2021
DOI: 10.1002/hec.4430
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Predicting vaccine hesitancy from area‐level indicators: A machine learning approach

Abstract: Vaccine hesitancy (VH) might represent a serious threat to the next COVID‐19 mass immunization campaign. We use machine learning algorithms to predict communities at a high risk of VH relying on area‐level indicators easily available to policymakers. We illustrate our approach on data from child immunization campaigns for seven nonmandatory vaccines carried out in 6062 Italian municipalities in 2016. A battery of machine learning models is compared in terms of area under the receiver operating characteristics … Show more

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Cited by 24 publications
(16 citation statements)
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References 33 publications
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“…The broadening gap between the two vaccines in regions displaying greater interest in "thrombosis" suggests that the VA suspension may have attracted the public's attention to vaccine adverse events related to VA injections, possibly inflating their risk. This evidence is in line with the literature on hesitancy that identifies concerns about the incidence and severity of adverse events as one of the main drivers of the decision to postpone or refuse vaccination (e.g., Brown et al, 2010;Carrieri et al, 2019;Carrieri et al, 2021;Chang, 2018;Qian et al, 2020;Smith et al, 2008). On the other hand, the outbreak's severity likely increased the perceived risk of contracting the disease, in line with previous evidence that outbreaks encourage vaccinations (Oster, 2018;Philipson, 1996).…”
supporting
confidence: 88%
“…The broadening gap between the two vaccines in regions displaying greater interest in "thrombosis" suggests that the VA suspension may have attracted the public's attention to vaccine adverse events related to VA injections, possibly inflating their risk. This evidence is in line with the literature on hesitancy that identifies concerns about the incidence and severity of adverse events as one of the main drivers of the decision to postpone or refuse vaccination (e.g., Brown et al, 2010;Carrieri et al, 2019;Carrieri et al, 2021;Chang, 2018;Qian et al, 2020;Smith et al, 2008). On the other hand, the outbreak's severity likely increased the perceived risk of contracting the disease, in line with previous evidence that outbreaks encourage vaccinations (Oster, 2018;Philipson, 1996).…”
supporting
confidence: 88%
“…In order to determine which answers were most associated with a respondent being COVID-19 "vaccine hesitant" we applied a random forest machine learning algorithm, which generates a computational model to predict classification of data based on a discreet variable (e.g., vaccine hesitancy) and other variables [17]. This approach was specifically selected since so many different factors/variables were significantly associated using more traditional statistical methods.…”
Section: Machine Learning Analysismentioning
confidence: 99%
“…Carrieri et al, ( 2021 ) performed a study based on area level indicators using several machine learning approaches. They identified communities with high risk of vaccine hesitancy based on indicators like waste recycling and employment rate.…”
Section: Related Workmentioning
confidence: 99%