Analysis of public opinion polls about COVID-19 vaccines: Theoretical and policy implications for vaccine communication and campaigns to address vaccine hesitancy

Hum Vaccin Immunother. 2024 Dec 31;20(1):2437921. doi: 10.1080/21645515.2024.2437921. Epub 2024 Dec 17.

Abstract

This study analyzed 1432 questions asked in 19 surveys (N = 43,014) on COVID-19 vaccines between January 2020 and August 2022 using dimensions including (1) information sources about COVID-19 vaccine, (2) information about the access, effectiveness, and side effects of COVID-19 vaccine, (3) COVID-19 vaccine hesitancy (i.e. false perception, skepticism, and vaccine refusal), (4) motivations to get the COVID-19 vaccine (i.e. to perform routine activities, convenience, incentives, influences, and travel requirement), (5) false perceptions caused vaccine refusal, and (6) intentions to get vaccinated. Our results show that vaccine refusal was rampant throughout the pandemic and mostly attributed to the rush in the vaccine development process and perceived safety risks. Additionally, our analysis indicates that people's motivation to get vaccinated came from varied sources such as doctors, family members, and politicians. Lastly, mandating vaccines during the pandemic did not significantly increase uptake among individuals who were initially skeptical, and concerns about the rapid development of the vaccine were a major cause of vaccine hesitancy. Findings were discussed and interpreted using the information deficit model, the two-step flow theory, and the reactance theory. This research provides valuable insights and practical implications, along with significant theoretical contributions and policy recommendations.

Keywords: COVID-19 vaccine; global pandemic; information deficit model; public opinion; vaccine acceptance; vaccine refusal.

MeSH terms

  • COVID-19 Vaccines* / administration & dosage
  • COVID-19* / prevention & control
  • Communication
  • Health Knowledge, Attitudes, Practice
  • Health Policy
  • Humans
  • Motivation
  • Patient Acceptance of Health Care / psychology
  • Public Opinion*
  • SARS-CoV-2 / immunology
  • Surveys and Questionnaires
  • Vaccination / psychology
  • Vaccination / statistics & numerical data
  • Vaccination Hesitancy* / psychology
  • Vaccination Hesitancy* / statistics & numerical data
  • Vaccination Refusal / psychology
  • Vaccination Refusal / statistics & numerical data

Substances

  • COVID-19 Vaccines

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.