Psychosocial Determinants of COVID-19 Vaccination Intention Among White, Black, and Hispanic Adults in the US

Abstract Background COVID-19 vaccine uptake is an urgent public health priority. Purpose To identify psychosocial determinants (attitudes, normative pressure, and perceived behavioral control) of COVID-19 vaccination intentions for U.S. White, Black, and Hispanic adults, and how COVID-19 mispercepti...

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Bibliographic Details
Published in:Annals of behavioral medicine 2022-04, Vol.56 (4), p.347-356
Main Authors: Bleakley, Amy, Hennessy, Michael, Maloney, Erin, Young, Dannagal G, Crowley, John, Silk, Kami, Langbaum, Jessica B
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
COVID-19 - prevention & control
COVID-19 Vaccines
Hispanic or Latino
Humans
Intention
Middle Aged
Regular
Vaccination - psychology
Young Adult
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Summary:Abstract Background COVID-19 vaccine uptake is an urgent public health priority. Purpose To identify psychosocial determinants (attitudes, normative pressure, and perceived behavioral control) of COVID-19 vaccination intentions for U.S. White, Black, and Hispanic adults, and how COVID-19 misperceptions, beliefs about the value of science, and perceived media bias relate to these determinants. Methods Longitudinal online survey using two national samples (18–49 years old/50 years and older), each stratified by racial/ethnic group (n = 3,190). Data were collected in October/November 2020 and were weighted by race group to be representative. Results Path analyses showed that more positive attitudes about getting vaccinated predict intention across age and racial/ethnic groups, but normative pressure is relevant among older adults only. Belief in the value of science was positively associated with most determinants across all groups, however the association of COVID-19 misperceptions and perceived media bias with the determinants varied by age group. Conclusions Messages that emphasize attitudes toward vaccination can be targeted to all age and racial/ethnic groups, and positive attitudes are universally related to a belief in the value of science. The varying role of normative pressure poses messages design challenges to increase vaccination acceptance. In the United States, intention to get the COVID-19 vaccine varied across age and racial/ethnic groups, but attitudes toward getting vaccinated were an important predictor across all adults
ISSN:0883-6612
1532-4796
1532-4796
DOI:10.1093/abm/kaab091