Attitude toward a mandatory COVID-19 vaccination policy and its determinants: Evidence from serial cross-sectional surveys conducted throughout the pandemic in Germany

Sprengholz, Philipp; Korn, Lars; Eitze, Sarah; Felgendreff, Lisa; Siegers, Regina; Goldhahn, Leif; Bock, Freia De; Huebl, Lena; Böhm, Robert; Betsch, Cornelia

doi:10.1016/j.vaccine.2022.01.065

Cited by 26 publications

(17 citation statements)

References 36 publications

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“…One of the strongest predictors of mandatory vaccination support was age, whereas older age individuals were more likely to support a COVID-19 vaccination mandate for the general population. This finding is consistent with other studies in European countries [ 46 , 48 , 51 ]. The higher probability among older individuals to support mandatory vaccination is anticipated as this is the most susceptible group and, therefore, most prone in their self-interest to a mandatory COVID-19 policy.…”

Section: Discussionsupporting

confidence: 94%

“…In contrast, our study showed a higher proportion of opponents to COVID-19 mandatory policy, when compared to other similar studies in Germany (51%) [ 46 ], United States of America (USA) (44.9%) [ 47 ], France (41.9%) [ 48 ], Greece (14.8 and 25.7%) [ 36 , 49 ], and Australia (9%) [ 50 ]. Of interest, data from a serial cross-sectional survey in Germany showed that support for mandatory vaccination was lowest before the first vaccines against COVID-19 were approved by the European Medicine Agency (21 December 2020) and increased afterwards, indicating that people are more likely to reject new vaccines than established ones [ 51 ]. The differences between our findings and those from other studies could be attributed to many factors including actual differences in attitudes towards mandatory vaccination between different countries.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes and Determinants of Mandatory Vaccination against COVID-19 among the General Population of Cyprus: A Nationwide Cross-Sectional Study

2022

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Vaccinations for the prevention of coronavirus disease (COVID-19) are important to control the ongoing pandemic. A much-discussed strategy to increase vaccination coverage is mandatory vaccination; however, its legitimacy and effectiveness as a measure are doubtful. This study aims to investigate the attitudes of the general population of Cyprus towards COVID-19 mandatory vaccination and to identify the factors influencing individuals’ attitudes towards such policy. An online cross-sectional study was conducted, using a self-administered, anonymous questionnaire to collect information on sociodemographic and health-related characteristics, trust, and satisfaction about the healthcare system and utilization of preventive healthcare services, COVID-19 vaccination information, general vaccination knowledge, and attitudes towards mandatory vaccination. A total of 2140 participants completed the survey, with 27.8% being in favor of mandatory vaccination. We found that as the age increases by one year, the odds of supporting mandatory vaccination increase by 1.04 units (OR 1.04, 95% CI: 1.02–1.05). In addition, those who reported increased trust in national healthcare authorities’ guidelines and recommendations (OR 3.74, 95% CI: 3.11–4.49) and those satisfied with the healthcare system (OR 1.38, 95% CI: 1.16–1.65) and follow doctor’s instructions (OR 1.29, 95% CI: 1.03–1.61), were significantly more likely to support mandatory vaccination while those who had underage children living in the household were significantly less likely to support mandatory vaccination (OR 0.69, 95% CI: 0.50–0.94). Public health authorities need to develop well-organized vaccination campaigns in which accurate evidence-based information would be disseminated with respect to individuals’ autonomy.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Attitudes and Determinants of Mandatory Vaccination against COVID-19 among the General Population of Cyprus: A Nationwide Cross-Sectional Study

2022

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“…(2022) [15], which found that women were the most receptive to COVID-19 vaccination requirements. Other studies demonstrate that men view COVID-19-related mandates more favorably [10,12,13,16] or that, like our current findings, support for vaccine requirements does not vary significantly by gender [7]. More research is warranted to describe the influence of gender on the Canadian public's attitudes towards COVID-19 vaccines and vaccine certificates.…”

