Table 2.
Primary reason for not getting a COVID-19 vaccine among adults in Mpumalanga, South Africa, stratified by gender*
| Male (n = 7960) |
Female (n = 9198) |
Total (n = 17 158) |
||||
|---|---|---|---|---|---|---|
|
Main reason for not getting vaccinated
|
n
|
95% CI
|
n
|
95% CI
|
N
|
95% CI
|
|
Communication/outreach issues:
|
2638
|
33.1 (28.1-38.7)
|
3638
|
39.5 (35.0-44.3)
|
6276
|
36.6 (33.1-40.2)
|
| Didn’t know where to go |
1134 |
14.2 (10.8-18.6) |
1103 |
12.0 (9.2-15.5) |
2236 |
13.0 (10.8-15.7) |
| Didn’t know I was eligible |
912 |
11.5 (8.3-15.6) |
1193 |
13.0 (10.1-16.5) |
2106 |
12.3 (10.1-14.9) |
| Not eligible |
592 |
7.4 (4.9-11.1) |
1,271 |
13.8 (10.8-17.5) |
1863 |
10.9 (8.8-13.3) |
| Didn’t know about the vaccine/it was available |
0 |
0 |
71 |
0.8 (0.3-2.0) |
71 |
0.4 (0.2-1.1) |
|
COVID-19 vaccine hesitancy:
|
1860
|
23.4 (18.9-28.5)
|
1523
|
16.6 (13.3-20.4)
|
3383
|
19.7 (16.9-22.8)
|
| Concerned about side effects |
1213 |
15.2 (11.6-19.8) |
930 |
10.1 (7.6-13.3) |
2143 |
12.5 (10.3-15.1) |
| Concerned vaccine will cause spiritual harm |
307 |
3.9 (2.2-6.7) |
199 |
2.2 (1.1-4.3) |
506 |
3.0 (1.9-4.5) |
| Not ready yet/wants more info/not sure |
155 |
1.9 (0.9-4.3) |
238 |
2.6 (1.4-4.8) |
393 |
2.3 (1.4-3.7) |
| Don’t think vaccine will work |
161 |
2.0 (0.9-4.5) |
95 |
1.0 (0.4-2.5) |
255 |
1.5 (0.8-2.7) |
| Scared of the vaccine |
0 |
0 |
61 |
0.7 (0.2-2.1) |
61 |
0.4 (0.1-1.1) |
| Don’t understand why the vaccine is needed |
24 |
0.3 (0.0-2.1) |
0 |
0 |
24 |
0.1 (0.0-1.0) |
|
Structural & supply-side barriers to health care:
|
1211
|
15.2 (11.6-19.7)
|
1241
|
13.5 (10.5-17.1)
|
2452
|
14.3 (11.9-17.1)
|
| Vaccination site open at inconvenient hours/long wait times |
991 |
12.4 (9.2-16.7) |
890 |
9.7 (7.2-12.9) |
1881 |
11.0 (8.9-13.5) |
| Too long/expensive to travel to vaccination site |
95 |
1.2 (0.4-3.2) |
236 |
2.6 (1.4-4.7) |
330 |
1.9 (1.1-3.2) |
| Registration issues |
106 |
1.3 (0.5-3.4) |
26 |
0.3 (0.0-2.0) |
132 |
0.8 (0.3-1.8) |
| Clinic ran out of vaccines |
19 |
0.2 (0.0-1.7) |
89 |
1.0 (0.4-2.6) |
108 |
0.6 (0.3-1.5) |
|
General vaccine hesitancy:
|
775
|
9.7 (6.9-13.6)
|
668
|
7.3 (5.1-10.2)
|
1443
|
8.4 (6.6-10.7)
|
| Don’t get vaccines generally |
471 |
5.9 (3.7-9.2) |
452 |
4.9 (3.2-7.5) |
923 |
5.4 (3.9-7.3) |
| Don’t like needles |
275 |
3.5 (1.9-6.2) |
189 |
2.1 (1.1-4.0) |
464 |
2.7 (1.7-4.2) |
| People in my community do not get vaccines |
29 |
0.4 (0.1-2.6) |
26 |
0.3 (0.0-2.0) |
56 |
0.3 (0.1-1.3) |
|
Possible contraindications:
|
194
|
2.4 (1.2-4.9)
|
862
|
9.4 (7.0-12.4)
|
1056
|
6.2 (4.7-8.0)
|
| Currently sick |
145 |
1.8 (0.8-4.1) |
478 |
5.2 (3.6-7.5) |
624 |
3.6 (2.6-5.1) |
| Pregnant/breastfeeding |
0 |
0 |
173 |
1.9 (0.9-3.9) |
173 |
1.0 (0.5-2.1) |
| Allergic to vaccines |
49 |
0.6 (0.1-2.5) |
69 |
0.7 (0.3-2.0) |
117 |
0.7 (0.3-1.6) |
| Concerned about concomitant medications |
0 |
0 |
101 |
1.1 (0.5-2.4) |
101 |
0.6 (0.3-1.3) |
| Concerned about comorbidity |
0 |
0 |
42 |
0.5 (0.1-1.9) |
42 |
0.2 (0.1-1.0) |
|
Lack of concern about COVID-19:
|
130
|
1.6 (0.7-3.9)
|
42
|
0.5 (0.1-1.9)
|
172
|
1.0 (0.5-2.1)
|
| Not concerned about getting ill from COVID-19 |
106 |
1.3 (0.5-3.5) |
16 |
0.2 (0.0-1.2) |
122 |
0.7 (0.3-1.7) |
| COVID-19 is not as serious as people say |
24 |
0.3 (0.0-2.1) |
26 |
0.3 (0.0-2.0) |
50 |
0.3 (0.1-1.2) |
|
Other:
|
1151
|
14.5 (11.0-18.8)
|
1174
|
12.8 (9.9-16.3)
|
2325
|
13.5 (11.3-16.2)
|
| Unknown “other” reason |
1009 |
12.7 (9.4-16.8) |
1062 |
11.5 (8.8-14.9) |
2071 |
12.1 (9.9-14.6) |
| Other |
142 |
1.8 (0.8-3.9) |
111 |
1.2 (0.5-2.7) |
253 |
1.5 (0.8-2.6) |
| Missing | 0 | 0 | 52 | 0.6 (0.2-1.8) | 52 | 0.3 (0.1-0.9) |
CI – Confidence interval
*All counts (n), percentages (%), and 95% CIs are weighted values, including those for missing data.