Introduction: The aim of this study was to assess the relationship between double COVID-19 vaccine uptake and trust in effectiveness and safety of vaccination in general in 23 European Union (EU) countries.
Methods: Ecological study. Data was retrieved from the Flash Eurobarometer 494 and Our World in Data. We estimated Pearson's correlation coefficients and fitted multiple linear regression models.
Results: There is a negative linear correlation between the percentage of people doubly vaccinated and the percentage of low trust in vaccine effectiveness (r = -0.48, p-value = 0.021), and the percentage of low trust in vaccine safety (r = -0.43, p-value = 0.041). There is a negative adjusted relation between the percentage of low trust in vaccine safety and the percentage of people doubly vaccinated (aβ% low trust in vaccinesafety:-0.25; 95% CI: -0.49,-0.01, p-value = 0.045).
Conclusion: An increase in health literacy of people living in certain countries in the EU may be needed to boost COVID-19 vaccine uptake.
Keywords: COVID-19; European Union; Vaccination; Vaccine effectiveness; Vaccine safety.
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