Section: Discussionsupporting

confidence: 51%

The influence of sociodemographic factors on COVID-19 vaccine mandate acceptance: a cross-sectional study

Smith

Zhu

Hawken

et al. 2023

Preprint

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Introduction Vaccine certificates have been implemented worldwide, aiming to promote vaccination rates and to reduce the spread of COVID-19. However, they are not without controversy and have been criticized for infringing upon medical autonomy and individual rights. Methods We administered a national web-based survey exploring public attitudes towards vaccine mandates, vaccine acceptance, and demographic variables. We conducted a multivariate linear regression which revealed key social and demographic factors that were predictive of vaccine certificate acceptance in Canada. Results Self-reported minority status (p<0.001), rurality (p<0.001), political ideology (p<0.001), age (p<0.001), having children under 18 in the household (p<0.001), education (p=0.014), and income status (p=0.034) were significant predictors of attitudes towards COVID-19 vaccines and mandates. We found that the most common reasons for COVID-19 vaccination included personal health and safety, protecting others, and travel/work requirements. In contrast, the most common reasons for refusing COVID19 vaccination include perceived violations of personal freedoms, health and safety concerns, and a lack of perceived threat of COVID-19. Conclusion The present findings are valuable for their ability to inform the implementation of vaccine certificate which may require targeted communication between public health agencies and under-vaccinated populations.

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“…The acceptance of mandates was high, with 70% strongly or somewhat approving vaccine mandates for use of public transport or employment and employment benefits. This contrasts with some data from western nations that suggest lower mandate acceptance rates, that are often driven by factors such as age, gender, political affiliations, perceptions of vaccine safety and effectiveness, and trust in regulatory processes [25][26][27]. Recent data from Columbia, El Salvador, and Spain show high rates of support of mandates, but low support for active measures such as suspension from work for those refusing vaccination [28].…”

Section: Discussionmentioning

confidence: 71%

Attitudes to Vaccine Mandates among Late Adopters of COVID-19 Vaccines in Zimbabwe

Makadzange¹,

Gundidza²,

Lau

et al. 2022

Vaccines

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Despite sufficient supply, <25% of the population in sub-Saharan Africa has received at least one dose of COVID-19 vaccine. Vaccine mandates have previously been effective in increasing vaccine uptake. Attitudes to COVID-19 vaccine mandates and vaccines for children in African populations are not well understood. We surveyed late-adopters presenting for COVID-19 vaccination one year after program initiation in Zimbabwe. Logistic regression models were developed to evaluate factors associated with attitudes to mandates. In total, 1016 adults were enrolled; 690 (67.9%) approved of mandating vaccination for use of public spaces, 686 (67.5%) approved of employer mandates, and 796 (78.3%) approved of mandating COVID-19 vaccines for schools. Individuals of lower economic status were twice as likely as high-income individuals to approve of mandates. Further, 743 (73.1%) participants indicated that they were extremely/very likely to accept vaccines for children. Approval of vaccine mandates was strongly associated with perceptions of vaccine safety, effectiveness, and trust in regulatory processes that approved vaccines. Vaccine hesitancy is an important driver of low vaccine coverage in Africa and can be mitigated by vaccine mandates. Overall, participants favored vaccine mandates; however, attitudes to mandates were strongly associated with level of education and socioeconomic status.

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Attitude toward a mandatory COVID-19 vaccination policy and its determinants: Evidence from serial cross-sectional surveys conducted throughout the pandemic in Germany

Cited by 26 publications

References 36 publications

Attitudes and Determinants of Mandatory Vaccination against COVID-19 among the General Population of Cyprus: A Nationwide Cross-Sectional Study

Attitudes and Determinants of Mandatory Vaccination against COVID-19 among the General Population of Cyprus: A Nationwide Cross-Sectional Study

The influence of sociodemographic factors on COVID-19 vaccine mandate acceptance: a cross-sectional study

Attitudes to Vaccine Mandates among Late Adopters of COVID-19 Vaccines in Zimbabwe

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