COVID-19 vaccine hesitancy and resistance: Correlates in a nationally representative longitudinal survey of the Australian population

Ben Edwards, Nicholas Biddle, Matthew Gray, Kate Sollis, Ben Edwards, Nicholas Biddle, Matthew Gray, Kate Sollis

Abstract

Background: High levels of vaccination coverage in populations will be required even with vaccines that have high levels of effectiveness to prevent and stop outbreaks of coronavirus. The World Health Organisation has suggested that governments take a proactive response to vaccine hesitancy 'hotspots' based on social and behavioural insights.

Methods: Representative longitudinal online survey of over 3000 adults from Australia that examines the demographic, attitudinal, political and social attitudes and COVID-19 health behavior correlates of vaccine hesitance and resistance to a COVID-19 vaccine.

Results: Overall, 59% would definitely get the vaccine, 29% had low levels of hesitancy, 7% had high levels of hesitancy and 6% were resistant. Females, those living in disadvantaged areas, those who reported that risks of COVID-19 was overstated, those who had more populist views and higher levels of religiosity were more likely to be hesitant or resistant while those who had higher levels of household income, those who had higher levels of social distancing, who downloaded the COVID-Safe App, who had more confidence in their state or territory government or confidence in their hospitals, or were more supportive of migration were more likely to intend to get vaccinated.

Conclusions: Our findings suggest that vaccine hesitancy, which accounts for a significant proportion of the population can be addressed by public health messaging but for a significant minority of the population with strongly held beliefs, alternative policy measures may well be needed to achieve sufficient vaccination coverage to end the pandemic.

Conflict of interest statement

The authors have declared that no competing interests exist.

References

    1. Yadav S., & Yadav P. K. Basic reproduction rate and case fatality rate of COVID-19: Application of meta-analysis. medRxiv, 10.1101/2020.05.13.20100750
    1. Randolph H, Barreiro L. Herd immunity: understanding COVID-19. Immunity 2020; 52: 737–41. 10.1016/j.immuni.2020.04.012
    1. Sanche S., Lin Y. T., Xu C., Romero-Severson E., Hengartner N., Ke R. (2020). High contagiousness and rapid spread of severe acute respiratory syndrome Coronavirus 2. Emerging Infectious Diseases, 26(7), 1470–1477. 10.3201/eid2607.200282
    1. Bartsch S. M., O’Shea K. J., Ferguson M. C., Bottazi M. E., Wedlock P. T., Strych U., et al.. (2020). Vaccine efficacy needed for a COVID-19 Coronavirus vaccine to prevent or stop an epidemic as the sole intervention. American Journal of Preventive Medicine, 59(4), 493–503. 10.1016/j.amepre.2020.06.011
    1. Neumman-Bohme S., Varghese N. E., Sabat I., Barros P. P., Brouwer W., van Exel J., et al.. (2020). Once we have it, will we use it? A European survey on willingness to be vaccinated against COVID-19. The European Journal of Health Economics, 21, 977–982. 10.1007/s10198-020-01208-6
    1. Reiter P. L., Pennell M. L., & Katz M. L. (2020). Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine, 38(42): 6500–6507. 10.1016/j.vaccine.2020.08.043
    1. Murphy J., Vallieres F., Bentall R. P., Shevlin M., McBride O., Hartman T. K., et al.. (2021). Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nature Communications, 12, 29 10.1038/s41467-020-20226-9
    1. Sherman S. M., Smith L. E., Sim J., Amlot R., Cutts M., Dasch H., et al.. (2020). COVID-19 vaccination intention in the UK: Results from the ‘COVID-19 Vaccination Acceptability Study’ (CoVAccS), a nationally representative cross-sectional survey. Human Vaccines & Immunotherapeutics, 10.1080/21645515.2020.1846397
    1. Frank, K., & Arim, R. (2020). Canadians’ willingness to get to a COVID-19 vaccine: Group differences and reasons for vaccine hesitancy. Statistics Canada Catalogue No. 45280001. No. 00043. Ottawa: Statistics Canada.
    1. Dodd R. H., Cvejic E., Bonner C., Pickles K., McCaffery K. J. and Sydney Health Literacy Lab COVID-19 group. Willingness to vaccinate against COVID-19 in Australia. Lancet Infect Dis 2020; published online June 30. 10.1016/S1473-3099(20)30559-4
    1. Hickler B, Guirguis S, Obregon R. (2015). Vaccine special issue on vaccine hesitancy. Vaccine, 34(33): 4155–4156. 10.1016/j.vaccine.2015.04.034
    1. Dubé E., Vivion M., MacDonald N.E. (2015). Vaccine hesitancy, vaccine refusal and the anti-vaccine movement: influence, impact and implications. Expert Reviews Vaccines, 14(1), pp. 100–117. 10.1586/14760584.2015.964212
    1. Thunström L., Ashworth M., Finnoff D., Newbold S. (2020) Hesitancy Towards a COVID-19 Vaccine and Prospects for Herd Immunity, Covid Economics, 35, 7, 1–50. July 2020.
    1. Kaczmirek, L., Phillips, B., Pennay, D.W., Lavrakas, P. J. & Neiger, D. (2019). Building a probability-based online panel: Life in AustraliaTM. Centre for Social Research and Methods & Social Research Centre Methods Paper, No. 2/2019.
    1. Hale T., Angrist N., Cameron-Blake E., Hallas L., Kira B., Majumdar S., et al.. (2020). Oxford COVID-19 Government Response Tracker, Blavatnik School of Government.
    1. Rozbroj T, Lyons A, Lucke J. (2019). Psychosocial and demographic characteristics relating to vaccine attitudes in Australia. Patient education and counselling. 102(1): 172–179. 10.1016/j.pec.2018.08.027
    1. Demurtas J, Celotto S, Beaudart C, Sanchez-Rodriguez D, Balci C, Soysal P, et al.., The efficacy and safety of influenza vaccination in older people: An umbrella review of evidence from meta-analyses of both observational and randomized controlled studies. Ageing Res Rev. 2020. September;62:101118. 10.1016/j.arr.2020.101118
    1. Habersaat K. B., Betsch C., Danchin M., Sunstein C. R., Böhm R., Falk A.,.et al.. (2020). Ten considerations for effectively managing the COVID-19 transition. Nature Human Behaviour, 4, 677–687. 10.1038/s41562-020-0906-x
    1. Gualano M. R., Olivero E., Voglino G., Corezzi M., Rossello P., Vicentini C., et al.. (2019). Knowledge, attitudes and beliefs towards compulsory vaccination: a systematic review. Human Vaccines & Immunotherapeutics, 15(4), 918–931. 10.1080/21645515.2018.1564437
    1. Mello MM, Silverman RD, Omer SB. Ensuring uptake of vaccines against SARSCoV-2. N Engl J Med 2020;383:1296–9. 10.1056/NEJMp2020926
    1. Biddle N., Edwards B., Gray M., & Sollis K. (2020). Public attitudes on vaccine distribution. Centre for Social Research and Methods (ANU).

Source: PubMed

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