Community-level characteristics of COVID-19 vaccine hesitancy in England: A nationwide cross-sectional study

Bucyibaruta, Georges; Blangiardo, Marta; Konstantinoudis, Garyfallos

doi:10.1007/s10654-022-00905-1

Cited by 6 publications

(3 citation statements)

References 33 publications

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“…The role of deprivation has already been investigated in the field of vaccination, and the evidence showed that most deprived areas as well as lower socio-economic groups are generally at higher risk of incomplete/delayed vaccination and generally show lower vaccination coverage [ 35 , 36 ]. Our study missed to show an association between vaccination initiation/completion and deprivation status, but other population-based studies that addressed community characteristics, including deprivation, showed that most deprived areas and most ethnically diverse areas were at higher risk of lower COVID-19 vaccine uptake [ 21 , 22 , 37 , 38 ]. The different results issued by our and similar studies conducted in Italy [ 21 , 22 ] could be attributed to the fact that we did not obtain the information on the deprivation index according to the census tract but to the municipality, thus lacking a more granular insight.…”

Section: Discussioncontrasting

confidence: 59%

COVID-19 Vaccination Actual Uptake and Potential Inequalities Due to Socio-Demographic Characteristics: A Population-Based Study in the Umbria Region, Italy

Primieri¹,

Chiavarini

Giacchetta

et al. 2023

Vaccines

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Socio-demographic factors are responsible for health inequalities also in vaccination. The aim of this study was to evaluate their role at the population level through a population-based study performed on the whole population entitled to receive COVID-19 vaccines in the Umbria Region, Italy, and registered to the Regional Healthcare Service as of 28 February 2021. Socio-demographic characteristics and vaccination status in terms of uptake of at least one dose of any available vaccine, completion of the primary vaccination cycle and uptake of the booster doses as of 28 February 2022 were collected from the Umbria regional database. The percentage of eligible population who did not initiate the COVID-19 vaccination, complete the full vaccination cycle and get the booster dose was 11.8%, 1.2% and 21.5%, respectively. A younger age, being a non-Italian citizen, and not holding an exemption for chronic disease/disability and a GP/FP were associated with all the endpoints. Females, as compared to males, were more likely to not initiate the vaccination but less likely to not receive the booster dose. On the contrary, the findings did not show a significant association between the deprivation index and the vaccine uptake. The findings, beyond confirming current knowledge at the population level, provide new inputs for better tailoring vaccination campaigns.

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Section: Discussioncontrasting

confidence: 59%

COVID-19 Vaccination Actual Uptake and Potential Inequalities Due to Socio-Demographic Characteristics: A Population-Based Study in the Umbria Region, Italy

Primieri¹,

Chiavarini

Giacchetta

et al. 2023

Vaccines

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show abstract

“…The severity of the epidemic influenced people’s choice, with higher levels of severity instead promoting vaccine hesitancy, which is inconsistent with previous findings [ 12 , 46 ]. This may be due to people being more aware of self-protection, taking more adequate self-protection measures, going out less, or participating in timely nucleic acid testing when the epidemic is severe [ 47 , 48 ]. Although most people have confidence in the vaccine, this attitude does not automatically translate into vaccine use, as there are a variety of other barriers to vaccination [ 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Dynamic Trends and Underlying Factors of COVID-19 Vaccine Booster Hesitancy in Adults: Cross-Sectional Observational Study

