Running away from the jab: factors associated with COVID-19 vaccine hesitancy in Brazil
DOI:
https://doi.org/10.11606/s1518-8787.2021055003903%20Palabras clave:
COVID-19 Vaccines, Vaccination Refusal, Socioeconomic Factors, Political Activism, Health Knowledge, Attitudes, PracticeResumen
OBJECTIVE: To investigate how sociodemographic conditions, political factors, organizational confidence, and non-pharmaceutical interventions compliance affect the COVID-19 vaccine hesitancy in Brazil. METHODS: Data collection took place between November 25th, 2020 and January 11th, 2021 using a nationwide online survey. Subsequently, the researches performed a descriptive analysis on the main variables and used logistic regression models to investigate the factors associated with COVID-19 vaccine hesitancy. RESULTS: Less concern over vaccine side effects could improve the willingness to be vaccinated (probability changed by 7.7 pp; p < 0.10). The current vaccine distrust espoused by the Brazilian president is associated with vaccine hesitancy, among his voter base. Lower performance perception (“Very Bad” with 10.7 pp; p < 0.01) or higher political opposition (left-oriented) regarding the current presidency is associated with the willingness to be vaccinated. Higher compliance with non-pharmaceutical interventions (NPIs) is usually positively associated with the willingness to take the COVID-19 vaccine (+1 score to NPI compliance index is associated with higher willingness to be vaccinated by 1.4 pp, p < 0.05). CONCLUSION: Willingness to be vaccinated is strongly associated with political leaning, perceived federal government performance, vaccine side effects, and compliance with non-pharmaceutical interventions (NPIs).
Referencias
Johns Hopkins University & Medicine, Johns Hopkins Coronavirus Resource Center. Baltimore, MD: CRC; 2021 [cited 2021 May 18]. Available from: https://coronavirus.jhu.edu/
Hughes RP, Hughes DA. Impact of relaxing COVID-19 social distancing measures on rural North Wales: a simulation analysis. Front Public Health. 2020;8:562473. https://doi.org/10.3389/fpubh.2020.562473
Duczmal LH, Almeida ACL, Duczmal DB, Alves CRL, Magalhães FCO, Lima MS, et al. Vertical social distancing policy is ineffective to contain the COVID-19 pandemic. Cad Saude Publica. 2020;36(5):e00084420. https://doi.org/10.1590/0102-311X00084420
Almeida SV, Costa E, Lopes FV, Santos JV, Barros PP. Concerns and adjustments: how the Portuguese population met COVID-19. PLoS One. 2020;15(10):e0240500. https://doi.org/10.1371/journal.pone.0240500
Chernozhukov V, Kasahara H, Schrimpf P. Causal impact of masks, policies, behavior on early COVID-19 pandemic in the U.S. J Econom. 2021;220(1):23-62. https://doi.org/10.1016/j.jeconom.2020.09.003
Chou WYS, Budenz A. Considering emotion in COVID-19 vaccine communication: addressing vaccine hesitancy and fostering vaccine confidence. Health Commun. 2020;35(14):1718-22. https://doi.org/10.1080/10410236.2020.1838096
Harrison EA, Wu JW. Vaccine confidence in the time of COVID-19. Eur J Epidemiol. 2020;35(4):325-30. https://doi.org/10.1007/s10654-020-00634-3
Brunson EK, Schoch-Spana M. A social and behavioral research agenda to facilitate COVID-19 vaccine uptake in the United States. Health Secur. 2020;18(4):338-44. https://doi.org/10.1089/hs.2020.0106
Kasstan B. Vaccines and vitriol: an anthropological commentary on vaccine hesitancy, decision-making and interventionism among religious minorities. Anthropol Med. 2020 Nov 13:1-9. https://doi.org/10.1080/13648470.2020.1825618 Epub ahead of print.
