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Hesitant but vaccinated: Lessons learned from hesitant adopters
Don E Willis1, Ramey Moore1, Rachel S Purvis1
1College of Medicine, University of Arkansas for Medical Sciences Northwest, 2708 S. 48(th) St., Springdale, AR 72762, USA.
Vaccine
|July 27, 2024
Summary
Vaccine hesitancy is more complex than just delaying or refusing vaccines. New research suggests hesitancy and vaccination can co-occur and are not always tied to the decision moment, offering new strategies to increase vaccination rates.
Area of Science:
- Public Health
- Vaccinology
- Behavioral Science
Background:
- The World Health Organization SAGE working group defined vaccine hesitancy as delay or refusal of vaccination.
- This definition limits research and translation into clinical practices.
- It fails to account for individuals vaccinated while hesitant or unvaccinated despite not being hesitant.
Purpose of the Study:
- To re-evaluate the definition and conceptualization of vaccine hesitancy.
- To explore how a refined understanding can improve vaccination uptake.
- To inform clinical and public health practices.
Main Methods:
- Review of emerging research on hesitant adopters.
- Conceptual analysis of vaccine hesitancy.
- Application of the Life Course Paradigm.
Main Results:
- Vaccine hesitancy and vaccination can co-occur.
- Vaccine hesitancy is not always a discrete event or moment in time.
- Vaccine hesitancy may not be temporally bound to the immediate decision-making period for vaccination.
Conclusions:
- Vaccine-hesitant attitudes should be distinct from behaviors.
- Vaccine hesitancy is not always temporally bound to the pre-vaccination decision period.
- Healthcare professionals should recommend vaccination even amid hesitancy; public health should enhance recommendation consistency.
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