COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear

Abstract Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) o...

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Autores principales:	Don E. Willis, Jennifer A. Andersen, Keneshia Bryant‐Moore, James P. Selig, Christopher R. Long, Holly C. Felix, Geoffrey M. Curran, Pearl A. McElfish
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	Therapeutics. Pharmacology RM1-950 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0d98da7250b144879f3229bc744df398
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spelling	oai:doaj.org-article:0d98da7250b144879f3229bc744df3982021-11-19T17:51:34ZCOVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear1752-80621752-805410.1111/cts.13077https://doaj.org/article/0d98da7250b144879f3229bc744df3982021-11-01T00:00:00Zhttps://doi.org/10.1111/cts.13077https://doaj.org/toc/1752-8054https://doaj.org/toc/1752-8062Abstract Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID‐19 health literacy, fear of COVID‐19 infection, general trust in vaccines, and COVID‐19 vaccine hesitancy using bivariate analysis and a full information maximum likelihood (FIML) logistic regression model. One in five people (21,21.86%) reported hesitancy to take a COVID‐19 vaccine. Prevalence of COVID‐19 vaccine hesitancy was highest among Black/African Americans (50.00%), respondents with household income less than $25K (30.68%), some college (32.17%), little to no fear of infection from COVID‐19 (62.50%), and low trust in vaccines in general (55.84%). Odds of COVID‐19 vaccine hesitancy were 2.42 greater for Black/African American respondents compared to White respondents (p < 0.001), 1.67 greater for respondents with some college/technical degree compared to respondents with a 4‐year degree (p < 0.05), 5.48 greater for respondents with no fear of COVID‐19 infection compared to those who fear infection to a great extent (p < 0.001), and 11.32 greater for respondents with low trust in vaccines (p < 0.001). Sociodemographic differences in COVID‐19 vaccine hesitancy raise concerns about the potential of vaccine implementation to widen existing health disparities in COVID‐19 related infections, particularly among Black/African Americans. Fear of infection and general mistrust in vaccines are significantly associated with vaccine hesitancy.Don E. WillisJennifer A. AndersenKeneshia Bryant‐MooreJames P. SeligChristopher R. LongHolly C. FelixGeoffrey M. CurranPearl A. McElfishWileyarticleTherapeutics. PharmacologyRM1-950Public aspects of medicineRA1-1270ENClinical and Translational Science, Vol 14, Iss 6, Pp 2200-2207 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Therapeutics. Pharmacology RM1-950 Public aspects of medicine RA1-1270
spellingShingle	Therapeutics. Pharmacology RM1-950 Public aspects of medicine RA1-1270 Don E. Willis Jennifer A. Andersen Keneshia Bryant‐Moore James P. Selig Christopher R. Long Holly C. Felix Geoffrey M. Curran Pearl A. McElfish COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
description	Abstract Understanding and minimizing coronavirus disease 2019 (COVID‐19) vaccine hesitancy is critical to population health and minimizing health inequities, which continue to be brought into stark relief by the pandemic. We investigate questions regarding vaccine hesitancy in a sample (n = 1205) of Arkansas adults surveyed online in July/August of 2020. We examine relationships among sociodemographics, COVID‐19 health literacy, fear of COVID‐19 infection, general trust in vaccines, and COVID‐19 vaccine hesitancy using bivariate analysis and a full information maximum likelihood (FIML) logistic regression model. One in five people (21,21.86%) reported hesitancy to take a COVID‐19 vaccine. Prevalence of COVID‐19 vaccine hesitancy was highest among Black/African Americans (50.00%), respondents with household income less than $25K (30.68%), some college (32.17%), little to no fear of infection from COVID‐19 (62.50%), and low trust in vaccines in general (55.84%). Odds of COVID‐19 vaccine hesitancy were 2.42 greater for Black/African American respondents compared to White respondents (p < 0.001), 1.67 greater for respondents with some college/technical degree compared to respondents with a 4‐year degree (p < 0.05), 5.48 greater for respondents with no fear of COVID‐19 infection compared to those who fear infection to a great extent (p < 0.001), and 11.32 greater for respondents with low trust in vaccines (p < 0.001). Sociodemographic differences in COVID‐19 vaccine hesitancy raise concerns about the potential of vaccine implementation to widen existing health disparities in COVID‐19 related infections, particularly among Black/African Americans. Fear of infection and general mistrust in vaccines are significantly associated with vaccine hesitancy.
format	article
author	Don E. Willis Jennifer A. Andersen Keneshia Bryant‐Moore James P. Selig Christopher R. Long Holly C. Felix Geoffrey M. Curran Pearl A. McElfish
author_facet	Don E. Willis Jennifer A. Andersen Keneshia Bryant‐Moore James P. Selig Christopher R. Long Holly C. Felix Geoffrey M. Curran Pearl A. McElfish
author_sort	Don E. Willis
title	COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
title_short	COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
title_full	COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
title_fullStr	COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
title_full_unstemmed	COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear
title_sort	covid‐19 vaccine hesitancy: race/ethnicity, trust, and fear
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/0d98da7250b144879f3229bc744df398
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COVID‐19 vaccine hesitancy: Race/ethnicity, trust, and fear

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