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. 2021 Nov 30;17(12):4761–4798. doi: 10.1080/21645515.2021.1984134

Appendix Table 4D.

Simple associations between COVID-19 vaccination intent and reasons for getting or not getting a COVID-19 vaccine among rural and urban residents

Reason Residence Location
Rural residence
Urban residence
n (%) OR (95% CI) p-value n (%) OR (95% CI) p-value
Reasons for getting a COVID-19 vaccine among those with uncertain/high intenta            
I want to protect myself     0.73     <0.0001
 Yes 588 (98%) 1.24 (0.38–4.08)   2360 (96%) 5.42 (3.25–9.04)  
 No 15 (2%) 1.00 (Ref)   98 (4%) 1.00 (Ref)  
I want to protect my family     0.89     <0.0001
 Yes 572 (95%) 1.06 (0.47–2.42)   2312 (94%) 2.53 (1.74–3.66)  
 No 31 (5%) 1.00 (Ref)   147 (6%) 1.00 (Ref)  
I want to protect my community     0.001     <0.0001
 Yes 542 (90%) 2.79 (1.50–5.16)   2186 (90%) 2.83 (2.13–3.77)  
 No 58 (10%) 1.00 (Ref)   252 (10%) 1.00 (Ref)  
I have a chronic health condition, such as asthma or diabetes, so it is important that I have it 0.04     0.59
 Yes 256 (43%) 1.47 (1.01–2.14)   940 (39%) 1.05 (0.88–1.26)  
 No 341 (57%) 1.00 (Ref)   1476 (61%) 1.00 (Ref)  
It would be the best way to avoid getting seriously ill from COVID-19     0.001     <0.0001
 Yes 535 (89%) 2.66 (1.48–4.80)   2204 (90%) 4.85 (3.55–6.62)  
 No 67 (11%) 1.00 (Ref)   240 (10%) 1.00 (Ref)  
It would allow me to feel safe around other people     0.03     <0.0001
 Yes 505 (84%) 1.71 (1.05–2.77)   2040 (84%) 2.96 (2.33–3.75)  
 No 95 (16%) 1.00 (Ref)   401 (16%) 1.00 (Ref)  
Life won’t go back to normal until most people are vaccinated     <0.0001     <0.0001
 Yes 486 (81%) 2.65 (1.67–4.21)   1963 (81%) 3.65 (2.90–4.59)  
 No 111 (19%) 1.00 (Ref)   457 (19%) 1.00 (Ref)  
Recommendation of medical professionals     0.37     0.0001
 Yes 521 (87%) 1.27 (0.75–2.14)   2164 (88%) 1.71 (1.31–2.25)  
 No 80 (13%) 1.00 (Ref)   286 (12%) 1.00 (Ref)  
Recommendation of political leaders     0.03     <0.0001
 Yes 87 (15%) 1.86 (1.08–3.20)   299 (12%) 2.61 (1.94–3.52)  
 No 505 (85%) 1.00 (Ref)   2096 (88%) 1.00 (Ref)  
Recommendation of religious leaders     0.04     0.01
 Yes 81 (14%) 1.77 (1.02–3.07)   293 (12%) 1.42 (1.08–1.87)  
 No 507 (86%) 1.00 (Ref)   2102 (88%) 1.00 (Ref)  
Recommendation of friends or family     0.0002     0.003
 Yes 264 (45%) 2.00 (1.38–2.89)   1033 (43%) 1.30 (1.09–1.55)  
 No 328 (55%) 1.00 (Ref)   1371 (57%) 1.00 (Ref)  
I believe the vaccine is safe     <0.0001     <0.0001
 Yes 465 (79%) 3.56 (2.16–5.87)   1910 (80%) 3.79 (2.99–4.79)  
 No 125 (21%) 1.00 (Ref)   482 (20%) 1.00 (Ref)  
Reasons would not get a COVID-19 vaccine among those with uncertain/low intentb            
I am allergic to vaccines     0.1     0.65
 Yes 31 (8%) 0.50 (0.21–1.15)   99 (7%) 0.91 (0.59–1.38)  
 No 376 (92%) 1.00 (Ref)   1344 (93%) 1.00 (Ref)  
I don’t like needles     0.74     0.23
 Yes 73 (18%) 0.91 (0.52–1.59)   272 (19%) 0.84 (0.63–1.12)  
 No 337 (82%) 1.00 (Ref)   1174 (81%) 1.00 (Ref)  
I’m not concerned about getting seriously ill from COVID-19     0.3     0.19
 Yes 140 (34%) 1.28 (0.81–2.02)   438 (30%) 1.18 (0.92–1.50)  
 No 270 (66%) 1.00 (Ref)   1020 (70%) 1.00 (Ref)  
I won’t have time to get vaccinated     0.62     0.77
 Yes 23 (6%) 0.79 (0.32–1.97)   82 (6%) 1.08 (0.66–1.75)  
 No 385 (94%) 1.00 (Ref)   1357 (94%) 1.00 (Ref)  
I would be concerned about getting infected with COVID-19 from the vaccine     0.64     0.11
 Yes 199 (47%) 0.90 (0.58–1.39)   765 (51%) 0.83 (0.67–1.04)  
 No 226 (53%) 1.00 (Ref)   731 (49%) 1.00 (Ref)  
I would be concerned about side effects from the vaccine     0.03     0.005
 Yes 351 (80%) 0.53 (0.30–0.92)   1217 (79%) 0.68 (0.52–0.89)  
 No 86 (20%) 1.00 (Ref)   317 (21%) 1.00 (Ref)  
I don’t think vaccines work very well     0.3     0.37
 Yes 108 (26%) 1.31 (0.79–2.18)   340 (24%) 1.13 (0.87–1.47)  
 No 302 (74%) 1.00 (Ref)   1105 (76%) 1.00 (Ref)  
The COVID-19 outbreak is not as serious as some people say it is     0.25     0.67
 Yes 91 (22%) 1.37 (0.80–2.33)   276 (19%) 1.07 (0.80–1.42)  
 No 319 (78%) 1.00 (Ref)   1177 (81%) 1.00 (Ref)  
I would be concerned about the cost of the vaccine     0.007     <0.0001
 Yes 120 (29%) 0.51 (0.32–0.83)   462 (32%) 0.57 (0.45–0.71)  
 No 290 (71%) 1.00 (Ref)   995 (68%) 1.00 (Ref)  
I think the COVID-19 vaccine will not work     0.66     0.89
 Yes 148 (36%) 0.90 (0.58–1.41)   508 (35%) 1.02 (0.81–1.28)  
 No 261 (64%) 1.00 (Ref)   939 (65%) 1.00 (Ref)  
Other reason     0.04     0.03
 Yes 94 (30%) 1.79 (1.04–3.08)   342 (29%) 1.35 (1.03–1.76)  
 No 217 (70%) 1.00 (Ref)   855 (71%) 1.00 (Ref)  

aUsed proportional odds model to individually assess each reason and its association with higher likelihood of vaccination among those who answered neither likely nor unlikely, somewhat likely, or very likely for vaccination. Models were adjusted for all of the covariates included in models in Table 2.

bUsed proportional odds model to individually assess each reason and its association with lower likelihood of vaccination among those who answered neither likely nor unlikely, somewhat unlikely, or very unlikely for vaccination. Models were adjusted for all of the covariates included in models in Table 2.