Abstract

Vaccine hesitancy presents an obstacle to the campaign to control COVID-19. It has previously been found to be associated with youth, female gender, low income, low education, low medical trust, minority ethnic group membership, low perceived risk from COVID-19, use of certain social media platforms and conspiracy beliefs. However, it is unclear which of these predictors might explain variance associated with others. An online survey was conducted with a representative sample of 4343 UK residents, aged 18-75, between 21 November and 21 December 2020. Predictors of vaccine hesitancy were assessed using linear rank-order models. Coronavirus vaccine hesitancy is associated with youth, female gender, low income, low education, high informational reliance on social media, low informational reliance on print and broadcast media, membership of other than white ethnic groups, low perceived risk from COVID-19 and low trust in scientists and medics, as well as (to a much lesser extent) low trust in government. Coronavirus conspiracy suspicions and general vaccine attitudes appear uniquely predictive, jointly explaining 35% of variance. Following controls for these variables, effects associated with trust, ethnicity and social media reliance largely or completely disappear, whereas the effect associated with education is reversed. Strengthening positive attitudes to vaccination and reducing conspiracy suspicions with regards to the coronavirus may have a positive effect on vaccine uptake, especially among ethnic groups with heightened vaccine hesitancy. However, vaccine hesitancy associated with age and gender does not appear to be explained by other predictor variables tested here.

Highlights

  • Vaccine hesitancy, or ‘delay in acceptance or refusal of vaccination despite availability of vaccination services’ (MacDonald & Sage Working Group on Vaccine Hesitancy, 2015, p. 4163), has been identified as one of the greatest threats to public health at a global level (WHO, 2019)

  • Other factors which recent British studies have found to be associated with coronavirus vaccine hesitancy include youth, female gender, minority ethnic group membership, low education and low income, with the perception of the coronavirus as a personal threat being associated with lower levels of hesitancy (Allington, McAndrew, Moxham-Hall, & Duffy, 2021; Freeman et al, 2020; Jennings et al, 2021); all of these are tested for

  • Informational reliance on broadcast media has a stronger negative correlation with vaccine hesitancy than does informational reliance on print media, and whereas informational reliance on all social media platforms is positively correlated with vaccine hesitancy, this correlation is strongest with regards to Facebook and YouTube

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Summary

Introduction

‘delay in acceptance or refusal of vaccination despite availability of vaccination services’ (MacDonald & Sage Working Group on Vaccine Hesitancy, 2015, p. 4163), has been identified as one of the greatest threats to public health at a global level (WHO, 2019). Other factors which recent British studies have found to be associated with coronavirus vaccine hesitancy include youth, female gender, minority ethnic group membership, low education and low income, with the perception of the coronavirus as a personal threat being associated with lower levels of hesitancy (Allington, McAndrew, Moxham-Hall, & Duffy, 2021; Freeman et al, 2020; Jennings et al, 2021); all of these are tested for. In view of Quinn et al.’s (2019) argument that it is important to distinguish general attitudes from those relating to a specific vaccine, it is emphasised that hypothesis relates to attitudes to vaccination in general (and not to coronavirus vaccination in particular), and hypothesis relates to conspiracy suspicions with regards to the coronavirus itself (rather than coronavirus vaccination), while the dependent variable in all cases is hesitancy with regards to coronavirus vaccination

Methodology
Ethical statement
Analytic methodology
Findings
22. Hesitancy
Conclusions and recommendations
Limitations and scope for further research
Full Text
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