COVID-19 Vaccine: Promoting Vaccine Acceptance

Lainé, Christine; Cotton, Deborah; Moyer, Darilyn V.

doi:10.7326/m20-8008

Cited by 65 publications

(52 citation statements)

References 3 publications

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“…One salient factor that may have shifted since 2009-2010 is trust. Although trust in healthcare providers or government is an often-cited contributor to disparities in vaccine uptake, 38 we did not find evidence that either played a strong role in H1N1 vaccine disparities. However, during the H1N1 pandemic, Barack Obama was president, and surveys indicated that minority groups had high levels of trust in President Obama and his administration.…”

Section: Discussioncontrasting

confidence: 81%

Disparities in H1N1 Vaccination Rates: a Systematic Review and Evidence Synthesis to Inform COVID-19 Vaccination Efforts

et al. 2021

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Background Data suggest that there were disparities in H1N1 vaccine uptake, and these may inform COVID-19 vaccination efforts. We conducted a systematic review to evaluate disparities in H1N1 vaccine uptake, factors contributing to disparities, and interventions to reduce them. Methods We searched English-language articles in MEDLINE ALL, PsycINFO, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials from database inception through May 8, 2020. Observational studies examining H1N1 vaccine uptake by race/ethnicity, socioeconomic status, rurality, and disability status in US settings were included. Two reviewers independently assessed study eligibility. Single-reviewer data abstraction was confirmed by a second reviewer. We conducted independent dual quality assessment, and collective strength of evidence assessment. Results We included 21 studies. African American/Black, Latino, and low-socioeconomic status participants had disproportionately lower H1N1 vaccination rates ( low- to moderate-strength evidence ). However, Latinos were more likely than Whites to intend to be vaccinated, and African American/Blacks and participants with lower-socioeconomic status were just as likely to intend to be vaccinated as their White and higher-socioeconomic status counterparts ( low-strength evidence ). Vaccine uptake for other groups has been insufficiently studied. Factors potentially contributing to disparities in vaccine uptake included barriers to vaccine access, inadequate information, and concerns about vaccine safety and efficacy. Studies were largely cross-sectional. Many of the studies are a decade old and were conducted in the context of a different pandemic. The categorization of racial and ethnic groups was not consistent across studies and not all groups were well-studied. Discussion Efforts to avoid disparities in COVID-19 vaccination uptake should prioritize vaccine accessibility and convenience in African American/Black, Latino, and low-SES communities; engage trusted stakeholders to share vaccine information; and address concerns about vaccine safety and efficacy. Primary Funding Source Department of Veterans Affairs, Veterans Health Administration, Health Services Research & Development. Protocol Registration PROSPERO CRD42020187078 Supplementary Information The online version contains supplementary material available at 10.1007/s11606-021-06715-7.

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Section: Discussioncontrasting

confidence: 81%

Disparities in H1N1 Vaccination Rates: a Systematic Review and Evidence Synthesis to Inform COVID-19 Vaccination Efforts

et al. 2021

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“…In 2021, with the arrival of several vaccines from different pharmaceutical companies, herd immunity is expected to be achieved as the majority of the population is vaccinated [ 37 , 38 ], which offers a glimmer of hope to the population to return to normality and begin some recovery.…”

Section: Introductionmentioning

confidence: 99%

COVID-19 Mortality Rate and Its Incidence in Latin America: Dependence on Demographic and Economic Variables

Cifuentes‐Faura

2021

IJERPH

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The pandemic caused by COVID-19 has left millions infected and dead around the world, with Latin America being one of the most affected areas. In this work, we have sought to determine, by means of a multiple regression analysis and a study of correlations, the influence of population density, life expectancy, and proportion of the population in vulnerable employment, together with GDP per capita, on the mortality rate due to COVID-19 in Latin American countries. The results indicated that countries with higher population density had lower numbers of deaths. Population in vulnerable employment and GDP showed a positive influence, while life expectancy did not appear to significantly affect the number of COVID-19 deaths. In addition, the influence of these variables on the number of confirmed cases of COVID-19 was analyzed. It can be concluded that the lack of resources can be a major burden for the vulnerable population in combating COVID-19 and that population density can ensure better designed institutions and quality infrastructure to achieve social distancing and, together with effective measures, lower death rates.

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“…As vaccines against the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) that causes COVID‐19 become available to the majority of the population and vaccination rates increase globally in an attempt to achieve herd immunity, heated discussions spread among healthcare professionals, bioethicists, and legal entities regarding the potential to mandate vaccination 1‐3 . A legal mandate to get vaccinated for COVID‐19 coupled with coercive actions for individuals who opt‐out of vaccination might be restrictive to individuals' rights, liberty, and autonomy and not ethically justifiable 4 .…”

Section: Introductionmentioning

confidence: 99%

Mandatory vaccination support and intentions to get vaccinated for COVID‐19: Results from a nationally representative general population survey in October 2020 in Greece

Giannouchos

Steletou

Saridi

et al. 2021

Evaluation Clinical Practice

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Objectives To explore rates and factors associated with mandatory vaccination support overall and intentions to get vaccinated specifically for COVID‐19 among individuals in Greece. Methods Using data from a nationally representative cross‐sectional survey conducted in October 2020 among 855 adults (≥18 years) in Greece, we estimated support rates for mandatory vaccination and respondents' intention to get vaccinated for COVID‐19 as well as associations thereof with individual sociodemographic, clinical and contextual characteristics. Results About 74% of respondents supported mandatory vaccination and 62% intended to get vaccinated for COVID‐19. The most prevalent reasons against COVID‐19 vaccination were safety concerns related to the duration of clinical trials and potential side effects. Individuals who reported increased trust in healthcare authorities' recommendations, who revealed that their trust in the State increased due to the way the COVID‐19 pandemic was handled, who used preventive services more often, and those with higher income were more likely to both support mandatory vaccination and to indicate intention to get vaccinated for COVID‐19. Participants with worse or better self‐reported health status (compared to average), younger adults, and females were less likely to intend to get vaccinated for COVID‐19. Conclusion The survey revealed that the majority of the Greek citizens favour mandatory vaccination overall and intend to get vaccinated for COVID‐19, driven mostly by utilization of preventive services and trust in healthcare authorities. However, intention to get vaccinated for COVID‐19 was lower relative to mandatory vaccination support. This suggests a need to intensify evidence‐based yet simplified messaging by esteemed healthcare providers to inform the public on the risks and benefits of vaccines.

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COVID-19 Vaccine: Promoting Vaccine Acceptance

Abstract: This article summarizes the ACP/ Annals COVID-19 Vaccine Forum II held on 16 December 2020.

Cited by 65 publications

References 3 publications

Disparities in H1N1 Vaccination Rates: a Systematic Review and Evidence Synthesis to Inform COVID-19 Vaccination Efforts

Disparities in H1N1 Vaccination Rates: a Systematic Review and Evidence Synthesis to Inform COVID-19 Vaccination Efforts

COVID-19 Mortality Rate and Its Incidence in Latin America: Dependence on Demographic and Economic Variables

Mandatory vaccination support and intentions to get vaccinated for COVID‐19: Results from a nationally representative general population survey in October 2020 in Greece

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