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. 2021 Jul 20;74(8):1382–1389. doi: 10.1093/cid/ciab640

Table 3.

Predictors of Vaccine Hesitancy

Enthusiasm to Receive Vaccination, n (%) Odds Ratio (95% CI)
Participant Characteristics Not Willing/Unsure (n = 226) Willing (n = 430) Unadjusted Adjusted
Case statusa
 Case with SARS-CoV-2 infection 139 (61.5) 264 (61.4) N/A N/A
 Uninfected control 87 (38.5) 166 (38.6) N/A N/A
Age
 18–29 y 82 (36.3) 189 (44.0) Ref Ref
 30–49 y 93 (41.2) 147 (34.2) 1.45 (1.01, 2.10) 1.45 (.97, 2.16)
 50–64 y 34 (15.0) 76 (17.7) 1.03 (.64, 1.66) .77 (.46, 1.28)
 ≥65 y 17 (7.5) 18 (4.2) 2.20 (1.07, 4.40) 1.66 (.77, 3.57)
Region
 Predominantly urban regionsb 67 (29.6) 214 (49.8) Ref Ref
 Predominantly rural regionsc 159 (70.4) 216 (50.2) 2.35 (1.66, 3.29) 2.42 (1.66, 3.52)
Sex
 Male 107 (47.3) 236 (54.9) Ref Ref
 Woman 119 (52.7) 194 (45.1) 1.35 (.97, 1.87) 1.47 (1.04, 2.08)
Incomed
 Under $50 000 55 (24.3) 132 (30.7) Ref Ref
 $50 000 to $100 000 49 (21.7) 98 (22.8) 1.20 (.76, 1.91) 1.17 (.73, 1.86)
 $100 000 to $150 000 28 (12.4) 39 (9.1) 1.72 (.98, 3.07) 1.4 (0.81,2.41)
 Over $150 000 22 (9.7) 44 (10.2) 1.20 (.66, 2.18) 1.25 (.7, 2.28)
Racee
 White 104 (46.0) 163 (38.0) Ref Ref
 Hispanic 53 (23.5) 146 (34.0) .57 (.38, .85) .72 (.46, 1.12)
 Asian 7 (3.1) 58 (13.5) .19 (.08, .44) .24 (.1, .55)
 Black 20 (8.8) 18 (4.2) 1.74 (.88, 3.44) 2.54 (1.24, 5.15)
 More than 1 race 26 (11.5) 36 (8.4) 1.13 (.64, 1.97) 1.4 (.78, 2.51)
 Native American or Alaskan Native 6 (2.7) 4 (0.9) 2.34 (.64, 8.48) 2.02 (.54, 7.53)
 Native Hawaiian or Pacific Islander 3 (1.3) 1 (0.2) 4.73 (.48, 42.82) 4.64 (.46, 45.74)

Logistic regression models adjusting for age, region, sex, income, and race predicted the likelihood an individual was vaccine hesitant. Missing values of income and race were multiply imputed using the Amelia II package.

Abbreviations: CI, confidence interval; N/A, not applicable; Ref, reference; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

aCase status is presented here for context but was not included in regression analyses as it could be considered an outcome of willingness to receive vaccination; thus, odds ratio estimates are N/A for this characteristic.

bPredominantly urban regions include San Francisco Bay area, Greater Los Angeles area, Greater Sacramento area, San Diego, and the Southern border. We tabulate regions of residence for individuals who were hesitant or willing to receive vaccination in Supplementary Table 1.

cPredominantly rural regions include Central Coast, Northern Sacramento valley, San Joaquin Valley, Northwestern California, and the Sierras region. We tabulate regions of residence for individuals who were hesitant or willing to receive vaccination in Supplementary Table 1.

dFor regression analyses, values were imputed for individuals who did not share income data due to refusal (43 [19.0%] among hesitant and 66 [15.3%] among nonhesitant participants) or those who did not know their income (29 [12.8%] among hesitant and 51 [11.9%] among nonhesitant participants).

eFor regression analyses, values were imputed for individuals who did not share race data (7 [3.1%] among hesitant and 3 [0.7%] among nonhesitant participants).