We fear the unknown: Emergence route and transfer of hesitancy and misinformation among HPV vaccine accepting mothers. Preventive Medicine Reports, 20, 101240. https://doi.org/10.1016/j.pmedr.2020.101240CrossRefPubMedPubMedCentral

Wallace, L. S., Rogers, E. S., Roskos, S. E., Holiday, D. B., & Weiss, B. D. (2006). Brief report: Screening items to identify patients with limited health literacy skills. Journal of General Internal Medicine, 21, 874–877. https://doi.org/10.1111/j.1525-1497.2006.00532.xCrossRefPubMedPubMedCentral

Warren, R. C., Forrow, L., Hodge, D. A., & Truog, R. D. (2020). Trustworthiness before trust—Covid-19 vaccine trials and the black community. New England Journal of Medicine, 383, e121. https://doi.org/10.1056/NEJMp2030033CrossRefPubMed

Washington, H. A. (2006). Medical apartheid: The dark history of medical experimentation on black americans from colonial times to the present. Doubleday.

Washington, J. (2020). New poll shows Black Americans put far less trust in doctors and hospitals than white people. The Undefeated. https://theundefeated.com/features/new-poll-shows-black-americans-put-far-less-trust-in-doctors-and-hospitals-than-white-people/

WHO. (2019a). Ten threats to global health in 2019. World Health Organization. https://www.who.int/vietnam/news/feature-stories/detail/ten-threats-to-global-health-in-2019

WHO. (2019b). Measuring Behavioural and Social Drivers (BeSD) of Vaccination Working Group (pp. 1–8) [Meeting Report]. World Health Organization. https://www.who.int/immunization/programmes_systems/Meeting_report_May2019.pdf

WHO EURO. (2011). Report of the SAGE Working Group on Vaccine Hesitancy. Working Group on Vaccine Communications. https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GROUP_vaccine_hesitancy_final.pdf

Williams, R. (2006). Generalized ordered logit/partial proportional odds models for ordinal dependent variables. The Stata Journal: Promoting Communications on Statistics and Stata, 6, 58–82. https://doi.org/10.1177/1536867X0600600104CrossRef

Willis, D. E., Andersen, J. A., Bryant-Moore, K., Selig, J. P., Long, C. R., Felix, H. C., Curran, G. M., & McElfish, P. A. (2021). COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear. Clinical and Translational Science, 00(00), 1–8. https://doi.org/10.1111/cts.13077

Ylitalo, K. R., Meyer, M. R. U., Lanning, B. A., During, C., Laschober, R., & Griggs, J. O. (2018). Simple screening tools to identify limited health literacy in a low-income patient population. Medicine, 97, e0110. https://doi.org/10.1097/MD.0000000000010110CrossRefPubMedPubMedCentral

Titel: Hesitant but vaccinated: assessing COVID-19 vaccine hesitancy among the recently vaccinated
Auteurs: Don E. Willis
James P. Selig
Jennifer A. Andersen
Spencer Hall
Emily Hallgren
Mark Williams
Keneshia Bryant-Moore
Pearl A. McElfish
Publicatiedatum: 15-01-2022
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 1-2/2023
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-021-00270-6

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 1-2/2023

The effects of social-media based social comparison information and similarity mindsets on COVID-19 vaccination uptake cognitions

Narratives from African American/Black, American Indian/Alaska Native, and Hispanic/Latinx community members in Arizona to enhance COVID-19 vaccine and vaccination uptake

Exploring content of misinformation about HPV vaccine on twitter

Factors associated with mothers’ hesitancy to receive a COVID-19 vaccine

Is disgust proneness prospectively associated with influenza vaccine hesitancy and uptake?

Factors associated with latino sexual minority men’s likelihood and motivation for obtaining a COVID-19 vaccine: a mixed-methods study