Vaccine hesitancy: Moving practice beyond binary vaccination outcomes in community pharmacy

Violette, Richard; Pullagura, Gokul Raj

doi:10.1177/1715163519878745

Cited by 15 publications

(14 citation statements)

References 16 publications

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“…Prior research has found individuals’ relative position on the hesitancy spectrum is dynamic rather than static (21). Attention to population profiles of the vaccine hesitancy spectrum can aid public health officials in targeting new strategies for increasing vaccine acceptance.…”

Section: Discussionmentioning

confidence: 99%

Determinants of the COVID-19 Vaccine Hesitancy Spectrum

Piltch-Loeb

Silver

Kim

et al. 2021

Preprint

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Polls report nearly one-third of the United States population is skeptical or opposed to getting the COVID-19 vaccine. Most of these polls, as well as the scientific research that has been conducted on vaccine hesitancy, was done prior to vaccine eligibility opening to all adults. Now that COVID-19 vaccines are widely available, further research is needed to understand the factors contributing to vaccine intentions across the vaccine hesitancy spectrum. This study conducted an online survey using the Social Science Research Solution (SSRS) Opinion Panel web panelists, representative of U.S. adults age 18 and older who use the internet, with an oversample of rural-dwelling and minority populations between April 8 and April 22, 2021- as vaccine eligibility opened to the country. We examined the relationship between COVID-19 exposure and socio-demographics with vaccine intentions [eager-to-take, wait-and-see, undecided, refuse] among the unvaccinated using multinomial logistic regressions [ref: fully/partially vaccinated]. Results showed vaccine intentions varied by demographic characteristics and risk exposures during the period that eligibility for the vaccine was extended to all adults.Funding statementFunding for this research was provided by a grant from the National Science Foundation (Grant #2049886). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

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Section: Discussionmentioning

confidence: 99%

Determinants of the COVID-19 Vaccine Hesitancy Spectrum

Piltch-Loeb

Silver

Kim

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…This observation emphasizes the dynamic nature of vaccine hesitancy. Vaccine hesitancy exists along a spectrum with the extremes of the spectrum being those who completely refuse and those who completely accept vaccines [17]. Individuals within this spectrum are not static and may shift across the spectrum over time, depending upon the current social and clinical context and available vaccine options.…”

Section: Discussionmentioning

confidence: 99%

Changing Attitudes toward the COVID-19 Vaccine among North Carolina Participants in the COVID-19 Community Research Partnership

et al. 2021

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Coronavirus Disease-2019 (COVID-19) vaccine acceptance is variable. We surveyed participants in the COVID-19 Community Research Partnership from 17 December 2020 to 13 January 2021 to assess vaccine receptiveness. Vaccine uptake was then monitored until 15 May 2021; 20,232 participants responded to the receptiveness survey with vaccination status accessed in 18,874 participants via daily follow-up surveys (participants not completing daily surveys ≥30 days to 15 May 2021, were excluded). In the initial survey, 4802 (23.8%) were vaccine hesitant. Hesitancy was most apparent in women (Adjusted RR 0.93, p < 0.001), Black Americans (Adjusted RR 1.39, 1.41, 1.31 to non-Hispanic Whites, Other, and Hispanic or Latino, respectively p < 0.001), healthcare workers (Adjusted RR 0.93, p < 0.001), suburbanites (ref. Urban Adjusted RR 0.85, 0.90 to urban and rural dwellers, respectively, p < 0.01), and those previously diagnosed with COVID-19 (RR 1.20, p < 0.01). Those <50 years were also less accepting of vaccination. Subsequent vaccine uptake was 99% in non-hesitant participants. For those who were unsure, preferred not to answer, or answered “no”, vaccination rates were 80% (Adjusted RR 0.86, p < 0.0001), 78% (Adjusted RR 0.83, p < 0.0001), and 52.7% (Adjusted RR 0.65, p < 0.0001), respectively. These findings suggest that initial intent did not correlate with vaccine uptake in our cohort.

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“…Vaccine hesitancy refers to delaying or refusing vaccines despite the availability of vaccine services; it is complex and context-specific, varying across time, location and vaccine type, and includes factors such as complacency, convenience and confidence 7 . It is a continuum between acceptance of all vaccines and complete refusal of all vaccines, with individuals refusing certain vaccines, delaying others, accepting some vaccines but remaining concerned, or even refusing vaccines for themselves while remaining supportive of vaccinations more broadly 8,9 . Individuals can move both forwards and backwards along this spectrum over time (e.g.…”

Section: Definitionmentioning

confidence: 99%

“…Individuals can move both forwards and backwards along this spectrum over time (e.g. with emerging news or following consultation with healthcare professionals) 8,9 .…”

Section: Definitionmentioning

confidence: 99%

How to address vaccine hesitancy

2021

Pharmaceutical Journal

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Vaccine hesitancy: Moving practice beyond binary vaccination outcomes in community pharmacy

Cited by 15 publications

References 16 publications

Determinants of the COVID-19 Vaccine Hesitancy Spectrum

Determinants of the COVID-19 Vaccine Hesitancy Spectrum

Changing Attitudes toward the COVID-19 Vaccine among North Carolina Participants in the COVID-19 Community Research Partnership

How to address vaccine hesitancy

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