Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada

Abstract Background The success of any COVID-19 vaccine program ultimately depends on high vaccine uptake. This study determined overall intention to receive a COVID-19 vaccine and identified factors that predict intentions to be vaccinated against COVID-19 in Canada, specifically in key priority gr...

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Main Authors: Gina S. Ogilvie, Shanlea Gordon, Laurie W. Smith, Arianne Albert, C. Sarai Racey, Amy Booth, Anna Gottschlich, David Goldfarb, Melanie C. M. Murray, Liisa A. M. Galea, Angela Kaida, Lori A. Brotto, Manish Sadarangani
Format: Article
Language:English
Published: BMC 2021-05-01
Series:BMC Public Health
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Online Access:https://doi.org/10.1186/s12889-021-11098-9
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author Gina S. Ogilvie
Shanlea Gordon
Laurie W. Smith
Arianne Albert
C. Sarai Racey
Amy Booth
Anna Gottschlich
David Goldfarb
Melanie C. M. Murray
Liisa A. M. Galea
Angela Kaida
Lori A. Brotto
Manish Sadarangani
author_facet Gina S. Ogilvie
Shanlea Gordon
Laurie W. Smith
Arianne Albert
C. Sarai Racey
Amy Booth
Anna Gottschlich
David Goldfarb
Melanie C. M. Murray
Liisa A. M. Galea
Angela Kaida
Lori A. Brotto
Manish Sadarangani
author_sort Gina S. Ogilvie
collection DOAJ
description Abstract Background The success of any COVID-19 vaccine program ultimately depends on high vaccine uptake. This study determined overall intention to receive a COVID-19 vaccine and identified factors that predict intentions to be vaccinated against COVID-19 in Canada, specifically in key priority groups identified by the American Committee on Immunization Practice (ACIP) and the National Advisory Committee on Immunization (NACI) for early immunization. Methods Individuals from research cohorts from the general population of British Columbia aged 25–69 were invited complete an online survey based on validated scales and theoretical frameworks to explore intention to receive a COVID-19 vaccine. Two multivariable logistic regression models were conducted to determine factors associated with intention to receive the COVID-19 vaccine. Results Of 4948 respondents, 79.8% intended to receive a COVID-19 vaccine. In multivariable modeling, respondents who intended to receive the vaccine had higher vaccine attitudinal scores (p <  0.001), reported greater influence of direct social norms (p = 0.001), and indirect social norms, including their family physician (p = 0.024), and Provincial Health Officer (p = 0.011). Older individuals (> 60 years) were more likely to intend to receive the vaccine, while females (95%CI 0.57,0.93), those with less than high school education (95%CI 0.5,0.76), those who self-identified as non-white (95%CI 0.60,0.92), self-identified as Indigenous (95%CI 0.36,0.84) and essential non-health care workers (95%CI 0.59,0.86) had lower adjusted odds of intending to receive a COVID-19 vaccine. Conclusions To optimize vaccine coverage, public health should focus on key messages around vaccine safety and benefit, and leverage trusted practitioners for messaging. As certain key populations identified by NACI and ACIP for early immunization report a lower intention to vaccinate, there is a need for in-depth education and support for these communities to ensure optimal uptake.
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spelling doaj.art-d064c8529d604cd6a916bce009dbe3842022-12-21T22:09:31ZengBMCBMC Public Health1471-24582021-05-0121111410.1186/s12889-021-11098-9Intention to receive a COVID-19 vaccine: results from a population-based survey in CanadaGina S. Ogilvie0Shanlea Gordon1Laurie W. Smith2Arianne Albert3C. Sarai Racey4Amy Booth5Anna Gottschlich6David Goldfarb7Melanie C. M. Murray8Liisa A. M. Galea9Angela Kaida10Lori A. Brotto11Manish Sadarangani12Faculty of Medicine, University of British ColumbiaWomen’s Health Research InstituteWomen’s Health Research InstituteFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaWomen’s Health Research InstituteWomen’s Health Research InstituteFaculty of Medicine, University of British ColumbiaFaculty of Medicine, University of British ColumbiaAbstract Background The success of any COVID-19 vaccine program ultimately depends on high vaccine uptake. This study determined overall intention to receive a COVID-19 vaccine and identified factors that predict intentions to be vaccinated against COVID-19 in Canada, specifically in key priority groups identified by the American Committee on Immunization Practice (ACIP) and the National Advisory Committee on Immunization (NACI) for early immunization. Methods Individuals from research cohorts from the general population of British Columbia aged 25–69 were invited complete an online survey based on validated scales and theoretical frameworks to explore intention to receive a COVID-19 vaccine. Two multivariable logistic regression models were conducted to determine factors associated with intention to receive the COVID-19 vaccine. Results Of 4948 respondents, 79.8% intended to receive a COVID-19 vaccine. In multivariable modeling, respondents who intended to receive the vaccine had higher vaccine attitudinal scores (p <  0.001), reported greater influence of direct social norms (p = 0.001), and indirect social norms, including their family physician (p = 0.024), and Provincial Health Officer (p = 0.011). Older individuals (> 60 years) were more likely to intend to receive the vaccine, while females (95%CI 0.57,0.93), those with less than high school education (95%CI 0.5,0.76), those who self-identified as non-white (95%CI 0.60,0.92), self-identified as Indigenous (95%CI 0.36,0.84) and essential non-health care workers (95%CI 0.59,0.86) had lower adjusted odds of intending to receive a COVID-19 vaccine. Conclusions To optimize vaccine coverage, public health should focus on key messages around vaccine safety and benefit, and leverage trusted practitioners for messaging. As certain key populations identified by NACI and ACIP for early immunization report a lower intention to vaccinate, there is a need for in-depth education and support for these communities to ensure optimal uptake.https://doi.org/10.1186/s12889-021-11098-9COVID-19Vaccine hesitancyVaccine confidenceVaccineCanadaPublic health
spellingShingle Gina S. Ogilvie
Shanlea Gordon
Laurie W. Smith
Arianne Albert
C. Sarai Racey
Amy Booth
Anna Gottschlich
David Goldfarb
Melanie C. M. Murray
Liisa A. M. Galea
Angela Kaida
Lori A. Brotto
Manish Sadarangani
Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
BMC Public Health
COVID-19
Vaccine hesitancy
Vaccine confidence
Vaccine
Canada
Public health
title Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
title_full Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
title_fullStr Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
title_full_unstemmed Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
title_short Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada
title_sort intention to receive a covid 19 vaccine results from a population based survey in canada
topic COVID-19
Vaccine hesitancy
Vaccine confidence
Vaccine
Canada
Public health
url https://doi.org/10.1186/s12889-021-11098-9
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