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10.1007/s40271-021-00508-0

http://scihub22266oqcxt.onion/10.1007/s40271-021-00508-0
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33783724!8008018!33783724
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suck abstract from ncbi


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pmid33783724      Patient 2021 ; 14 (3): 309-318
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  • United States COVID-19 Vaccination Preferences (CVP): 2020 Hindsight #MMPMID33783724
  • Craig BM
  • Patient 2021[May]; 14 (3): 309-318 PMID33783724show ga
  • BACKGROUND: Shortly after the 2020 US election, initial evidence on first-generation COVID-19 vaccines showed 70-95% efficacy and minimal risks. Yet, many US adults expressed reluctance. AIMS: The aim of this study was to compare persons willing and unwilling to be vaccinated against COVID-19 and to estimate the effects of vaccination attributes on uptake: proof of vaccination, vaccination setting, effectiveness, duration of immunity, and risk of severe side effects. METHOD: Between 9 and 11 November 2020, 1153 US adults completed a discrete choice experiment (DCE) on Phase 2 of the CDC Vaccination Program (August 2021). Each of its eight choice tasks had three vaccination alternatives and "no vaccination for 6 months." An opt-out inflated logit model was estimated to test for respondent differences and attribute effects. RESULTS: Respondent demographics were unrelated to one's willingness to be vaccinated (p value 0.533), but those with less education were more likely to be unwilling (p < 0.001). Among those willing, uptake ranged from 61.70 to 97.75%, depending on the vaccination attributes. Effectiveness and safety had the largest effects. Offering proof of vaccination and a choice of setting increased uptake as much as increasing immunity from 3 to 6 months. CONCLUSIONS: To maximize uptake, the CDC Program should standardize proof of vaccination and offer a choice of setting, instead of a one-size-fits-all approach. If the first-generation vaccines are efficacious, widely available, and free, overall predicted uptake is 68.81% by the end of Phase 2 (August 2021), which is well below the 75-90% needed for herd immunity. Further health preference research is necessary to uncover and address unwillingness and reluctance to vaccinate against COVID-19.
  • |*Choice Behavior[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |COVID-19 Vaccines/*administration & dosage/adverse effects/*immunology[MESH]
  • |COVID-19/epidemiology/*prevention & control[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Models, Econometric[MESH]
  • |Patient Preference[MESH]
  • |SARS-CoV-2[MESH]
  • |Sex Factors[MESH]
  • |Socioeconomic Factors[MESH]
  • |United States/epidemiology[MESH]


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