Wu,

Ma,

et al. 2023

JMIR Public Health Surveill

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Background COVID-19 vaccine hesitancy reduces vaccination rates, which is detrimental to building herd immunity and halting the spread of COVID-19 and its variations. Most researches have simply identified the reasons affecting COVID-19 vaccination reluctance without delving into its dynamics, which makes forecasting future trends difficult. Objective This study aimed to examine the current COVID-19 vaccine booster hesitancy rate in Chinese adults as well as the dynamics of vaccine hesitancy and its influencing factors. The results of this study will have practical implications for policy responses in mainland China, and effective COVID-19 booster vaccination in specific populations. Methods The web-based survey was completed by creating questionnaires and using a stratified random sampling method to collect information from adults (≥18 years old) among 2556 households in 4 geographical regions of China. We collected sociodemographic information, health status, awareness of COVID-19 and its vaccine, self-perceptions, trust in medical staff and vaccine developers, and so on. The odds ratios and 95% CI for the statistical associations were estimated using logistic regression models. Results Overall, 6659 participants (females: n=3540, 53.2%; males: n=3119, 46.8%) responded. In total, 533 (8%; 95% CI 7.4%-8.7%) participants presented a clear hesitancy in receiving the COVID-19 booster vaccination, while 736 (11.1%; 95% CI 10.3%-11.8%) expressed hesitancy in regular booster vaccination. A higher prevalence of vaccine hesitancy in both booster vaccination and regular booster vaccination was observed among participants with a history of allergies, experiencing chronic disease, lower levels of public health prevention measures or susceptibility or benefits or self-efficiency, higher levels of severity or barriers, and lower trust in both medical staff and vaccine developers (P<.05). The females and participants with higher education levels, higher levels of barriers, lower levels of susceptibility, and lower trust in vaccine developers preferred to have attitudinal changes from acceptance to hesitancy, while people with higher education levels, lower self-report health conditions, experiencing chronic disease, history of allergies, and lower trust in medical staff and developers were all positively associated with constant COVID-19 booster hesitancy. Conclusions The prevalence of COVID-19 vaccine booster hesitancy is not high in mainland China. However, there is a slight increment in hesitancy on regular booster vaccination. Conducting targeted information guidance for people with higher education levels and chronic diseases, as well as improving accessibility to booster vaccination and increasing trust in medical staff and vaccine producers may be highly effective in reducing vaccine hesitancy.

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“…However, it could be speculated that all of the above-suggested models could contribute to the observed phenomenon. For example, vaccination coverage has been found to be lower in more deprived areas [ 56 ] (materialist model). In contrast, vaccine-hesitant individuals have been found to follow specific health behaviors [ 57 ] (cultural–behavioral model).…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Inequalities in COVID-19 Vaccine Hesitancy and Uptake in Greece and Cyprus during the Pandemic

Pouliasi,

Hadjikou,

Kouvari

et al. 2023

Vaccines

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Despite the rigorous investigation of the phenomenon of vaccine hesitancy and refusal during the COVID-19 pandemic, the socioeconomic determinants of this phenomenon remain poorly investigated on a global scale. Following proportional quota sampling, we conducted a population-based cross-sectional study. We recruited participants on-site and online from different settings, regions, and socioeconomic strata in two Eastern Mediterranean populations, Greece and Cyprus. Our approach provided a nationwide sample (n = 576) approaching the adult population structure of the two countries, with a slight underrepresentation of men and older people. Our results indicate clear socioeconomic differences in vaccine hesitancy and vaccination coverage, consistent with wider social inequalities in health. In particular, we reveal a clear socioeconomic gradient characterized by lower vaccine hesitancy and higher vaccination coverage, with increasing educational attainment and income. Additionally, participants residing in semi-urban areas show higher vaccine hesitancy and have lower vaccination coverage than those residing in urban and rural areas. Our results could inform Public Health approaches aiming to tackle the alarming phenomenon of vaccine hesitancy by enabling the targeting of population groups who are particularly vaccine-hesitant, rendering such approaches more targeted and effective while at the same time reducing inequalities in the control and prevention of infectious diseases.

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Community-level characteristics of COVID-19 vaccine hesitancy in England: A nationwide cross-sectional study

Cited by 6 publications

References 33 publications

COVID-19 Vaccination Actual Uptake and Potential Inequalities Due to Socio-Demographic Characteristics: A Population-Based Study in the Umbria Region, Italy

COVID-19 Vaccination Actual Uptake and Potential Inequalities Due to Socio-Demographic Characteristics: A Population-Based Study in the Umbria Region, Italy

Dynamic Trends and Underlying Factors of COVID-19 Vaccine Booster Hesitancy in Adults: Cross-Sectional Observational Study

Socioeconomic Inequalities in COVID-19 Vaccine Hesitancy and Uptake in Greece and Cyprus during the Pandemic

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