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Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID-19 vaccine.
Clin Transl Sci. 2022 10; 15(10):2316-2322.CT

Abstract

Recent research suggests people who report vaccine hesitancy may still get vaccinated; however, little is known about hesitancy among those who chose to vaccinate. The current study focused on individuals who received the coronavirus disease 2019 (COVID-19) vaccine despite their hesitancy, whom we refer to as "hesitant adopters." With the understanding that vaccine attitudes and vaccine behaviors may or may not be correlated, we examined the prevalence of COVID-19 vaccine hesitancy among those who have been vaccinated, how COVID-19 vaccine hesitancy varies across sociodemographic groups, and how COVID-19 vaccine hesitancy relates to other factors (prior health care access and influenza vaccination behavior over the past 5 years). Random digit dialing of telephone landlines and cell phones was used to contact potential survey respondents, rendering a sample of 1500 Arkansan adults. Approximately one-third of those who received a COVID-19 vaccine also reported some level of hesitancy. Among hesitant adopters, 5.3% said they were "very hesitant," 8.8% said they were "somewhat hesitant," and 17.1% said they were "a little hesitant." Black/African American and Hispanic/Latinx respondents reported more hesitancy than White respondents, and female respondents reported greater hesitancy compared to male respondents. Greater hesitancy was associated with non-metro/rural residence, forgoing health care due to cost, and lower influenza vaccination rates over the past 5 years. Findings suggest those who are hesitant may get vaccinated despite their hesitancy, illustrating the complexity of vaccination behaviors. Prevalence of hesitancy among the vaccinated has implications for communication strategies in vaccine outreach programs and may help to reduce stigmatization of hesitant adopters.

Links

Authors+Show Affiliations

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

Office of Community Health and Research, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

College of Nursing, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

Meredith-Neve SM

Integrated Medicine Service Line, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

Gurel-Headley M

College of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA. Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, Arkansas, USA.

MeSH

AdultMaleFemaleHumansVaccination RefusalInfluenza, HumanCOVID-19 VaccinesArkansasCOVID-19ParentsPatient Acceptance of Health CareHealth Knowledge, Attitudes, PracticeCross-Sectional StudiesVaccination

Pub Type(s)

Journal Article

Research Support, N.I.H., Extramural

Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

36004689

Citation

McElfish, Pearl A., et al. "Hesitant Adopters: an Examination of Hesitancy Among Adults in Arkansas Who Have Taken the COVID-19 Vaccine." Clinical and Translational Science, vol. 15, no. 10, 2022, pp. 2316-2322.

McElfish PA, Rowland B, Scott AJ, et al. Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID-19 vaccine. Clin Transl Sci. 2022;15(10):2316-2322.

McElfish, P. A., Rowland, B., Scott, A. J., Andersen, J. A., CarlLee, S., McKinnon, J. C., Reece, S., Meredith-Neve, S. M., Macechko, M. D., Gurel-Headley, M., & Willis, D. E. (2022). Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID-19 vaccine. Clinical and Translational Science, 15(10), 2316-2322. https://doi.org/10.1111/cts.13367

McElfish PA, et al. Hesitant Adopters: an Examination of Hesitancy Among Adults in Arkansas Who Have Taken the COVID-19 Vaccine. Clin Transl Sci. 2022;15(10):2316-2322. PubMed PMID: 36004689.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Hesitant adopters: An examination of hesitancy among adults in Arkansas who have taken the COVID-19 vaccine. AU - McElfish,Pearl A, AU - Rowland,Brett, AU - Scott,Aaron J, AU - Andersen,Jennifer A, AU - CarlLee,Sheena, AU - McKinnon,Joshua C, AU - Reece,Sharon, AU - Meredith-Neve,Sandra M, AU - Macechko,Michael D, AU - Gurel-Headley,Morgan, AU - Willis,Don E, Y1 - 2022/08/25/ PY - 2022/06/28/revised PY - 2022/04/20/received PY - 2022/06/29/accepted PY - 2022/8/26/pubmed PY - 2022/10/21/medline PY - 2022/8/25/entrez SP - 2316 EP - 2322 JF - Clinical and translational science JO - Clin Transl Sci VL - 15 IS - 10 N2 - Recent research suggests people who report vaccine hesitancy may still get vaccinated; however, little is known about hesitancy among those who chose to vaccinate. The current study focused on individuals who received the coronavirus disease 2019 (COVID-19) vaccine despite their hesitancy, whom we refer to as "hesitant adopters." With the understanding that vaccine attitudes and vaccine behaviors may or may not be correlated, we examined the prevalence of COVID-19 vaccine hesitancy among those who have been vaccinated, how COVID-19 vaccine hesitancy varies across sociodemographic groups, and how COVID-19 vaccine hesitancy relates to other factors (prior health care access and influenza vaccination behavior over the past 5 years). Random digit dialing of telephone landlines and cell phones was used to contact potential survey respondents, rendering a sample of 1500 Arkansan adults. Approximately one-third of those who received a COVID-19 vaccine also reported some level of hesitancy. Among hesitant adopters, 5.3% said they were "very hesitant," 8.8% said they were "somewhat hesitant," and 17.1% said they were "a little hesitant." Black/African American and Hispanic/Latinx respondents reported more hesitancy than White respondents, and female respondents reported greater hesitancy compared to male respondents. Greater hesitancy was associated with non-metro/rural residence, forgoing health care due to cost, and lower influenza vaccination rates over the past 5 years. Findings suggest those who are hesitant may get vaccinated despite their hesitancy, illustrating the complexity of vaccination behaviors. Prevalence of hesitancy among the vaccinated has implications for communication strategies in vaccine outreach programs and may help to reduce stigmatization of hesitant adopters. SN - 1752-8062 UR - https://www.unboundmedicine.com/medline/citation/36004689/Hesitant_adopters:_An_examination_of_hesitancy_among_adults_in_Arkansas_who_have_taken_the_COVID_19_vaccine_ DB - PRIME DP - Unbound Medicine ER -