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Nery, Jr, Nivison; Ticona, Juan P Aguilar; Cardoso, Cristiane W; Prates, Ana Paula Pitanga Barbuda; Vieira, Helena Cristina Alves; Salvador de Almeida, Andrea; Souza, Mirela Maisa da Silva; Borba Dos Reis, Olivete; Pellizzaro, Maysa; Portilho, Moyra Machado; Rosa da Anunciação, Renan; Victoriano, Renato; Oliveira Dos Anjos, Rosangela; Argibay, Hernán Dario; Carmo Lima, Douglas Oliveira; Mesquita, Isadora Lima; Conceição, Wesley Mota; Santana, Perla Machado; Oliveira, Elaine Carvalho; Santana, Pamela Santos Nascimento; Brodskyn, Claudia Ida; Mothé Fraga, Deborah Bittencourt; Solcà, Manuela da Silva; Reis, Mitermayer Galvão; Costa, Federico; Ribeiro, Guilherme S
PloS one, 01/2022, Volume: 17, Issue: 1Journal Article
Vaccination is a major strategy to prevent the coronavirus disease 2019 (COVID-19). However, information about factors associated with men and women intention to be vaccinated are scarce. To determine COVID-19 vaccine acceptance and identify factors associated vaccine hesitancy according to sex, we performed a cross-sectional population-based random survey in Salvador, Brazil between Nov/2020-Jan/2021. Participants were interviewed to obtain data on intention to receive and pay for a COVID-19 vaccine, as well as on demographics, comorbidities, influenza vaccination history, previous diagnosis of COVID-19, and exposures and perception of COVID-19 risk. Among 2,521 participants, 2,053 (81.4%) reported willingness to use a COVID-19 vaccine and 468 (18.6%) hesitated to take it. Among those intending to get vaccinated, 1,400 (68.2%) would pay for the vaccine if necessary. Sex-stratified multivariable analysis found that men who were working and who had comorbidities were less likely to hesitate about using the vaccine. Among women, higher educational level and high perception of COVID-19 risk were associated with less vaccine hesitancy. In both groups, reporting influenza vaccination in 2020 reduced the chance of COVID-19 vaccine hesitancy. COVID-19 vaccine campaigns targeting to reduce vaccine hesitancy are urgently needed. These campaigns should consider gender differences in order to be successful.
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