Intention to receive a COVID-19 vaccine: results from a population-based survey in Canada

BMC Public Health

C. Sarai Racey¹  David Goldfarb²  Manish Sadarangani³  Gina S. Ogilvie⁴  Anna Gottschlich⁴  Arianne Albert⁴  Amy Booth⁴  Melanie C. M. Murray⁴  Lori A. Brotto⁴  Laurie W. Smith⁵  Shanlea Gordon⁶  Liisa A. M. Galea⁷  Angela Kaida⁸ 

[1] Faculty of Medicine, University of British Columbia, 2329 West Mall, V6T 1Z4, Vancouver, British Columbia, Canada;Faculty of Medicine, University of British Columbia, 2329 West Mall, V6T 1Z4, Vancouver, British Columbia, Canada;Department of Pathology and Laboratory Medicine, BC Children’s and Women’s Health Centre, 4500 Oak Street, V6H 3N1, Vancouver, British Columbia, Canada;Faculty of Medicine, University of British Columbia, 2329 West Mall, V6T 1Z4, Vancouver, British Columbia, Canada;Vaccine Evaluation Centre, 950 W 28th Avenue, V5Z 4H4, Vancouver, British Columbia, Canada;Faculty of Medicine, University of British Columbia, 2329 West Mall, V6T 1Z4, Vancouver, British Columbia, Canada;Women’s Health Research Institute, 4500 Oak Street, V6H 2N9, Vancouver, British Columbia, Canada;Women’s Health Research Institute, 4500 Oak Street, V6H 2N9, Vancouver, British Columbia, Canada;BC Cancer Agency, 600 W 10th Avenue, V5Z 4E6, Vancouver, British Columbia, Canada;Women’s Health Research Institute, 4500 Oak Street, V6H 2N9, Vancouver, British Columbia, Canada;BC Children’s Hospital Research Institute, 938 W 28th Avenue, V5Z 4H4, Vancouver, British Columbia, Canada;Women’s Health Research Institute, 4500 Oak Street, V6H 2N9, Vancouver, British Columbia, Canada;Faculty of Arts, University of British Columbia, 2329 West Mall, V6T 1Z4, Vancouver, British Columbia, Canada;Women’s Health Research Institute, 4500 Oak Street, V6H 2N9, Vancouver, British Columbia, Canada;Faculty of Health Sciences, Simon Fraser University, 8888 University Drive, V5A 1S6, Burnaby, British Columbia, Canada;

关键词: COVID-19;    Vaccine hesitancy;    Vaccine confidence;    Vaccine;    Canada;    Public health;   

DOI  :  10.1186/s12889-021-11098-9

来源: Springer

【 摘 要 】

BackgroundThe success of any COVID-19 vaccine program ultimately depends on high vaccine uptake. This study determined overall intention to receive a COVID-19 vaccine and identified factors that predict intentions to be vaccinated against COVID-19 in Canada, specifically in key priority groups identified by the American Committee on Immunization Practice (ACIP) and the National Advisory Committee on Immunization (NACI) for early immunization.MethodsIndividuals from research cohorts from the general population of British Columbia aged 25–69 were invited complete an online survey based on validated scales and theoretical frameworks to explore intention to receive a COVID-19 vaccine. Two multivariable logistic regression models were conducted to determine factors associated with intention to receive the COVID-19 vaccine.ResultsOf 4948 respondents, 79.8% intended to receive a COVID-19 vaccine. In multivariable modeling, respondents who intended to receive the vaccine had higher vaccine attitudinal scores (p <  0.001), reported greater influence of direct social norms (p = 0.001), and indirect social norms, including their family physician (p = 0.024), and Provincial Health Officer (p = 0.011). Older individuals (> 60 years) were more likely to intend to receive the vaccine, while females (95%CI 0.57,0.93), those with less than high school education (95%CI 0.5,0.76), those who self-identified as non-white (95%CI 0.60,0.92), self-identified as Indigenous (95%CI 0.36,0.84) and essential non-health care workers (95%CI 0.59,0.86) had lower adjusted odds of intending to receive a COVID-19 vaccine.ConclusionsTo optimize vaccine coverage, public health should focus on key messages around vaccine safety and benefit, and leverage trusted practitioners for messaging. As certain key populations identified by NACI and ACIP for early immunization report a lower intention to vaccinate, there is a need for in-depth education and support for these communities to ensure optimal uptake.

【 授权许可】

CC BY