Running away from the jab: factors associated with COVID-19 vaccine hesitancy in Brazil

Rev Saude Publica. 2021 Nov 26:55:97. doi: 10.11606/s1518-8787.2021055003903. eCollection 2021.

Abstract

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).

MeSH terms

  • Brazil
  • COVID-19 Vaccines
  • COVID-19*
  • Humans
  • Running*
  • SARS-CoV-2
  • Surveys and Questionnaires

Substances

  • COVID-19 Vaccines

Grants and funding

Eduardo Costa was funded by. Fundação para a Ciência e a Tecnologia (FCT) under PhD grant number BD128545/2017. Joana Gomes da Costa was funded by Fundação para a Ciência e a Tecnologia (FCT) under PhD grant number SFRH/BD/140727/2018. The remaining authors have no financial relationships relevant to this article to disclose.