Evidence map›Paper›PMID 36067411›Full record

ArticleJMIR formative research2022

Influences, Barriers, and Facilitators to COVID-19 Vaccination: Cross-sectional Survey on Vaccine Hesitancy in 2 Rural States.

Elaine Nguyen, Melanie Wright, John Holmes, Kevin Cleveland, Catherine Oliphant, Mary Nies, Renee Robinson

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Elaine NguyenDepartment of Pharmacy Practice and Administration, College of Pharmacy, Idaho State University, Meridian, ID, United States.ORCID https://orcid.org/0000-0001-6695-3187
Melanie WrightDepartment of Pharmacy Practice and Administration, College of Pharmacy, Idaho State University, Meridian, ID, United States.ORCID https://orcid.org/0000-0001-7121-504X
John HolmesDepartment of Pharmacy Practice and Administration, College of Pharmacy, Idaho State University, Pocatello, ID, United States.ORCID https://orcid.org/0000-0003-1306-4268
Kevin ClevelandDepartment of Pharmacy Practice and Administration, College of Pharmacy, Idaho State University, Meridian, ID, United States.ORCID https://orcid.org/0000-0001-7398-6892
Catherine OliphantDepartment of Pharmacy Practice and Administration, College of Pharmacy, Idaho State University, Meridian, ID, United States.ORCID https://orcid.org/0000-0003-1451-9308
Mary NiesSchool of Nursing, College of Health, Pocatello, ID, United States.ORCID https://orcid.org/0000-0002-0177-1769
Renee RobinsonDepartment of Pharmacy Practice and Administration, College of Pharmacy, University of Alaska/Idaho State University, Anchorage, AK, United States.ORCID https://orcid.org/0000-0003-1807-0827
Idaho State University · USPocatello High School · USUniversity of Alaska Anchorage · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccination remains one of the most effective ways to limit the spread of infectious diseases such as that caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus responsible for COVID-19. Unfortunately, vaccination hesitancy continues to be a threat to national and global health. Further research is necessary to determine the modifiable and nonmodifiable factors contributing to COVID-19 vaccine hesitancy in under-resourced, underserved, and at-risk rural and urban communities.

objectiveThis study aimed to identify, understand, and address modifiable barriers and factors contributing to COVID-19 vaccine hesitancy among vaccine-eligible individuals with access to the vaccine in Alaska and Idaho.

methodsAn electronic survey based on the World Health Organization (WHO) Strategic Advisory Group on Experts (SAGE) on Immunization survey tool and investigators' previous work was created and distributed in June 2021 and July 2021. To be eligible to participate in the survey, individuals had to be ≥18 years of age and reside in Alaska or Idaho. Responses were grouped into 4 mutually exclusive cohorts for data analysis and reporting based on intentions to be vaccinated. Respondent characteristics and vaccine influences between cohorts were compared using Chi-square tests and ANOVA. Descriptive statistics were also used.

resultsThere were data from 736 usable surveys with 40 respondents who did not intend to be vaccinated, 27 unsure of their intentions, 8 who intended to be fully vaccinated with no doses received, and 661 fully vaccinated or who intended to be vaccinated with 1 dose received. There were significant differences in characteristics and influences between those who were COVID-19 vaccine-hesitant and those who had been vaccinated. Concerns related to possible side effects, enough information on long-term side effects, and enough information that is specific to the respondent's health conditions were seen in those who did not intend to be fully vaccinated and unsure about vaccination. In all cohorts except those who did not intend to be fully vaccinated, more information about how well the vaccine works was a likely facilitator to vaccination.

conclusionsThese survey results from 2 rural states indicate that recognition of individual characteristics may influence vaccine choices. However, these individual characteristics represent only a starting point to delivering tailored messages that should come from trusted sources to address vaccination barriers.

Indexed as

COVID-19COVID-19 vaccinescross-sectional studiesrural populationsvaccine hesitancy

Identifiers

PMID36067411
PMCPMC9718362
OpenAlexW4294811513

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.