COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama

Using COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (...

Full description

Bibliographic Details
Main Authors: Cicily A. Gray, Grace Lesser, Yuqi Guo, Swapn Shah, Shauntice Allen, Larrell L. Wilkinson, Omar T. Sims
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/7/11/331
_version_ 1827645428280066048
author Cicily A. Gray
Grace Lesser
Yuqi Guo
Swapn Shah
Shauntice Allen
Larrell L. Wilkinson
Omar T. Sims
author_facet Cicily A. Gray
Grace Lesser
Yuqi Guo
Swapn Shah
Shauntice Allen
Larrell L. Wilkinson
Omar T. Sims
author_sort Cicily A. Gray
collection DOAJ
description Using COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (n = 1000), a consolidation approach (machine learning modeling and multinomial logistic regression modeling) was used to identify predictors of COVID-19 vaccine hesitancy and resistance. The prevalence of vaccine acceptance, hesitancy, and resistance was 62%, 23%, and 15%, respectively. Female gender and a higher level of trust that friends and family will provide accurate information about the COVID-19 vaccine were positively associated with vaccine hesitancy. Female gender and higher trust that social media will provide accurate information about COVID-19 were positively associated with vaccine resistance. Factors positively associated with COVID-19 vaccine hesitance and resistance in the study’s geographical area are worrisome, especially given the high burden of chronic diseases and health disparities that exist in both Montgomery and the Deep South. More research is needed to elucidate COVID-19 vaccination attitudes and reasons for non-acceptance of the COVID-19 vaccine. Efforts to improve acceptance should remain a priority in this respective geographical area and across the general population.
first_indexed 2024-03-09T18:35:16Z
format Article
id doaj.art-764a5d87e3f845dc8002e118d605f813
institution Directory Open Access Journal
issn 2414-6366
language English
last_indexed 2024-03-09T18:35:16Z
publishDate 2022-10-01
publisher MDPI AG
record_format Article
series Tropical Medicine and Infectious Disease
spelling doaj.art-764a5d87e3f845dc8002e118d605f8132023-11-24T07:11:13ZengMDPI AGTropical Medicine and Infectious Disease2414-63662022-10-0171133110.3390/tropicalmed7110331COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, AlabamaCicily A. Gray0Grace Lesser1Yuqi Guo2Swapn Shah3Shauntice Allen4Larrell L. Wilkinson5Omar T. Sims6Department of Human Studies, Community Health and Human Services Program, School of Education, University of Alabama at Birmingham, Birmingham, AL 35294, USASchool of Nursing, Yale University, New Haven, CT 06477, USASchool of Social Work, College of Health and Human Services, University of North Carolina at Charlotte, Charlotte, NC 28223, USADepartment of Computer Science, University of North Carolina at Charlotte, Charlotte, NC 28223, USADepartment of Environmental Health Sciences, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Human Studies, Community Health and Human Services Program, School of Education, University of Alabama at Birmingham, Birmingham, AL 35294, USADepartment of Social Work, College of Arts and Sciences, University of Alabama at Birmingham, Birmingham, AL 35294, USAUsing COVID-19-related survey data collected from residents in the city of Montgomery, Alabama, this study assessed the prevalence of COVID-19 vaccine acceptance, hesitance, and resistance, and identified factors associated with COVID-19 vaccine hesitance and resistance. To analyze the survey data (n = 1000), a consolidation approach (machine learning modeling and multinomial logistic regression modeling) was used to identify predictors of COVID-19 vaccine hesitancy and resistance. The prevalence of vaccine acceptance, hesitancy, and resistance was 62%, 23%, and 15%, respectively. Female gender and a higher level of trust that friends and family will provide accurate information about the COVID-19 vaccine were positively associated with vaccine hesitancy. Female gender and higher trust that social media will provide accurate information about COVID-19 were positively associated with vaccine resistance. Factors positively associated with COVID-19 vaccine hesitance and resistance in the study’s geographical area are worrisome, especially given the high burden of chronic diseases and health disparities that exist in both Montgomery and the Deep South. More research is needed to elucidate COVID-19 vaccination attitudes and reasons for non-acceptance of the COVID-19 vaccine. Efforts to improve acceptance should remain a priority in this respective geographical area and across the general population.https://www.mdpi.com/2414-6366/7/11/331COVID-19vaccineacceptancehesitanceresistancethe Deep South
spellingShingle Cicily A. Gray
Grace Lesser
Yuqi Guo
Swapn Shah
Shauntice Allen
Larrell L. Wilkinson
Omar T. Sims
COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
Tropical Medicine and Infectious Disease
COVID-19
vaccine
acceptance
hesitance
resistance
the Deep South
title COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
title_full COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
title_fullStr COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
title_full_unstemmed COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
title_short COVID-19 Vaccination Intention and Factors Associated with Hesitance and Resistance in the Deep South: Montgomery, Alabama
title_sort covid 19 vaccination intention and factors associated with hesitance and resistance in the deep south montgomery alabama
topic COVID-19
vaccine
acceptance
hesitance
resistance
the Deep South
url https://www.mdpi.com/2414-6366/7/11/331
work_keys_str_mv AT cicilyagray covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT gracelesser covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT yuqiguo covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT swapnshah covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT shaunticeallen covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT larrelllwilkinson covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama
AT omartsims covid19vaccinationintentionandfactorsassociatedwithhesitanceandresistanceinthedeepsouthmontgomeryalabama