Facilitators to vaccination among hesitant adopters

Hallgren, Emily; Moore, Ramey; Purvis, Rachel S.; Hall, Spencer; Willis, Don; Reece, Sharon; CarlLee, Sheena; Gurel-Headley, Morgan; McElfish, Pearl A.

doi:10.1080/21645515.2021.2010427

Cited by 34 publications

(18 citation statements)

References 27 publications

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“…Interestingly, 34% reported they would have their child vaccinated right away but had not yet realized this. Some studies have shown significant logistical barriers to vaccination that may constrain vaccination uptake, especially among communities of color [ 16 , 25 ]. Future mixed-methods research should examine why those who are not hesitant delay vaccination for their child, as additional research is needed to help those parents overcome possible logistical barriers.…”

Section: Discussionmentioning

confidence: 99%

Parents’ and Guardians’ Intentions to Vaccinate Children against COVID-19

et al. 2022

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A cross-sectional survey design was used to assess Arkansas parents’/guardians’ intentions to vaccinate their child against COVID-19. Parents/guardians whose oldest child was age 0–11 years (n = 171) or 12–17 years (n = 198) were recruited between 12 July and 30 July 2021 through random digit dialing. Among parents/guardians with an age-eligible child, age 12–17, 19% reported their child had been vaccinated, and 34% reported they would have their child vaccinated right away. Among parents/guardians with a child aged 0–11, 33% of parents/guardians reported they would have their child vaccinated right away. Twenty-eight percent (28%) of parents/guardians whose oldest child was 12–17 and 26% of parents/guardians whose oldest child was 0–11 reported they would only have their child vaccinated if their school required it; otherwise, they would definitely not vaccinate them. For both groups, parents’/guardians’ education, COVID-19 vaccination status, and COVID-19 vaccine hesitancy were significantly associated with intentions to vaccinate their child. More than a third of parents/guardians whose child was eligible for vaccination at the time of the survey reported they intended to have them vaccinated right away; however, they had not vaccinated their child more than two months after approval. This finding raises questions about the remaining barriers constraining some parents/guardians from vaccinating their child.

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Section: Discussionmentioning

confidence: 99%

Parents’ and Guardians’ Intentions to Vaccinate Children against COVID-19

et al. 2022

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“…However, we make the significant contribution of linking specific themes to the levels of vaccine hesitancy, adding granularity to the well‐established concept of vaccine hesitancy as a continuum of thoughts and feelings 17,19,20 . This study also expands on the growing literature on hesitant adopters of vaccination, reinforcing vaccine hesitancy is not mutually exclusive from the decision to get vaccinated 25–28 …”

Section: Discussionmentioning

confidence: 82%

The vaccine hesitancy continuum among hesitant adopters of the COVID‐19 vaccine

Moore

Purvis

Willis

et al. 2022

Clinical Translational Sci

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Vaccination is a strategy for mitigating the impact of coronavirus disease 2019 (COVID-19) at both the individual and population levels. Vaccine hesitancy is identified as a significant threat to global health by the World Health Organization (WHO). Vaccine hesitancy has been theorized as a continuum encompassing a range of attitudes, beliefs, emotional orientations, ideologies, and health-seeking behaviors. Individuals who received the COVID-19 vaccine but also indicated some level of hesitancy about vaccination, or "hesitant adopters," remain an understudied group. This study uses a qualitative descriptive design to understand motivations to receive the COVID-19 vaccine among hesitant adopters at various self-reported levels of hesitancy. We conducted interviews with hesitant adopters (n = 49) to analyze the elements of vaccine hesitancy corresponding to reported levels of COVID-19 vaccine hesitancy (i.e., "little hesitant," "somewhat hesitant," and "very hesitant"). Concerns about side effects are shared across the continuum but are articulated differently at each level of hesitancy. The "little hesitant" relate fears of side effects to their health and a lack of clear information to inform their health decision making, whereas the "very hesitant" articulate the risks of side effects within the frame of conspiracies related to the development, approval, and economics of the COVID-19 vaccine. Additionally, conspiracy theories generally increase in salience across the continuum, with the "very hesitant" reporting conspiracy theories as the most salient element of vaccine hesitancy. This research presents opportunities for developing targeted interventions for different levels of vaccine hesitancy. Study Highlights WHAT IS THE CURRENT KNOWLEDGE ON THE TOPIC?Prior research has documented that coronavirus disease 2019 (COVID-19) vaccine hesitancy is influenced by several elements, including fears of side effects and adverse events, the speed of the development and approval process, health literacy, and misinformation/disinformation. However, no studies have explored the difference in these influences across a hesitancy continuum.

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“… 3 , 4 , 17 Further research on hesitant adopters is critical to provide insights into how and why people overcome vaccine hesitancy to become vaccinated. 5 , 6 , 18 …”

Section: Discussionmentioning

confidence: 99%

“…Recent research suggests people who report vaccine hesitancy may still choose to get vaccinated 3 , 5 , 6 , 7 ; however, little is known about hesitancy among those who chose to vaccinate. A small body of research has found high rates of vaccine hesitancy (e.g., over half) even among the recently vaccinated.…”

Section: Introductionmentioning

confidence: 99%

Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID‐19 vaccine

McElfish

Rowland

Scott

et al. 2022

Clinical Translational Sci

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Recent research suggests people who report vaccine hesitancy may still get vaccinated; however, little is known about hesitancy among those who chose to vaccinate. The current study focused on individuals who received the coronavirus disease 2019 (COVID‐19) vaccine despite their hesitancy, whom we refer to as “hesitant adopters.” With the understanding that vaccine attitudes and vaccine behaviors may or may not be correlated, we examined the prevalence of COVID‐19 vaccine hesitancy among those who have been vaccinated, how COVID‐19 vaccine hesitancy varies across sociodemographic groups, and how COVID‐19 vaccine hesitancy relates to other factors (prior health care access and influenza vaccination behavior over the past 5 years). Random digit dialing of telephone landlines and cell phones was used to contact potential survey respondents, rendering a sample of 1500 Arkansan adults. Approximately one‐third of those who received a COVID‐19 vaccine also reported some level of hesitancy. Among hesitant adopters, 5.3% said they were “very hesitant,” 8.8% said they were “somewhat hesitant,” and 17.1% said they were “a little hesitant.” Black/African American and Hispanic/Latinx respondents reported more hesitancy than White respondents, and female respondents reported greater hesitancy compared to male respondents. Greater hesitancy was associated with non‐metro/rural residence, forgoing health care due to cost, and lower influenza vaccination rates over the past 5 years. Findings suggest those who are hesitant may get vaccinated despite their hesitancy, illustrating the complexity of vaccination behaviors. Prevalence of hesitancy among the vaccinated has implications for communication strategies in vaccine outreach programs and may help to reduce stigmatization of hesitant adopters.

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Facilitators to vaccination among hesitant adopters

Cited by 34 publications

References 27 publications

Parents’ and Guardians’ Intentions to Vaccinate Children against COVID-19

Parents’ and Guardians’ Intentions to Vaccinate Children against COVID-19

The vaccine hesitancy continuum among hesitant adopters of the COVID‐19 vaccine

Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID‐19 vaccine

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