Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis
<b>Introduction</b>: Evidence exists that individual-level sociodemographic factors contribute to vaccine hesitancy, but it is unknown how community-level factors affect COVID-19 booster dose hesitancy. The current study aims to fill this knowledge gap by comparing data from a nationwide...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/12/2/167 |
| _version_ | 1797296900951506944 |
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| author | Henry Krasner Nicolette Harmon Jeffrey Martin Crysty-Ann Olaco Dale M. Netski Kavita Batra |
| author_facet | Henry Krasner Nicolette Harmon Jeffrey Martin Crysty-Ann Olaco Dale M. Netski Kavita Batra |
| author_sort | Henry Krasner |
| collection | DOAJ |
| description | <b>Introduction</b>: Evidence exists that individual-level sociodemographic factors contribute to vaccine hesitancy, but it is unknown how community-level factors affect COVID-19 booster dose hesitancy. The current study aims to fill this knowledge gap by comparing data from a nationwide survey on COVID-19 vaccine hesitancy with a community-level indicator, i.e., the Distressed Communities Index (DCI). <b>Methods</b>: Attitudes toward vaccinations, vaccine literacy, COVID-19 vaccine confidence index, and trust were measured using a 48-item, psychometrically valid and reliable survey tool. In this study, 2138 survey participants residing in the United States were divided into quintiles of varying community distress levels based on their zip codes using the DCI. Data were analyzed through Chi-square, one-way ANOVA, and post hoc analysis with Tukey’s test. <b>Results</b>: A significantly higher proportion of participants from the distressed communities had lower trust than their prosperous counterparts (26.6% vs. 37.6%, <i>p</i> < 0.001). On the contrary, participants from the prosperous communities had significantly higher vaccine confidence index scores than those in distressed communities (2.22 ± 1.13 vs. 1.70 ± 1.01, <i>p</i> < 0.001). <b>Conclusions</b>: These findings affirm the importance of developing community-level interventions to promote trust in COVID-19 vaccinations and increase booster dose uptake. From these results, future studies can examine the efficacy of various community-level interventions. |
| first_indexed | 2024-03-07T22:11:29Z |
| format | Article |
| id | doaj.art-dc256dc85846439b91cc470ff0aca05b |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-07T22:11:29Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-dc256dc85846439b91cc470ff0aca05b2024-02-23T15:37:03ZengMDPI AGVaccines2076-393X2024-02-0112216710.3390/vaccines12020167Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional AnalysisHenry Krasner0Nicolette Harmon1Jeffrey Martin2Crysty-Ann Olaco3Dale M. Netski4Kavita Batra5Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USADepartment of Epidemiology and Biostatistics, School of Public Health, University of Nevada, Las Vegas, NV 89119, USAKirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USAKirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USAOffice of Faculty Affairs, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USADepartment of Medical Education, Kirk Kerkorian School of Medicine at UNLV, University of Nevada, Las Vegas, NV 89102, USA<b>Introduction</b>: Evidence exists that individual-level sociodemographic factors contribute to vaccine hesitancy, but it is unknown how community-level factors affect COVID-19 booster dose hesitancy. The current study aims to fill this knowledge gap by comparing data from a nationwide survey on COVID-19 vaccine hesitancy with a community-level indicator, i.e., the Distressed Communities Index (DCI). <b>Methods</b>: Attitudes toward vaccinations, vaccine literacy, COVID-19 vaccine confidence index, and trust were measured using a 48-item, psychometrically valid and reliable survey tool. In this study, 2138 survey participants residing in the United States were divided into quintiles of varying community distress levels based on their zip codes using the DCI. Data were analyzed through Chi-square, one-way ANOVA, and post hoc analysis with Tukey’s test. <b>Results</b>: A significantly higher proportion of participants from the distressed communities had lower trust than their prosperous counterparts (26.6% vs. 37.6%, <i>p</i> < 0.001). On the contrary, participants from the prosperous communities had significantly higher vaccine confidence index scores than those in distressed communities (2.22 ± 1.13 vs. 1.70 ± 1.01, <i>p</i> < 0.001). <b>Conclusions</b>: These findings affirm the importance of developing community-level interventions to promote trust in COVID-19 vaccinations and increase booster dose uptake. From these results, future studies can examine the efficacy of various community-level interventions.https://www.mdpi.com/2076-393X/12/2/167COVID-19vaccine hesitancyCOVID-19 booster dosecommunity-level interventionvaccine literacyfunctional literacy |
| spellingShingle | Henry Krasner Nicolette Harmon Jeffrey Martin Crysty-Ann Olaco Dale M. Netski Kavita Batra Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis Vaccines COVID-19 vaccine hesitancy COVID-19 booster dose community-level intervention vaccine literacy functional literacy |
| title | Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis |
| title_full | Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis |
| title_fullStr | Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis |
| title_full_unstemmed | Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis |
| title_short | Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis |
| title_sort | community level correlates of covid 19 booster vaccine hesitancy in the united states a cross sectional analysis |
| topic | COVID-19 vaccine hesitancy COVID-19 booster dose community-level intervention vaccine literacy functional literacy |
| url | https://www.mdpi.com/2076-393X/12/2/167 |
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