Factors of vaccine indecision among adults in the context of the COVID-19 pandemic: integrative review
Keywords:
Vaccines, Vaccination refusal, Vaccination hesitancy, Adult, COVID-19Abstract
The aim of this study is to identify the predictors of vaccine indecision among adults in the context of the COVID-19 pandemic, using an integrative review, through an advanced search in the Medline, LILACS and SCOPUS databases, led by the following question: What are the factors related to vaccine indecision among adults, in the context of the COVID-19 pandemic? Twenty-three studies were included, in which contributing factors to vaccine indecision were identified, such as: concern about vaccine safety; inadequate knowledge about COVID-19 and vaccine side effects; lower perception of COVID-19 risk; influence of social media; low socioeconomic status; distrust in the government. Protective factors were: feeling of family protection and/or duty to protect society; high level of concern about COVID-19; trust in WHO health services/authorities; male gender; perception of COVID-19 as a risk; higher education and socioeconomic status and intention to achieve herd immunity. The factors that contribute to vaccine hesitancy among adults in relation to the COVID-19 vaccine were presented, as well as those that positively influence vaccination.
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