Lin Y, Hu Z, Zhao Q, Alias H, Danaee M, Wong LP. Understanding COVID-19 vaccine demand and hesitancy: a nationwide online survey in China. PLoS Negl Trop Dis. 2020;14(12):e0008961. https://doi.org/10.1371/journal.pntd.0008961
Puri N, Coomes EA, Haghbayan H, Gunaratne K. Social media and vaccine hesitancy: new updates for the era of COVID-19 and globalized infectious diseases. Hum Vaccin Immunother. 2020;16(11):2586-93. https://doi.org/10.1080/21645515.2020.1780846
Ward JK, Alleaume C, Peretti-Watel P, Seror V, Cortaredona S, Launay O, et al. The French public’s attitudes to a future COVID-19 vaccine: the politicization of a public health issue. Soc Sci Med. 202;265:113414. https://doi.org/10.1016/j.socscimed.2020.113414
Callaghan T, Moghtaderi A, Lueck JA, Hotez P, Strych U, Dor A, et al. Correlates and disparities of intention to vaccinate against COVID-19. Soc Sci Med. 2021;272:113638. https://doi.org/10.1016/j.socscimed.2020.113638
Lima-Costa MF, Macinko J, Andrade FB, Souza Júnior PRB, Vasconcellos MTL, Oliveira CM. ELSI-COVID-19 initiative: methodology of the telephone survey on coronavirus in the Brazilian Longitudinal Study of Aging. Cad Saude Publica. 2020;36 Suppl 3:e00183120. https://doi.org/10.1590/0102-311X00183120
Wouters OJ, Shadlen KC, Salcher-Konrad M, Pollard AJ, Larson HJ, Teerawattananon Y, et al. Challenges in ensuring global access to COVID-19 vaccines: production, affordability, allocation, and deployment. Lancet. 2021;397(10278):1023-34. https://doi.org/10.1016/S0140-6736(21)00306-8
Murphy J, Vallières F, Bentall RP, Shevlin M, McBride O, Hartman TK, et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun. 2021;12(1):29. https://doi.org/10.1038/s41467-020-20226-9
Latkin CA, Dayton L, Yi G, Konstantopoulos A, Boodram B. Trust in a COVID-19 vaccine in the U.S.: a social-ecological perspective. Soc Sci Med. 2021;270:113684. https://doi.org/10.1016/j.socscimed.2021.113684
Lazarus JV, Ratzan SC, Palayew A, Gostin LO, Larson HJ, Rabin K, et al. A global survey of potential acceptance of a COVID-19 vaccine. Nat Med. 2021;27(2):225-8. https://doi.org/10.1038/s41591-020-1124-9
Silva LLS, Lima AFR, Polli DA, Razia PFS, Pavão LFA, Cavalcanti MAFH, et al. Social distancing measures in the fight against COVID-19 in Brazil: description and epidemiological analysis by state. Cad Saude Publica. 2020;36(9):e00185020. https://doi.org/10.1590/0102-311X00185020
Ranzani OT, Bastos LSL, Gelli JGM, Marchesi JF, Baião F, Hamacher S, et al. Characterisation of the first 250 000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data. Lancet Respir Med. 2021;9(4):407-18. https://doi.org/10.1016/S2213-2600(20)30560-9
Alves JA, Gibson CL. States and capitals of health: multilevel health governance in Brazil. Lat Am Polit Soc. 2019;61(1):54-77. https://doi.org/10.1017/lap.2018.59
Penna GO, Silva JAA, Cerbino Neto J, Temporão JG, Pinto LF. PNAD COVID-19: a powerful new tool for public health surveillance in Brazil. Cienc Saude Coletiva. 2020;25(9):3567-71. https://doi.org/10.1590/1413-81232020259.2400
Castro MC, Kim S, Barberia L, Ribeiro AF, Gurzenda S, Ribeiro KB, et al. Spatiotemporal pattern of COVID-19 spread in Brazil. Science. 2021;272(6544):821-6. https://doi.org/10.1126/science.abh1558
Orellana JDY, Cunha GM, Marrero L, Moreira RI, Leite IC, et al. [Excess deaths during the COVID-19 pandemic: underreporting and regional inequalities in Brazil]. Cad Saude Publica. 2020;36(1):e00259120. Portuguese. https://doi.org/10.1590/0102-311X00259120
Cotrin P, Moura W, Gambardela-Tkacz CM, Pelloso FC, Santos L, Carvalho MDB, et al. Healthcare workers in Brazil during the COVID-19 pandemic: a cross-sectional online survey. Inquiry. 2020;57:46958020963711. https://doi.org/10.1177/0046958020963711
Gramacho WG, Turgeon M. When politics collides with public health: COVID-19 vaccine country of origin and vaccination acceptance in Brazil. Vaccine. 2021;39(19):2608-12. https://doi.org/10.1016/j.vaccine.2021.03.080
Lazarus JV, Wyka K, Rauh L, Rabin K, Ratzan S, Gostin LO, et al. Hesitant or not? The association of age, gender, and education with potential acceptance of a COVID-19 vaccine: a country-level analysis. J Health Commun. 2020;25(10):799-807. https://doi.org/10.1080/10810730.2020.1868630
Troiano G, Nardi A. Vaccine hesitancy in the era of COVID-19. Public Health. 2021;194:245-51. https://doi.org/10.1016/j.puhe.2021.02.025
Paul E, Steptoe A, Fancourt D. Attitudes towards vaccines and intention to vaccinate against COVID-19: implications for public health communications. Lancet Reg Health Eur. 2021;1:100012. https://doi.org/10.1016/j.lanepe.2020.100012
Figueiredo A, Simas C, Karafillakis E, Paterson P, Larson HJ. Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study. Lancet. 2020;26;396(10255):898-908. https://doi.org/10.1016/S0140-6736(20)31558-0
Descargas
Publicado
Número
Sección
Licencia
Derechos de autor 2021 Marco Antonio Catussi Paschoalotto, Eduardo Polena Pacheco Araújo Costa, Sara Valente de Almeida, Joana Cima, Joana Gomes da Costa, João Vasco Santos, Pedro Pita Barros, Claudia Souza Passador, João Luiz Passador
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.