To combat vaccine hesitancy, determine ‘fence sitters’ – Futurity


Figuring out so-called “fence-sitters,” adults ambivalent about vaccines, early in a pandemic might assist cut back vaccine hesitancy, in response to a brand new research.

Utilizing neighborhood leaders to assist unfold dependable data inside their communities might support within the effort, researchers say.

“These findings have essential implications for public well being messaging and planning. Fence-sitters are in all probability the people who find themselves best to focus on for sure well being promotions,” says Abram Wagner, a analysis assistant professor of epidemiology on the College of Michigan’s College of Public Well being and lead creator of the report within the Journal of Community Health, which checked out altering attitudes in direction of conventional vaccines and the COVID-19 vaccine amongst US adults.

For his or her evaluation, researchers used knowledge from the COVID-19 Coping Examine, led by College of Michigan professors Lindsay Kobayashi of the College of Public Well being and Jessica Finlay of the Institute for Social Analysis. The longitudinal research seeks to know how the pandemic-related management practices and insurance policies are affecting the psychological well being and well-being of older adults.

The research adopted adults 55 and older dwelling in america on a month-to-month foundation from April 2020 via Might 2021. It included knowledge from 2,358 individuals, and whereas the survey was not designed to be consultant of the US inhabitants, it supplies actionable knowledge for pandemic preparedness insurance policies, the researchers say.

The researchers had been on this age group as a result of older adults have the next threat of extreme sickness from SARS-CoV-2, Wagner says.

“On the time we had been conducting this research, whether or not they would get the COVID-19 vaccine was not essentially a given,” says Wagner, who provides the researchers needed to see if there was a relationship between what individuals considered vaccines usually and whether or not they would get the COVID-19 vaccine particularly.

Researchers first categorized every particular person as an acceptor, ambivalent, or rejector based mostly on their attitudes in direction of vaccines at first of the vaccine rollout. They in contrast these teams by sociodemographic traits (intercourse, age, race, amongst others) and threat discount habits resembling masks carrying and social distancing.

At the start of the research, researchers recognized 88.9% of the respondents as vaccine acceptors, 8.6% as vaccine ambivalent, and a couple of.5% vaccine rejectors. By the tip of the research, 90.7% of acceptors, 62.4% of the ambivalent, and 30.7% of the rejectors had been vaccinated.

Different key findings included:

  • The vaccine-ambivalent had been extra more likely to be Black and Hispanic. A CDC research had beforehand proven that vaccine rejectors are usually white and of decrease socioeconomic standing.
  • Whereas the respondents’ attitudes in direction of vaccines different, all teams expressed considerations over new vaccines and having potential critical adversarial results.
  • The research helps earlier analysis that exhibits the ambivalent really feel strongly about defending others.
  • Decrease uptake of COVID-19 vaccination among the many ambivalent exhibits the “wait and see” method seeks reaffirmation from neighborhood members.
  • Understanding why some may hesitate to get the vaccine and figuring out those that are ambivalent early on might assist provide you with methods focusing on these particular populations, Wagner says.

“The subsequent time that we have to introduce a brand new vaccine into the inhabitants, we might shortly determine who these fence-sitters are. We adopted them for a time frame and there was a robust relationship between their hesitancy in how we group them and their precise behaviors,” he says.

Additionally related for future pandemic preparedness, Wagner says, is specializing in who’s delivering the message.

“It could be that we’ve got to work via individuals exterior of the well being care system,” he says. “Medical doctors and nurses could be actually essential individuals for introducing one thing to a neighborhood, however we discovered that not all people goes to consider messaging from them.

“There are different neighborhood leaders that would assist talk like non secular leaders, political leaders, and even enterprise leaders. I feel it’ll be essential to sort of think twice about who’s delivering the message.”

Further coauthors are from the College of Michigan College of Public Well being.

Supply: University of Michigan


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