A qualitative study of behavioral and social drivers of COVID-19 vaccine confidence and uptake among unvaccinated Americans in the US April-May 2021.

Autor: Abad N; US Centers for Disease Control and Prevention, Atlanta, GA, United States of America., Messinger SD; Ipsos US Public Affairs, Washington, DC, United States of America., Huang Q; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States of America., Hendrich MA; Ipsos US Public Affairs, Washington, DC, United States of America., Johanson N; Ipsos US Public Affairs, Washington, DC, United States of America., Fisun H; Ipsos US Public Affairs, Washington, DC, United States of America., Lewis Z; Ipsos US Public Affairs, Washington, DC, United States of America., Wilhelm E; US Centers for Disease Control and Prevention, Atlanta, GA, United States of America., Baack B; US Centers for Disease Control and Prevention, Atlanta, GA, United States of America., Bonner KE; US Centers for Disease Control and Prevention, Atlanta, GA, United States of America., Kobau R; US Centers for Disease Control and Prevention, Atlanta, GA, United States of America., Brewer NT; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, United States of America.; Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, United States of America.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Feb 10; Vol. 18 (2), pp. e0281497. Date of Electronic Publication: 2023 Feb 10 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0281497
Abstrakt: Introduction: Around one-third of Americans reported they were unwilling to get a COVID-19 vaccine in April 2021. This focus group study aimed to provide insights on the factors contributing to unvaccinated adults' hesitancy or refusal to get vaccinated with COVID-19 vaccines.
Method: Ipsos recruited 59 unvaccinated US adults who were vaccine hesitant (i.e., conflicted about or opposed to receiving a COVID-19 vaccination) using the Ipsos KnowledgePanel. Trained facilitators led a total of 10 focus groups via video-conference in March and April 2021. Two coders manually coded the data from each group using a coding frame based on the focus group discussion guide. The coding team collaborated in analyzing the data for key themes.
Results: Data analysis of transcripts from the focus groups illuminated four main themes associated with COVID-19 vaccine hesitancy: lack of trust in experts and institutions; concern about the safety of COVID-19 vaccines; resistance towards prescriptive guidance and restrictions; and, despite personal reluctance or unwillingness to get vaccinated, acceptance of others getting vaccinated.
Discussion: Vaccine confidence communication strategies should address individual concerns, describe the benefits of COVID-19 vaccination, and highlight evolving science using factural and neutral presentations of information to foster trust.
Competing Interests: Noel Brewer has served on paid advisory boards for Merck and received research grants from Merck and Pfizer. The remaining authors declare to have no conflicts of interest. This does not alter our adherence to PLOS ONE policies on sharing data and materials.
(Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)
Databáze: MEDLINE
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