Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas

Given the need to increase COVID-19 vaccine uptake among US young adults, we examined the extent of COVID-19 vaccine hesitancy in this population and related factors. We analyzed Fall 2020 survey data from 2,453 young adults (ages 18–34) across 6 US metropolitan statistical areas (MSAs; Meanage = 24...

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Main Authors: Katharina E. Klinkhammer, Katelyn F. Romm, Deanna Kerrigan, Karen A. McDonnell, Amita Vyas, Yan Wang, Yan Ma, Carla J. Berg
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221133552200119X
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author Katharina E. Klinkhammer
Katelyn F. Romm
Deanna Kerrigan
Karen A. McDonnell
Amita Vyas
Yan Wang
Yan Ma
Carla J. Berg
author_facet Katharina E. Klinkhammer
Katelyn F. Romm
Deanna Kerrigan
Karen A. McDonnell
Amita Vyas
Yan Wang
Yan Ma
Carla J. Berg
author_sort Katharina E. Klinkhammer
collection DOAJ
description Given the need to increase COVID-19 vaccine uptake among US young adults, we examined the extent of COVID-19 vaccine hesitancy in this population and related factors. We analyzed Fall 2020 survey data from 2,453 young adults (ages 18–34) across 6 US metropolitan statistical areas (MSAs; Meanage = 24.67; 55.8% female; 5.4% Black, 12.7% Asian, 11.1% Hispanic; 75.5% college degree or higher). Multivariable linear regression examined correlates of COVID-19 vaccine hesitancy (index score of willingness and likelihood of being vaccinated), including sociopolitical factors (MSA, political orientation, COVID-related news exposure), COVID-19 symptoms and testing, mental health (e.g., COVID-related stress), and sociodemographics. 45.3% were “extremely willing” to get the vaccine (19.8% very, 14.2% somewhat, 3.7% don’t know, 7.0% a little, 10.1% not at all); 40.2% were “extremely likely” to get vaccinated (22.1% very, 14.2% somewhat, 5.2% don’t know, 7.9% a little, 10.3% not at all). Greater vaccine hesitancy was significantly related to living in specific MSAs (i.e., Atlanta, Oklahoma City, San Diego, Seattle vs. Minneapolis or Boston), identifying as Republican or “no lean” (vs. Democrat), and reporting less COVID-related news exposure and less COVID-related stress, as well as identifying as older, female, Black or other race, having less (vs. greater) than a college education, being married/cohabitating, and having children in the home. Interventions to improve COVID-19 vaccine uptake among hesitant young adults should include communication that address concerns, particularly among women, minority groups, and those from certain geographic regions and/or differing political orientations, and require identifying communication channels that appeal to these groups.
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spelling doaj.art-d1e631bb10a3491b9b1816edb9f80ed22022-12-22T02:27:47ZengElsevierPreventive Medicine Reports2211-33552022-06-0127101812Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areasKatharina E. Klinkhammer0Katelyn F. Romm1Deanna Kerrigan2Karen A. McDonnell3Amita Vyas4Yan Wang5Yan Ma6Carla J. Berg7Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Biostatistics and Bioinformatics, Milken Institute School of Public Health, George Washington University, Washington, DC, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, DC, USA; GW Cancer Center, George Washington University, Washington, DC, USA; Corresponding author at: Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 800 22nd Street NW, #7000C, Washington, DC 20052, USA.Given the need to increase COVID-19 vaccine uptake among US young adults, we examined the extent of COVID-19 vaccine hesitancy in this population and related factors. We analyzed Fall 2020 survey data from 2,453 young adults (ages 18–34) across 6 US metropolitan statistical areas (MSAs; Meanage = 24.67; 55.8% female; 5.4% Black, 12.7% Asian, 11.1% Hispanic; 75.5% college degree or higher). Multivariable linear regression examined correlates of COVID-19 vaccine hesitancy (index score of willingness and likelihood of being vaccinated), including sociopolitical factors (MSA, political orientation, COVID-related news exposure), COVID-19 symptoms and testing, mental health (e.g., COVID-related stress), and sociodemographics. 45.3% were “extremely willing” to get the vaccine (19.8% very, 14.2% somewhat, 3.7% don’t know, 7.0% a little, 10.1% not at all); 40.2% were “extremely likely” to get vaccinated (22.1% very, 14.2% somewhat, 5.2% don’t know, 7.9% a little, 10.3% not at all). Greater vaccine hesitancy was significantly related to living in specific MSAs (i.e., Atlanta, Oklahoma City, San Diego, Seattle vs. Minneapolis or Boston), identifying as Republican or “no lean” (vs. Democrat), and reporting less COVID-related news exposure and less COVID-related stress, as well as identifying as older, female, Black or other race, having less (vs. greater) than a college education, being married/cohabitating, and having children in the home. Interventions to improve COVID-19 vaccine uptake among hesitant young adults should include communication that address concerns, particularly among women, minority groups, and those from certain geographic regions and/or differing political orientations, and require identifying communication channels that appeal to these groups.http://www.sciencedirect.com/science/article/pii/S221133552200119XCOVID-19Vaccine hesitancyYoung adultsPsychosocial predictors
spellingShingle Katharina E. Klinkhammer
Katelyn F. Romm
Deanna Kerrigan
Karen A. McDonnell
Amita Vyas
Yan Wang
Yan Ma
Carla J. Berg
Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
Preventive Medicine Reports
COVID-19
Vaccine hesitancy
Young adults
Psychosocial predictors
title Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
title_full Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
title_fullStr Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
title_full_unstemmed Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
title_short Sociopolitical, mental health, and sociodemographic correlates of COVID-19 vaccine hesitancy among young adults in 6 US metropolitan areas
title_sort sociopolitical mental health and sociodemographic correlates of covid 19 vaccine hesitancy among young adults in 6 us metropolitan areas
topic COVID-19
Vaccine hesitancy
Young adults
Psychosocial predictors
url http://www.sciencedirect.com/science/article/pii/S221133552200119X
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