A study of COVID-19 vaccination in the US and Asia: The role of media, personal experiences, and risk perceptions

Risk perception Family medicine Sociology and Political Science Cognitive Neuroscience FOS: Political science Immunology Social Sciences Logistic regression FOS: Law Infectious disease (medical specialty) Vaccine Hesitancy 03 medical and health sciences 0302 clinical medicine Sociology Pathology Psychology Disease Internal medicine Political science Cross-sectional study Seriousness Demography Pandemic FOS: Clinical medicine Vaccination Life Sciences Trust in Vaccination The Spread of Misinformation Online Immunization Coverage Odds ratio 3. Good health FOS: Sociology Neuroscience of Moral Judgment and Disgust Coronavirus disease 2019 (COVID-19) FOS: Psychology Environmental health Risk Perception Health Factors Affecting Vaccine Hesitancy and Acceptance Medicine Vaccination Intention Perception Odds Public aspects of medicine RA1-1270 Law Research Article Neuroscience
DOI: 10.1371/journal.pgph.0000734 Publication Date: 2022-07-13T17:41:49Z
ABSTRACT
The COVID-19 pandemic presents an opportunity to assess the relationship between personal experiences and vaccine decision-making. The aim of this study was to examine the associations between experiences with COVID-19 and COVID-19 vaccination status. We administered 28 repeated cross-sectional, online surveys between June 2020 and June 2021 in the US and Asia. The main exposure was media showing COVID-19 cases, and we distinguished those with no such experience, those seeing a not severe case of disease, and those seeing a severe case of disease. Logistic regression models estimated the association between experience and acceptance of a hypothetical COVID-19 vaccine (pre-rollout) or actual vaccination (post-rollout). We explored perceived susceptibility as a potential mediator. Intent to vaccinate was lowest in the US and Taiwan, and highest in India, Indonesia, and China. Across all countries, seeing a severe case of COVID-19 in the media was associated with 1.72 times higher odds of vaccination intent in 2020 (95% CI: 1.46, 2.02) and 2.13 times higher odds of vaccination in 2021 (95% CI: 1.70, 2.67), compared to those not seeing a case or a less severe case. Perceived susceptibility was estimated to mediate 25% of the relationship with hypothetical vaccination (95% CI: 18%, 31%, P<0.0001), and 16% of the relationship with actual vaccination 16% (95% CI: 12%, 19%, P<0.0001). Seriousness of experiences could relate to intention to vaccinate against COVID-19. Media exposures are a modifiable experience, and this study highlights how this experience can relate to risk perceptions and eventual vaccination, across a variety of countries where the course of the pandemic differed.
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