Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster

The COVID-19 booster first became available to all adults in the U.S. in November 2021 and a bivalent version in September 2022, but a large population remains booster-hesitant; only 17% of Americans have obtained the updated vaccine as of June 2023. We conducted two cross-sectional surveys in 2021...

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Main Authors: Cheryl Lin, Brooke Bier, Ann M. Reed, John J. Paat, Pikuei Tu
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/11/7/1244
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author Cheryl Lin
Brooke Bier
Ann M. Reed
John J. Paat
Pikuei Tu
author_facet Cheryl Lin
Brooke Bier
Ann M. Reed
John J. Paat
Pikuei Tu
author_sort Cheryl Lin
collection DOAJ
description The COVID-19 booster first became available to all adults in the U.S. in November 2021 and a bivalent version in September 2022, but a large population remains booster-hesitant; only 17% of Americans have obtained the updated vaccine as of June 2023. We conducted two cross-sectional surveys in 2021 and 2022 (<i>n</i> = 1889 and 1319) to determine whether changes in booster-related feelings or perceptions had occurred and whether they altered vaccination rates over time. We found that both positive and negative emotions had grown stronger between the two years, with the prevalence of annoyance increasing the most (21.5% to 39.7%). The impact of trust on booster intention more than doubled (OR = 7.46 to 16.04). Although perceived risk of infection decreased, more participants in 2022 indicated uncertainty or unwillingness to obtain a new booster than in 2021, while the proportion refusing a booster remained constant at 22.5%. Confidence in the COVID-19 vaccine and feelings of hope from the booster motivated acceptance; both were stronger predictors of booster receptivity than prior vaccination history. Our findings signal a need to rebuild trust by informing people of their continued risk and appealing to positive, especially optimistic emotions to encourage booster uptake. Future research should explore longitudinal trends in behavior and feelings toward new booster doses and the impact of prolonged vaccine hesitancy on infection rates.
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spelling doaj.art-4ce03debdba04919a3b51433f869d7352023-11-18T21:41:38ZengMDPI AGVaccines2076-393X2023-07-01117124410.3390/vaccines11071244Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 BoosterCheryl Lin0Brooke Bier1Ann M. Reed2John J. Paat3Pikuei Tu4Policy and Organizational Management Program, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USASchool of Medicine, Duke University, Durham, NC 27708, USASchool of Medicine, Duke University, Durham, NC 27708, USAPolicy and Organizational Management Program, Duke University, Durham, NC 27708, USAThe COVID-19 booster first became available to all adults in the U.S. in November 2021 and a bivalent version in September 2022, but a large population remains booster-hesitant; only 17% of Americans have obtained the updated vaccine as of June 2023. We conducted two cross-sectional surveys in 2021 and 2022 (<i>n</i> = 1889 and 1319) to determine whether changes in booster-related feelings or perceptions had occurred and whether they altered vaccination rates over time. We found that both positive and negative emotions had grown stronger between the two years, with the prevalence of annoyance increasing the most (21.5% to 39.7%). The impact of trust on booster intention more than doubled (OR = 7.46 to 16.04). Although perceived risk of infection decreased, more participants in 2022 indicated uncertainty or unwillingness to obtain a new booster than in 2021, while the proportion refusing a booster remained constant at 22.5%. Confidence in the COVID-19 vaccine and feelings of hope from the booster motivated acceptance; both were stronger predictors of booster receptivity than prior vaccination history. Our findings signal a need to rebuild trust by informing people of their continued risk and appealing to positive, especially optimistic emotions to encourage booster uptake. Future research should explore longitudinal trends in behavior and feelings toward new booster doses and the impact of prolonged vaccine hesitancy on infection rates.https://www.mdpi.com/2076-393X/11/7/1244vaccine hesitancytrustrisk perceptionshealth behaviorpublic healthcommunication
spellingShingle Cheryl Lin
Brooke Bier
Ann M. Reed
John J. Paat
Pikuei Tu
Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
Vaccines
vaccine hesitancy
trust
risk perceptions
health behavior
public health
communication
title Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
title_full Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
title_fullStr Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
title_full_unstemmed Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
title_short Changes in Confidence, Feelings, and Perceived Necessity Concerning COVID-19 Booster
title_sort changes in confidence feelings and perceived necessity concerning covid 19 booster
topic vaccine hesitancy
trust
risk perceptions
health behavior
public health
communication
url https://www.mdpi.com/2076-393X/11/7/1244
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