Enablers and barriers to COVID-19 vaccine uptake: An international study of perceptions and intentions

Burke, Paul F.; Masters, D. C.; Massey, Graham R.

doi:10.1016/j.vaccine.2021.07.056

Cited by 135 publications

(162 citation statements)

References 46 publications

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“…In this case, we recommend using unit weighted composite mean scores computed from manifest indicators, as they are robust against missing values. However, when investigating effects of In line with other research (Betsch et al, 2018;Burke et al, 2021;Geiger et al, 2021), confidence and collective responsibility belonged to the most important components determining COVID-19 vaccination intentions. Constraints was the most important component in the case of childhood vaccination.…”

Section: Discussionsupporting

confidence: 66%

Measuring parents’ readiness to vaccinate themselves and their children against COVID-19

Rees¹,

Geiger²,

Lilleholt³

et al. 2021

Preprint

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To reach high vaccination rates against COVID-19, children and adolescents should be also vaccinated. To improve childhood vaccination rates and vaccination readiness, parents need to be addressed since they decide about the vaccination of their children. We adapted the 7C of vaccination readiness scale to measure parents’ readiness to vaccinate their children and evaluated the scale in a long and a short version in two studies. The study was first evaluated with a sample of N = 244 parents from the German COVID-19 Snapshot Monitoring (COSMO) and validated with N = 464 parents from the Danish COSMO. The childhood 7C scale showed acceptable to good psychometric properties in both samples and explained more than 80% of the variance in vaccination intentions. Additionally, differences in parents’ readiness to vaccinate their children against COVID-19 were strongly determined by their readiness to vaccinate themselves, explaining 64% of the variance. Vaccination readiness and intentions for children changed as a function of the children’s age explaining 93% of differences between parents in their vaccination intentions for their children. Finally, we found differences in correlations of components with self- versus childhood vaccination, as well as between the children’s age groups in the prediction of vaccination intentions. Thus, parents need to be targeted in specifically tailored ways, based on the age of their child, to reach high vaccination rates in children. The scale is publicly available in several languages (www.vaccination-readiness.com).

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Section: Discussionsupporting

confidence: 66%

Measuring parents’ readiness to vaccinate themselves and their children against COVID-19

Rees¹,

Geiger²,

Lilleholt³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Hence, contribution of age to the discrepancy remains unclear. As disease-related perception (including perceived susceptibility to infection and perceived severity of the disease when infected) [49] may influence one's willingness to be vaccinated, another likely explanation for the discrepancy could be differences in the disease-related perception of students residing in China or Singapore. China was the first country to experience the COVID-19 pandemic and the extent this disease can severely sicken the infected, overwhelming the healthcare system and causing death.…”

Section: Discussionmentioning

confidence: 99%

Sentiments Regarding COVID-19 Vaccination among Graduate Students in Singapore

Lim

Fong

et al. 2021

Vaccines

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As the COVID-19 pandemic rages unabated, and with more infectious variants, vaccination may offer a way to transit out of strict restrictions on physical human interactions to curb the virus spread and prevent overwhelming the healthcare system. However, vaccine hesitancy threatens to significantly impact our progress towards achieving this. It is thus important to understand the sentiments regarding vaccination for different segments of the population to facilitate the development of effective strategies to persuade these groups. Here, we surveyed the COVID-19 vaccination sentiments among a highly educated group of graduate students from the National University of Singapore (NUS). Graduate students who are citizens of 54 different countries, mainly from Asia, pursue studies in diverse fields, with 32% expressing vaccine hesitancy. Citizenship, religion, country of undergraduate/postgraduate studies, exposure risk and field of study are significantly associated with vaccine sentiments. Students who are Chinese citizens or studied in Chinese Universities prior to joining NUS are more hesitant, while students of Indian descent or studied in India are less hesitant about vaccination. Side effects, safety issues and vaccine choice are the major concerns of the hesitant group. Hence, this study would facilitate the development of strategies that focus on these determinants to enhance vaccine acceptance.

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“…Although WHO approved CoronaVac for emergency use on 1 June 2021, CoronaVac was authorized for conditional mass use to suppress the pandemic in China in early 2021 and is driving a domestic vaccination campaign [8]. The phase 1/2 clinical trials of three age groups (3-17, 18-59, and 60 and above) in China between 16 April and 2 December 2020 demonstrated that most adverse reactions were mild or moderate in severity and participants recovered within 2 days. The most common event was injection site pain [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

“…Quantitative analysis (e.g., the 3C Model [15] and Structural Equation Model [16]) was applied to reveal factors that affect vaccine hesitancy. In contrast, the qualitative analysis of vaccine hesitancy remains to be strengthened.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Vaccine Hesitancy in China: A Qualitative Study

Wang

Dong

et al. 2021

Vaccines

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Vaccine hesitancy has become a significant issue. We aimed to elucidate the factors influencing vaccine hesitation in Chinese residents and to analyze and recommend promotional strategies and measures. In total, 92 Chinese residents from 10 provinces were interviewed using semi-structured face-to-face interviews following a predetermined survey framework in this qualitative study. We found trust in vaccine safety, access to professional advice, and vaccine price and effectiveness to be the main factors influencing vaccine hesitation. Additionally, residents in areas with a higher per capita GDP tend to receive more social support, believe that vaccination is beneficial and can prevent diseases, pay more attention to whether the vaccine is safe and has undergone various clinical trials, and are more likely to seek advice from individuals with vaccination experience as opposed to their counterparts in areas with a lower per capita GDP. Notably, as per capita GDP rises, individuals become more concerned about the price of vaccines. Measures such as clarifying vaccine safety and effectiveness, reducing self-funded vaccine prices, offering free vaccination for special groups, strengthening the publicity role of medical staff, and taking advantage of network platforms are essential to reduce vaccine hesitancy among Chinese residents.

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Enablers and barriers to COVID-19 vaccine uptake: An international study of perceptions and intentions

Cited by 135 publications

References 46 publications

Measuring parents’ readiness to vaccinate themselves and their children against COVID-19

Measuring parents’ readiness to vaccinate themselves and their children against COVID-19

Sentiments Regarding COVID-19 Vaccination among Graduate Students in Singapore

Factors Influencing Vaccine Hesitancy in China: A Qualitative Study

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