Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020

Vaccination intent is foundational for effective COVID-19 vaccine campaigns. To understand factors and attitudes influencing COVID-19 vaccination intent in Black and White adults in the US south, we conducted a mixed-methods cross-sectional survey of 4512 adults enrolled in the Southern Community Co...

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Main Authors: Jennifer Cunningham-Erves, Carol S. Mayer, Xijing Han, Landon Fike, Chang Yu, Phyllis M. Tousey, David G. Schlundt, Deepak K. Gupta, Michael T. Mumma, David Walkley, Mark D. Steinwandel, Kathryn M. Edwards, Loren Lipworth, Maureen Sanderson, Xiao-Ou Shu, Martha J. Shrubsole
Format: Article
Language:English
Published: Taylor & Francis Group 2021-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1984134
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author Jennifer Cunningham-Erves
Carol S. Mayer
Xijing Han
Landon Fike
Chang Yu
Phyllis M. Tousey
David G. Schlundt
Deepak K. Gupta
Michael T. Mumma
David Walkley
Mark D. Steinwandel
Kathryn M. Edwards
Loren Lipworth
Maureen Sanderson
Xiao-Ou Shu
Martha J. Shrubsole
author_facet Jennifer Cunningham-Erves
Carol S. Mayer
Xijing Han
Landon Fike
Chang Yu
Phyllis M. Tousey
David G. Schlundt
Deepak K. Gupta
Michael T. Mumma
David Walkley
Mark D. Steinwandel
Kathryn M. Edwards
Loren Lipworth
Maureen Sanderson
Xiao-Ou Shu
Martha J. Shrubsole
author_sort Jennifer Cunningham-Erves
collection DOAJ
description Vaccination intent is foundational for effective COVID-19 vaccine campaigns. To understand factors and attitudes influencing COVID-19 vaccination intent in Black and White adults in the US south, we conducted a mixed-methods cross-sectional survey of 4512 adults enrolled in the Southern Community Cohort Study (SCCS), an ongoing study of racial and economic health disparities. Vaccination intent was measured as “If a vaccine to prevent COVID-19 became available to you, how likely are you to choose to get the COVID-19 vaccination?” with options of “very unlikely,” “somewhat unlikely,” “neither unlikely nor likely,” “somewhat likely,” and “very likely.” Reasons for intent, socio-demographic factors, preventive behaviors, and other factors were collected. 46% of participants had uncertain or low intent. Lower intent was associated with female gender, younger age, Black race, more spiritual/religious, lower perceived COVID-19 susceptibility, living in a greater deprivation area, lower reading ability, and lack of confidence in childhood vaccine safety or COVID-19 vaccine effectiveness or safety (p < .05 for all). Most factors were present in all racial/gender groups. Contextual influences, vaccine/vaccination specific issues, and personal/group influences were identified as reasons for low intent. Reasons for higher intent included preventing serious illness, life returning to normal, and recommendation of trusted messengers. Hesitancy was complex, suggesting tailored interventions may be required to address low intent.
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spelling doaj.art-3f9c6c183f8d4f68ba65450ed537b3ac2023-09-26T12:43:42ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-12-0117124761479810.1080/21645515.2021.19841341984134Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020Jennifer Cunningham-Erves0Carol S. Mayer1Xijing Han2Landon Fike3Chang Yu4Phyllis M. Tousey5David G. Schlundt6Deepak K. Gupta7Michael T. Mumma8David Walkley9Mark D. Steinwandel10Kathryn M. Edwards11Loren Lipworth12Maureen Sanderson13Xiao-Ou Shu14Martha J. Shrubsole15Meharry Medical CollegeVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterSchool of Medicine, Vanderbilt UniversityVanderbilt University Medical CenterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterVanderbilt UniversityVanderbilt University Medical CenterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterVanderbilt Institute for Clinical and Translational Research, Vanderbilt University Medical CenterSchool of Medicine, Vanderbilt UniversityVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University Medical CenterMeharry Medical CollegeVanderbilt Translational and Clinical Cardiovascular Research Center, Vanderbilt University Medical CenterVanderbilt University Medical CenterVaccination intent is foundational for effective COVID-19 vaccine campaigns. To understand factors and attitudes influencing COVID-19 vaccination intent in Black and White adults in the US south, we conducted a mixed-methods cross-sectional survey of 4512 adults enrolled in the Southern Community Cohort Study (SCCS), an ongoing study of racial and economic health disparities. Vaccination intent was measured as “If a vaccine to prevent COVID-19 became available to you, how likely are you to choose to get the COVID-19 vaccination?” with options of “very unlikely,” “somewhat unlikely,” “neither unlikely nor likely,” “somewhat likely,” and “very likely.” Reasons for intent, socio-demographic factors, preventive behaviors, and other factors were collected. 46% of participants had uncertain or low intent. Lower intent was associated with female gender, younger age, Black race, more spiritual/religious, lower perceived COVID-19 susceptibility, living in a greater deprivation area, lower reading ability, and lack of confidence in childhood vaccine safety or COVID-19 vaccine effectiveness or safety (p < .05 for all). Most factors were present in all racial/gender groups. Contextual influences, vaccine/vaccination specific issues, and personal/group influences were identified as reasons for low intent. Reasons for higher intent included preventing serious illness, life returning to normal, and recommendation of trusted messengers. Hesitancy was complex, suggesting tailored interventions may be required to address low intent.http://dx.doi.org/10.1080/21645515.2021.1984134covid-19 vaccinevaccine hesitancyracial disparitiessocio-demographic factorsvaccine acceptance
spellingShingle Jennifer Cunningham-Erves
Carol S. Mayer
Xijing Han
Landon Fike
Chang Yu
Phyllis M. Tousey
David G. Schlundt
Deepak K. Gupta
Michael T. Mumma
David Walkley
Mark D. Steinwandel
Kathryn M. Edwards
Loren Lipworth
Maureen Sanderson
Xiao-Ou Shu
Martha J. Shrubsole
Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
Human Vaccines & Immunotherapeutics
covid-19 vaccine
vaccine hesitancy
racial disparities
socio-demographic factors
vaccine acceptance
title Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
title_full Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
title_fullStr Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
title_full_unstemmed Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
title_short Factors influencing intent to receive COVID-19 vaccination among Black and White adults in the southeastern United States, October – December 2020
title_sort factors influencing intent to receive covid 19 vaccination among black and white adults in the southeastern united states october december 2020
topic covid-19 vaccine
vaccine hesitancy
racial disparities
socio-demographic factors
vaccine acceptance
url http://dx.doi.org/10.1080/21645515.2021.1984134
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