Hesitant adopters: COVID-19 vaccine hesitancy among diverse vaccinated adults in the United States

Reece, Sharon; CarlLee, Sheena; Scott, Aaron J.; Willis, Don; Rowland, Brett; Holman-Allgood, Ijanae; McElfish, Pearl A.

doi:10.1016/j.imj.2023.03.001

Cited by 22 publications

(8 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The wide vaccine coverage achieved in Italy was obtained through mass vaccination and governmental policies to optimize adherence and compliance (e.g., Green Pass introduction, personal restrictions, gradually compulsory vaccination) [21][22][23][24]. In the US, vaccine hesitancy during the pandemic has proven to be a noteworthy, multifactorial phenomenon [25,26], since, despite substantial supplies and resources, the vaccination rate was low compared to other high-income countries [27], especially due to inequalities [28].…”

Section: Discussionmentioning

confidence: 99%

The aftermath of Post COVID-19 Condition in Italy and the United States: an ecological comparison

Garlasco,

Nurchis,

Raspolini

et al. 2024

Preprint

View full text Add to dashboard Cite

Post COVID-19 Condition (PCC) is a clinical syndrome following COVID-19 disease. PCC symptoms in adults entail significant productivity loss and reduced quality of life. This study aimed at estimating the epidemiological and economic burden of PCC among the working-age population of Italy and the US. This ecological analysis was conducted on data from January 2020 to April 2023, regarding population aged 18-64. PCC incidence was retrieved for the US, while for Italy it was estimated from COVID-19 cases. Prevalence of factors associated with PCC and parameters to calculate temporary productivity losses (TPL) were retrieved. An estimated Incidence Rate Ratio (eIRR) of PCC incidence in Italy and the US was calculated. TPL for reduced earnings and total Quality-Adjusted Life Years (QALYs) lost were also estimated. The ecological eIRR Italy/US was 0.842 [95%CI: 0.672–1.015], suggesting that, holding COVID-19 cases constant, 15.8% fewer PCC cases have occurred in Italy compared to the US. Overall PCC cases were found to be roughly 12.0 [95%CI: 9.9–14.1] million in the US, with 1.9 [95%CI: 1.6–2.3] million QALYs lost, and around 2.4 [95%CI: 1.8–3.0] million in Italy, with 0.4 [95%CI: 0.3–0.5] million QALYs lost. Up to April 2023, the TPL was estimated to be €4.5 [95%CI: 3.5–6.1] billion in Italy and $41.5 [95%CI: 34.3–48.7] billion in the US. PCC has had a significant epidemiological and economic impact on the working-age population. The findings from this study may be of use for health planning and policy regarding PCC in working-age adults.

show abstract

Section: Discussionmentioning

confidence: 99%

The aftermath of Post COVID-19 Condition in Italy and the United States: an ecological comparison

Garlasco,

Nurchis,

Raspolini

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Previous studies have automatically equated vaccine uptake with support for vaccines; however, the vaccinated can still display vaccine hesitancy (McElfish et al., 2022; Moore et al., 2022; Reece et al., 2023). Individuals opposing the vaccines may eventually get vaccinated for various reasons (Moore et al., 2022), such as fulfilling a vaccine mandate, and they were likely to have different psychological dispositions from vaccine supporters.…”

Section: Methodsmentioning

confidence: 99%

Moral characteristics predicting COVID‐19 vaccination

Zher‐Wen,

Zhen,

2023

Journal of Personality

View full text Add to dashboard Cite

ObjectiveThe current study aims to assess, for the first time, whether vaccination is predicted by different behavioral and cognitive aspects of moral decision‐making.BackgroundStudies linking moral factors to vaccination have largely examined whether vaccination decisions can be explained by individual differences in the endorsement of various principles and norms central to deontology‐based arguments in vaccination ethics. However, these studies have overlooked whether individuals prioritize norms over other considerations when making decisions, such as maximizing consequences (utilitarianism).MethodIn a sample of 1492 participants, the current study assessed whether vaccination is explained by individual differences in three aspects of moral decision‐making (consequence sensitivity, norm sensitivity, and action tendency), while also considering ethics position (idealism, relativism) and moral identity.ResultsSupportive vaccination (vaccine uptake accompanied by a positive attitude toward vaccines) was associated with utilitarianism (increased consequence sensitivity) and increased tolerance to risks and harm toward others. Meanwhile, although those in the non‐vaccinated group was associated with higher harm sensitivities, they neither supported nor received the COVID vaccines (when vaccines prevent harm from infection).ConclusionPro‐vaccination messages may be made more effective by addressing perceptions of harms associated with vaccines and infections, respectively.

show abstract

“…Despite ample resources, North America and Europe display the highest COVID-19 booster dose hesitancy rates. One study showed that 48.8% of adults who received the primary COVID-19 vaccine series in the United States (U.S.) reported being hesitant to do so [ 19 ]. In response, the COVID-19 primary vaccines and booster doses have received exceptional amounts of media attention to promote vaccine uptake [ 20 , 21 , 22 , 23 ].…”

Section: Introductionmentioning

confidence: 99%

Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis

Krasner,

Harmon,

Martin

et al. 2024

Vaccines

View full text Add to dashboard Cite

Introduction: Evidence exists that individual-level sociodemographic factors contribute to vaccine hesitancy, but it is unknown how community-level factors affect COVID-19 booster dose hesitancy. The current study aims to fill this knowledge gap by comparing data from a nationwide survey on COVID-19 vaccine hesitancy with a community-level indicator, i.e., the Distressed Communities Index (DCI). Methods: Attitudes toward vaccinations, vaccine literacy, COVID-19 vaccine confidence index, and trust were measured using a 48-item, psychometrically valid and reliable survey tool. In this study, 2138 survey participants residing in the United States were divided into quintiles of varying community distress levels based on their zip codes using the DCI. Data were analyzed through Chi-square, one-way ANOVA, and post hoc analysis with Tukey’s test. Results: A significantly higher proportion of participants from the distressed communities had lower trust than their prosperous counterparts (26.6% vs. 37.6%, p < 0.001). On the contrary, participants from the prosperous communities had significantly higher vaccine confidence index scores than those in distressed communities (2.22 ± 1.13 vs. 1.70 ± 1.01, p < 0.001). Conclusions: These findings affirm the importance of developing community-level interventions to promote trust in COVID-19 vaccinations and increase booster dose uptake. From these results, future studies can examine the efficacy of various community-level interventions.

show abstract

Hesitant adopters: COVID-19 vaccine hesitancy among diverse vaccinated adults in the United States

Cited by 22 publications

References 31 publications

The aftermath of Post COVID-19 Condition in Italy and the United States: an ecological comparison

The aftermath of Post COVID-19 Condition in Italy and the United States: an ecological comparison

Moral characteristics predicting COVID‐19 vaccination

Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis

Contact Info

Product

Resources

About