ArticleAmerican journal of infection control2022
Factors and reasons associated with low COVID-19 vaccine uptake among highly hesitant communities in the US.
Article in American journal of infection control, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 70 papers, 2 of them syntheses that pooled it.
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Who cites it
70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 118 citations in OpenAlex.
- COVID-19 vaccine hesitancy: A Systematic review of cognitive determinants.Health promotion perspectives · 2023Pooled it
- What Makes Urban Communities More Resilient to COVID-19? A Systematic Review of Current Evidence.International journal of environmental research and public health · 2022Pooled it
- Cross-neutralizing antibody responses among individuals with or without bivalent vaccine: a six-month prospective cohort study.The Korean journal of internal medicine · 2026Article
- Respiratory virus genomic epidemiology during post-pandemic re-emergence of influenza in Australia.Virus evolution · 2026Article
- Coverage and determinants of COVID-19 vaccination among 36 555 Nigerian women of childbearing age: a mixed-effects analysis of nationally representative data.BMJ public health · 2026Article
- The Role of Testing and Vaccination in Mediating Social Vulnerability and COVID-19 Prevalence in Southern Nevada.International journal of environmental research and public health · 2025Article
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- Factors influencing COVID-19 vaccine acceptability among household heads in northern Nigeria: a community-based cross-sectional study.BMJ open · 2025Article
- Disparities in Vaccination Amongst Socially Vulnerable Patients with Inflammatory Bowel Disease.Digestive diseases and sciences · 2025Article
- Sociopolitical antecedents influencing COVID-19 vaccine uptake in Pima County, Arizona.Vaccine: X · 2025Article
- Adherence to COVID-19 vaccination recommendations and vaccine hesitancy in US blood donors.Transfusion · 2024Article
- Cognitive flexibility predicts attitudes towards vaccination: evidence from a New Zealand sample.BMC psychology · 2024Article
- Spatio-temporal distributions of COVID-19 vaccine doses uptake in the Netherlands: a Bayesian ecological modelling analysis.Epidemiology and infection · 2024Article
- Connect, collaborate and tailor: a model of community engagement through infographic design during the COVID-19 pandemic.BMC public health · 2024Article
- Vaccine Confidence and Coverage among Medical Students at a Federal University in Brazil.Vaccines · 2024Article
- Parental vaccine hesitancy and influenza vaccine type preferences during and after the COVID-19 Pandemic.Communications medicine · 2024Article
- Demographic changes in COVID-19 mortality during the pandemic: analysis of trends in disparities among workers using California's mortality surveillance system.BMC public health · 2024Article
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- Characteristics of primary care practices by proportion of patients unvaccinated against SARS-CoV-2: a cross-sectional cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issuedErratum.2022
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe inability to achieve high COVID-19 vaccination rates can continue to have serious harm to our communities. Vaccine hesitancy is a major barrier towards high vaccination rates. We evaluated the relationship between COVID-19 vaccine uptake and vaccine hesitancy, and then examined whether community factors were associated with COVID-19 vaccine uptake and hesitancy.
methodsWe constructed and evaluated a cross-sectional, county-level dataset that included the levels of vaccination uptake and vaccine hesitancy, and population characteristics based on those included in the CDC's Social Vulnerability Index.
resultsAcross 3142 US counties, vaccine hesitancy was significantly and negatively correlated with vaccine uptake rates (r = -0.06, P value <.01). The 2 predictors associated with a low vaccination level within highly hesitant communities were: no high school education (OR:0.70, P value <.001), and concern on vaccine availability and distribution (CVAC) (OR:0.00, P value <.001). The most common reason driving vaccine hesitancy was lack of trust in COVID-19 vaccines (55%), followed by concerns around side effects of the vaccine (48%), and lack of trust in government (46%).
conclusionsCOVID-19 vaccine hesitancy is a public health threat. Our findings suggest that low education levels are a major contributor to vaccine hesitancy and ultimately vaccination levels. Since education levels are not easily modifiable, our results suggest that policymakers would be best served by closing knowledge gaps to overcome negative perceptions of the vaccine through tailored interventions.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.