Published on Mon Jul 05 2021

COVID-19 vaccine hesitancy and refusal and associated factors in an adult population in Saskatchewan, Canada: Evidence from predictive modelling

Muhajarine, N., Adeyinka, D. A., McCutcheon, J., Green, K. L., Fahlman, M., Kallio, N.

A high population level of vaccination is required to control the COVID-19 pandemic, but not all Canadians are ready to get a vaccine. Seventy-six percent of the respondents indicated that they had been or were willing to be vaccinated.

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Abstract

Background. A high population level of vaccination is required to control the COVID-19 pandemic, but not all Canadians are ready to get a vaccine. The objectives of this study were to describe COVID-19 vaccine acceptance, hesitancy and refusal rates and associated factors in Saskatchewan, Canada. Methods. This study consisted of a weighted sample of 9,252 survey responses from 7,265 Saskatchewan adults between May 4, 2020 and April 3, 2021. The outcome variable was vaccine intention: vaccine acceptance, hesitancy, and refusal. The independent variables were socio-demographic factors, risk of exposure to coronavirus, mitigating behaviours, and perceptions of COVID-19. Results. Seventy-six percent of the respondents indicated that they had been or were willing to be vaccinated, 13% not decided, and the remaining 11% said would not be vaccinated. Factors that increased the likelihood of vaccine refusal and hesitancy were lower education level, financial instability, Indigenous status, and not being concerned about spreading the coronavirus. Conclusion. Reaching sufficient coverage of the population is likely to require targeted efforts to convince those who are resistant or unsure.