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From COVID-19 Vaccine Hesitancy to Vaccine Acceptance: Results of a Longitudinal Survey
Authors
Fisher, Kimberly ANguyen, Ngoc
Fouayzi, Hassan
Crawford, Sybil
Singh, Sonal
Dong, May
Wittenberg, Ruth
Mazor, Kathleen M
Student Authors
May DongUMass Chan Affiliations
Family Medicine and Community HealthMedicine
Meyers Health Care Institute
T.H. Chan School of Medicine
Tan Chingfen Graduate School of Nursing
UMass Chan Analytics
Document Type
Journal ArticlePublication Date
2023-05-27
Metadata
Show full item recordAbstract
Objectives: COVID-19 vaccines are widely available, but uptake is suboptimal. To develop strategies to increase vaccination rates, we sought to (1) characterize adults initially hesitant to be vaccinated for COVID-19 who later received the vaccine and (2) identify factors associated with their vaccination decision. Methods: In January 2021, we conducted an online survey of US adults via Prolific that assessed vaccination intent, COVID-19-related knowledge and attitudes, and demographic characteristics. In May 2021, we recontacted respondents to assess vaccination status and factors influencing their vaccination decision. We used χ2 statistics and t tests to examine associations between respondents' vaccination status and their characteristics, knowledge, and attitudes. We analyzed reasons for vaccination using thematic analysis. Results: Of 756 initially vaccine-hesitant respondents, 529 (70.0%) completed the follow-up survey. Nearly half of those initially not sure about vaccination (47.3%, 112 of 237) were vaccinated at follow-up, while 21.2% (62 of 292) of those initially planning not to be vaccinated were vaccinated at follow-up. Of those initially not sure, higher educational attainment, greater knowledge of COVID-19, and a doctor's recommendation were associated with vaccination. Of those initially intending not to be vaccinated, male sex, Democratic political affiliation, receipt of an influenza shot within 5 years, being more worried about COVID-19, and having greater COVID-19 knowledge were associated with increased likelihood of being vaccinated. Of 167 respondents who gave reasons for vaccination, protecting oneself and others (59.9%), practical issues (29.9%), social influences (17.4%), and vaccine safety (13.8%) were the main reasons. Conclusion: Providing information on the protective value of vaccination, implementing rules that make remaining unvaccinated burdensome, making vaccination easy, and providing social support may influence vaccine-hesitant adults to accept vaccination.Source
Fisher KA, Nguyen N, Fouayzi H, Crawford S, Singh S, Dong M, Wittenberg R, Mazor KM. From COVID-19 Vaccine Hesitancy to Vaccine Acceptance: Results of a Longitudinal Survey. Public Health Rep. 2023 Jul-Aug;138(4):681-690. doi: 10.1177/00333549231176006. Epub 2023 May 27. PMID: 37243439; PMCID: PMC10235915.DOI
10.1177/00333549231176006Permanent Link to this Item
http://hdl.handle.net/20.500.14038/52239PubMed ID
37243439ae974a485f413a2113503eed53cd6c53
10.1177/00333549231176006