From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey
Objective In many countries, before COVID-19 vaccines became available, reluctance to get vaccinated was particularly prevalent among women, the most disadvantaged social groups and ethnoracial minorities, known to be at higher risk for the virus. Using a longitudinal perspective, we analyse the soc...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2023-12-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/12/e073465.full |
| _version_ | 1827393907885867008 |
|---|---|
| author | Nathalie Bajos Delphine Rahib Nathalie Lydié Claude Martin Florence Jusot Laurence Meyer Josiane Warszawski Emilie Counil Ariane Pailhé Alexis Spire Philippe Raynaud Alexandra Rouquette Antoine Sireyjol Guillaume Baghein Jeanna-Eve Pousson Patrick Sillard |
| author_facet | Nathalie Bajos Delphine Rahib Nathalie Lydié Claude Martin Florence Jusot Laurence Meyer Josiane Warszawski Emilie Counil Ariane Pailhé Alexis Spire Philippe Raynaud Alexandra Rouquette Antoine Sireyjol Guillaume Baghein Jeanna-Eve Pousson Patrick Sillard |
| collection | DOAJ |
| description | Objective In many countries, before COVID-19 vaccines became available, reluctance to get vaccinated was particularly prevalent among women, the most disadvantaged social groups and ethnoracial minorities, known to be at higher risk for the virus. Using a longitudinal perspective, we analyse the social determinants that are associated with the transition from attitudes towards vaccination to actual vaccination practices.Design Representative population-based prospective cohort.Settings From November 2020 to July 2021.Participants Adults included in the Epidemiology and Living Conditions (EpiCoV) cohort (n=86 701).Main outcome measures Attitudes towards vaccination in November 2020 before COVID-19 vaccines were available in France (in January 2021) and vaccination practices in July 2021.Results Among those who were initially reluctant in November 2020, the youngest, the poorest 10% (OR=0.68, 0.59–0.77), non-European immigrants (OR=0.72, 0.59–0.88) and descendants of non-European immigrants (OR=0.72, 0.61–0.86) were less likely to be vaccinated in July 2021, irrespective of trust in government and scientists. The same social factors were associated with non-vaccination among those who initially were undecided or who favoured vaccination.Conclusion Despite the fact that COVID-19 vaccines were relatively available and free of charge in France in July 2021, social inequalities in vaccination against the virus remained the same than those observed in vaccination reluctance in November 2020, before vaccines were available. While adjusting for trust, migration background, younger age and lower income were associated with lower vaccination uptake irrespective of initial intention. By neglecting to genuinely target specific groups that were initially reluctant to be vaccinated, vaccination policies contributed to strengthening pre-existing social inequalities around COVID-19 burden. |
| first_indexed | 2024-03-08T17:58:16Z |
| format | Article |
| id | doaj.art-65de73206fb44b7f8b32d75a2b56f15c |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-08T17:58:16Z |
| publishDate | 2023-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-65de73206fb44b7f8b32d75a2b56f15c2024-01-02T03:25:07ZengBMJ Publishing GroupBMJ Open2044-60552023-12-01131210.1136/bmjopen-2023-073465From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey Nathalie Bajos0Delphine Rahib1Nathalie Lydié2Claude Martin3Florence Jusot4Laurence Meyer5Josiane Warszawski6Emilie Counil7Ariane Pailhé8Alexis Spire9Philippe RaynaudAlexandra RouquetteAntoine Sireyjol10Guillaume BagheinJeanna-Eve PoussonPatrick SillardU997 INSERM, Paris, FranceSexual Health Unit, Santé publique France, Saint Maurice, FranceSanté publique France, Saint-Maurice, FranceARENES UMR 6051, CNRS, EHESP, Rennes, FranceUniversité Paris Dauphine, Paris, France4 INSERM SC10 US19, Villejuif, FranceINSERM CESP U1018, Université Paris-Saclay, Le Kremlin-Bicêtre, France1Institut national d’études démographiques (INED), F-93300 Aubervilliers, FranceINED, Paris, FranceInstitut de Recherche Interdisciplinaire sur les enjeux Sociaux - Sciences sociales, politique, santé, IRIS (UMR 8156 CNRS - EHESS - U997 INSERM), Aubervilliers, FranceU997 INSERM, Paris, FranceObjective In many countries, before COVID-19 vaccines became available, reluctance to get vaccinated was particularly prevalent among women, the most disadvantaged social groups and ethnoracial minorities, known to be at higher risk for the virus. Using a longitudinal perspective, we analyse the social determinants that are associated with the transition from attitudes towards vaccination to actual vaccination practices.Design Representative population-based prospective cohort.Settings From November 2020 to July 2021.Participants Adults included in the Epidemiology and Living Conditions (EpiCoV) cohort (n=86 701).Main outcome measures Attitudes towards vaccination in November 2020 before COVID-19 vaccines were available in France (in January 2021) and vaccination practices in July 2021.Results Among those who were initially reluctant in November 2020, the youngest, the poorest 10% (OR=0.68, 0.59–0.77), non-European immigrants (OR=0.72, 0.59–0.88) and descendants of non-European immigrants (OR=0.72, 0.61–0.86) were less likely to be vaccinated in July 2021, irrespective of trust in government and scientists. The same social factors were associated with non-vaccination among those who initially were undecided or who favoured vaccination.Conclusion Despite the fact that COVID-19 vaccines were relatively available and free of charge in France in July 2021, social inequalities in vaccination against the virus remained the same than those observed in vaccination reluctance in November 2020, before vaccines were available. While adjusting for trust, migration background, younger age and lower income were associated with lower vaccination uptake irrespective of initial intention. By neglecting to genuinely target specific groups that were initially reluctant to be vaccinated, vaccination policies contributed to strengthening pre-existing social inequalities around COVID-19 burden.https://bmjopen.bmj.com/content/13/12/e073465.full |
| spellingShingle | Nathalie Bajos Delphine Rahib Nathalie Lydié Claude Martin Florence Jusot Laurence Meyer Josiane Warszawski Emilie Counil Ariane Pailhé Alexis Spire Philippe Raynaud Alexandra Rouquette Antoine Sireyjol Guillaume Baghein Jeanna-Eve Pousson Patrick Sillard From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey BMJ Open |
| title | From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey |
| title_full | From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey |
| title_fullStr | From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey |
| title_full_unstemmed | From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey |
| title_short | From intentions to practices: what drove people to get the COVID-19 vaccine? Findings from the French longitudinal socioepidemiological cohort survey |
| title_sort | from intentions to practices what drove people to get the covid 19 vaccine findings from the french longitudinal socioepidemiological cohort survey |
| url | https://bmjopen.bmj.com/content/13/12/e073465.full |
| work_keys_str_mv | AT fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT nathaliebajos fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT delphinerahib fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT nathalielydie fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT claudemartin fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT florencejusot fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT laurencemeyer fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT josianewarszawski fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT emiliecounil fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT arianepailhe fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT alexisspire fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT philipperaynaud fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT alexandrarouquette fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT antoinesireyjol fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT guillaumebaghein fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT jeannaevepousson fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey AT patricksillard fromintentionstopracticeswhatdrovepeopletogetthecovid19vaccinefindingsfromthefrenchlongitudinalsocioepidemiologicalcohortsurvey |