TABLE 3. Behavioral and social drivers of COVID-19 vaccination, by sexual orientation and gender identity — National Immunization Survey Adult COVID Module, United States, August 29–October 30, 2021.
| Central attitudes and experiences | % (95% CI)* |
||||||
|---|---|---|---|---|---|---|---|
| Overall | Sexual orientation |
Gender identity |
|||||
| Heterosexual/ Straight | Gay or lesbian | Bisexual | Something else | Not transgender or nonbinary | Transgender or nonbinary | ||
|
Total
|
153,062
|
132,608
|
3,941
|
4,395
|
2,532
|
136,929
|
5,594
|
|
Concerned about COVID–19 (very or moderately)
|
48.5 (48.0–49.0) |
48.1 (47.6–48.7) |
56.8 (53.5–60.0)† |
51.3 (48.5–54.1)† |
52.8 (48.9–56.6)† |
48.4 (47.9–49.0) |
49.4 (46.8–52.0) |
| Male |
42.6 (41.9–43.4) |
42.2 (41.5–43.0) |
55.0 (50.8–59.3)† |
42.0 (37.1–47.1) |
45.3 (39.4–51.4) |
NA |
NA |
| Female |
53.9 (53.2–54.6) |
54.0 (53.2–54.7) |
59.1 (53.9–64.2)† |
54.9 (51.6–58.3) |
57.8 (52.8–62.6) |
NA |
NA |
|
Confidence in vaccine safety (completely or very)
|
64.4 (63.8–64.9) |
63.9 (63.3–64.4) |
76.3 (73.1–79.3)† |
70.4 (67.6–73.1)† |
69.3 (65.5–72.8)† |
64.7 (64.2–65.2) |
62.8 (60.2–65.4) |
| Male |
64.1 (63.4–64.9) |
63.2 (62.4–64.0) |
82.4 (78.3–85.9)† |
76.3 (71.0–80.8)† |
72.7 (67.2–77.6)† |
NA |
NA |
| Female |
64.6 (63.9–65.3) |
64.5 (63.7–65.3) |
67.4 (62.2–72.3) |
68.1 (64.7–71.4)† |
66.9 (61.8–71.7) |
NA |
NA |
|
Vaccine important to protect self (very or somewhat)
|
80.9 (80.5–81.3) |
80.4 (80.0–80.9) |
90.8 (88.5–92.7)† |
86.8 (84.7–88.6)† |
83.5 (80.0–86.5) |
80.7 (80.3–81.2) |
83.2 (81.1–85.1)§ |
| Male |
77.7 (77.0–78.3) |
76.9 (76.2–77.6) |
92.9 (89.9–95.1)† |
87.6 (82.7–91.2)† |
80.8 (75.4–85.3) |
NA |
NA |
| Female |
83.9 (83.4–84.5) |
83.9 (83.2–84.4) |
87.8 (83.9–90.9)† |
86.4 (84.2–88.5)† |
85.4 (80.5–89.2) |
NA |
NA |
|
Had friends/family who were vaccinated (almost all or many)
|
70.2 (69.7–70.6) |
70.0 (69.5–70.5) |
76.4 (73.4–79.2)† |
71.2 (68.4–73.8) |
72.7 (69.1–76.0) |
70.6 (70.1–71.1) |
67.6 (65.1–70.1)§ |
| Male |
68.3 (67.6–69.0) |
67.8 (67.1–68.6) |
79.3 (75.5–82.8)† |
71.5 (66.2–76.4) |
71.4 (65.9–76.4) |
NA |
NA |
| Female |
71.9 (71.3–72.6) |
72.1 (71.4–72.8) |
72.4 (67.4–76.9) |
71.0 (67.7–74.1) |
73.5 (68.7–77.8) |
NA |
NA |
|
Difficulty getting vaccinated (very or somewhat)¶
|
14.9 (14.6–15.3) |
14.9 (14.6–15.3) |
18.9 (16.3–21.8)† |
12.0 (10.4–13.8)† |
16.1 (13.4–19.2) |
15.1 (14.7–15.5) |
13.2 (11.6–15.0)§ |
|
Health care provider recommended the vaccine
|
41.2 (40.7–41.7) |
41.3 (40.8–41.9) |
47.3 (44.1–50.6)† |
38.1 (35.4–40.8)† |
40.3 (36.7–44.1) |
41.3 (40.8–41.8) |
38.4 (35.9–40.9)§ |
| Male |
37.5 (36.8–38.2) |
37.3 (36.5–38.0) |
49.0 (44.7–53.3)† |
34.2 (29.3–39.5) |
37.2 (31.7–43.0) |
NA |
NA |
| Female |
44.7 (44.0–45.4) |
45.3 (44.6–46.1) |
45.0 (40.0–50.1) |
39.6 (36.4–42.8)† |
42.5 (37.8–47.3) |
NA |
NA |
| Work or school requires the vaccine | 22.6 (22.1–23.0) | 22.1 (21.7–22.6) | 26.4 (23.8–29.2)† | 26.5 (24.2–29.0)† | 29.4 (25.8–33.3)† | 22.5 (22.1–23.0) | 25.9 (23.6–28.2)§ |
Abbreviation: NA = not applicable.
* Weighted estimate.
† Compared with heterosexual persons, p<0.05.
§ Compared with persons who were not transgender or nonbinary, p<0.05.
¶ Vaccinated respondents were asked, “How difficult was it for you to get a COVID-19 vaccine?”; unvaccinated respondents were asked “How difficult would it be for you to get a COVID-19 vaccine?