Factors associated with the intention to obtain a COVID-19 vaccine among a racially/ethnically diverse sample of women in the USA

Jennifer Dacey Allen · Nadia N. Abuelezam · Holly B. Fontenot

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Vaccine Coverage and Hesitancy SARS-CoV-2 and COVID-19 Research COVID-19 and Mental Health

Abstract

Widespread uptake of the COVID-19 vaccine is critical to halt the pandemic. At present, little is known about factors that will affect vaccine uptake, especially among diverse racial/ethnic communities that have experienced the highest burden of COVID. We administered an online survey to a Qualtrics respondent panel of women ages 27-45 years (N = 396) to assess vaccine intentions and attitudes, and trusted vaccine information sources. 56.8% intended to be vaccinated and 25.5% were unsure. In bivariate analyses, a greater percentage of non-Latina White (NLW) and Chinese women reported that they would be vaccinated, compared with Latina and non-Latina Black (NLB) women (p < 0.001). Those who were uninsured, unemployed and those with lower incomes were less likely to say that they would be vaccinated. In analyses stratified by race/ethnicity, NLB women remained significantly less likely to report that they would be vaccinated compared with NLW women (adjusted odds ratio: 0.47; 95% confidence interval: 0.23, 0.94), controlling for age, marital status, income, education, employment, and insurance status. When analyses were additionally controlled for beliefs in vaccine safety and efficacy, racial/ethnic differences were no longer significant (adjusted odds ratio: 0.64; 95% confidence interval: 0.31, 1.34). Given that NLB women were less likely to report the intention to be vaccinated, targeted efforts will be needed to promote vaccine uptake. It will be critical to emphasize that the vaccine is safe and effective; this message may be best delivered by trusted community members.

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References

2020Fighting COVID-19 Misinformation on Social Media: Experimental Evidence for a Scalable Accuracy-Nudge Intervention 2020Determinants of COVID-19 vaccine acceptance in the US 2020Attitudes Toward a Potential SARS-CoV-2 Vaccine 2020Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated?2020Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications 2020Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19 2017See Something, Say Something: Correction of Global Health Misinformation on Social Media 2020Planning for a COVID-19 Vaccination Program

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2023Covid-19 Vaccine Hesitancy and Under-Vaccination among Marginalized Populations in the United States and Canada: A Scoping Review 2021Factors Associated with COVID-19 Vaccine Hesitancy among Visible Minority Groups from a Global Context: A Scoping Review 2024Determinants of Vaccine Hesitancy among African American and Black Individuals in the United States of America: A Systematic Literature Review 2022COVID-19 vaccination readiness among multiple racial and ethnic groups in the San Francisco Bay Area: A qualitative analysis

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