期刊
VACCINE
卷 40, 期 17, 页码 2498-2505出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.vaccine.2021.06.048
关键词
Vaccine hesitancy; COVID-19; SARS-CoV-2; Coronavirus; Vaccine hesitancy; COVID-19; SARS-CoV-2; Coronavirus
There is widespread hesitancy towards COVID-19 vaccines in the United States, United Kingdom, and Australia. Age is the only sociodemographic characteristic that predicted willingness to receive a COVID-19 vaccine in all five cities. Confidence in the current government was associated with willingness to vaccinate in Sydney and Melbourne, but was associated with lower willingness in NYC and Phoenix.
Background: There is widespread hesitancy towards COVID-19 vaccines in the United States, United Kingdom, and Australia. Objective: To identify predictors of willingness to vaccinate against COVID-19 in five cities with varying COVID-19 incidence in the US, UK, and Australia.Design: Online, cross-sectional survey of adults from Dynata's research panel in July-September 2020.Participants, setting: Adults aged 18 and over in Sydney, Melbourne, London, New York City, or Phoenix.Main outcomes and measures: Willingness to receive a COVID-19 vaccine; reason for vaccine intention.Statistical methods: To identify predictors of intention to receive a COVID-19 vaccine, we used Poisson regression with robust error estimation to produce prevalence ratios.Results: The proportion willing to receive a COVID-19 vaccine was 70% in London, 71% NYC, 72% in Sydney, 76% in Phoenix, and 78% in Melbourne. Age was the only sociodemographic characteristic that predicted willingness to receive a COVID-19 vaccine in all five cities. In Sydney and Melbourne, participants with high confidence in their current government had greater willingness to receive the vaccine (PR = 1.24; 95% CI = 1.07-1.44 and PR = 1.38; 95% CI = 1.74-1.62), while participants with high confidence in their current government in NYC and Phoenix were less likely to be willing to receive the vaccine (PR = 0.78; 95% CI = 0.72-0.85 and PR = 0.85; 95% CI = 0.76-0.96).Limitations: Consumer panels can be subject to bias and may not be representative of the general population.Conclusions: Success for COVID-19 vaccination programs requires high levels of vaccine acceptance. Our data suggests more than 25% of adults may not be willing to receive a COVID-19 vaccine, but many of them were not explicitly anti-vaccination and thus may become more willing to vaccinate over time. Among the three countries surveyed, there appears to be cultural differences, political influences, and differing experiences with COVID-19 that may affect willingness to receive a COVID-19 vaccine.(c) 2021 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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