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Exploring Covid-19 Vaccine Decision Making

Insights from ‘One-Shot Wonders’ and ‘Booster Enthusiasts’

Bibliographic Data

ID15469121
AuthorsJosefina Núñez Sahr (0009-0005-1459-836X, City University of New York, corresponding author), Angela M Parcesepe (0000-0002-4321-125X, University of North Carolina at Chapel Hill), William You (0000-0002-9081-2322, City University of New York), Denis Nash (0000-0002-3280-5386, City University of New York), Kate Penrose (0000-0002-7808-7439, City University of New York), Milton L Wainberg (0000-0002-9390-4652, New York State Psychiatric Institute), Subha Balasubramanian (0009-0007-8540-2701, City University of New York), Bai Xi Jasmine Chan (City University of New York), Rachael Piltch-Loeb (0000-0002-6813-1934, City University of New York)
Year2024
Volume21
Issue8
Pages1054-1054
Publication date2024-08-12
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph21081054
PMID39200664
OpenAlexW4401516431
LanguageEN
Citations received2
References cited24

Within the USA, the uptake of the updated COVID-19 vaccines is suboptimal despite health authority recommendations. This study used qualitative methods to examine factors influencing COVID-19 vaccine decision making and the effects of anxiety and depression on these decisions within the CHASING COVID Cohort (C3). Between October and December 2023, we conducted 25 interviews with participants from 16 different US states, 14 of whom endorsed recent symptoms of anxiety and/or depression. Using grounded theory methodology for coding and thematic analysis, we categorized participants into "One-Shot Wonders" and "Booster Enthusiasts". Our findings indicate that the US COVID-19 vaccination environment has shifted from active promotion to a notable absence of COVID-19 discussions, leading to reduced worry about infection and severe illness, diminished perception of the benefits of the vaccine on personal and community levels, and fewer cues to action. Initially influential factors like family, personal experiences, and physician recommendations lost impact over time. Although the relationship between symptoms of depression and anxiety and vaccination was not prominent, one case highlighted a direct relationship. The study emphasizes the importance of timely and accurate public health messaging adaptable to individuals' needs and misconceptions, highlighting the need for dynamic communication strategies in future initiatives with rapidly changing landscapes

2019-20 coronavirus outbreak · Aeronautics · Booster (rocketry · Coronavirus disease 2019 (COVID-19 · Infectious disease (medical specialty · Outbreak · Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2 · Shot (pellet · COVID-19 Pandemic Impacts · Engineering · Materials Science · Medicine · Psychology of Moral and Emotional Judgment · Vaccine Coverage and Hesitancy · Aerospace Engineering · Virology

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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