Assessing COVID-19 Vaccine Hesitancy, Confidence, and Public Engagement: A Global Social Listening Study

• DOI: 10.2196/27632
• Publication Date: 2021-05-17T16:56:03Z
• Authors: Zhiyuan Hou; Yixin Tong; Fanxing Du; Linyao Lu; Sihong Zhao; Kexin Yu; Simon J Piatek; Heidi J Larson; Leesa Lin
• Keywords: Sociology and Political Science; FOS: Political science; Social Sciences; Infectious disease (medical specialty); FOS: Health sciences; Social media; 0302 clinical medicine; Pathology; Disease; Political science; Vaccines; Public health; Vaccination; Trust in Vaccination; The Spread of Misinformation Online; 3. Good health; Infectious Diseases; Environmental health; Health; Beijing; Misinformation; Medicine; Vaccination Intention; Public aspects of medicine; RA1-1270; Public relations; China; COVID-19 Vaccines; Family medicine; Computer applications to medicine. Medical informatics; R858-859.7; FOS: Law; Nursing; Coronavirus Disease 2019 Research; Vaccine Hesitancy; Public engagement; 03 medical and health sciences; Virology; Health Sciences; Humans; Original Paper; Pandemic; SARS-CoV-2; Immunization Coverage; COVID-19 Drug Treatment; Coronavirus disease 2019 (COVID-19); Public Opinion; Distrust; Factors Affecting Vaccine Hesitancy and Acceptance; Social Media; Law

Background Monitoring public confidence and hesitancy is crucial for the COVID-19 vaccine rollout. Social media listening (infoveillance) can not only monitor public attitudes on COVID-19 vaccines but also assess the dissemination of and public engagement with these opinions.

Objective This study aims to assess global hesitancy, confidence, and public engagement toward COVID-19 vaccination.

Methods We collected posts mentioning the COVID-19 vaccine between June and July 2020 on Twitter from New York (United States), London (United Kingdom), Mumbai (India), and Sao Paulo (Brazil), and Sina Weibo posts from Beijing (China). In total, we manually coded 12,886 posts from the five global metropolises with high COVID-19 burdens, and after assessment, 7032 posts were included in the analysis. We manually double-coded these posts using a coding framework developed according to the World Health Organization’s Confidence, Complacency, and Convenience model of vaccine hesitancy, and conducted engagement analysis to investigate public communication about COVID-19 vaccines on social media.

Results Among social media users, 36.4% (571/1568) in New York, 51.3% (738/1440) in London, 67.3% (144/214) in Sao Paulo, 69.8% (726/1040) in Mumbai, and 76.8% (2128/2770) in Beijing indicated that they intended to accept a COVID-19 vaccination. With a high perceived risk of getting COVID-19, more tweeters in New York and London expressed a lack of confidence in vaccine safety, distrust in governments and experts, and widespread misinformation or rumors. Tweeters from Mumbai, Sao Paulo, and Beijing worried more about vaccine production and supply, whereas tweeters from New York and London had more concerns about vaccine distribution and inequity. Negative tweets expressing lack of vaccine confidence and misinformation or rumors had more followers and attracted more public engagement online.

Conclusions COVID-19 vaccine hesitancy is prevalent worldwide, and negative tweets attract higher engagement on social media. It is urgent to develop an effective vaccine campaign that boosts public confidence and addresses hesitancy for COVID-19 vaccine rollouts.