The influence of sociodemographic factors on COVID-19 vaccine certificate acceptance: A cross-sectional study

Hum Vaccin Immunother. 2023 Aug 1;19(2):2220628. doi: 10.1080/21645515.2023.2220628.

Abstract

Vaccine certificates have been implemented worldwide, aiming to promote vaccination rates and to reduce the spread of COVID-19. However, their use during the COVID-19 pandemic was controversial and has been criticized for infringing upon medical autonomy and individual rights. We administered a national online survey exploring social and demographic factors predicting the degree of public approval of vaccine certificates in Canada. We conducted a multivariate linear regression which revealed which factors were predictive of vaccine certificate acceptance in Canada. Self-reported minority status (p < .001), rurality (p < .001), political ideology (p < .001), age (p < .001), having children under 18 in the household (p < .001), education (p = .014), and income status (p = .034) were significant predictors of attitudes toward COVID-19 vaccine certificates. We observed the lowest vaccine-certificate approval among participants who: self-identify as a visible minority; live in rural areas; are politically conservative; are 18-34 years of age; have children under age 18 living in the household; have completed an apprenticeship or trades education; and those with an annual income between $100,000-$159,999. The present findings are valuable for their ability to inform the implementation of vaccine certificates during future pandemic scenarios which may require targeted communication between public health agencies and under-vaccinated populations.

Keywords: COVID-19; Canada; public attitudes; vaccine certificates; vaccine mandates.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • COVID-19 Vaccines*
  • COVID-19* / prevention & control
  • Child
  • Cross-Sectional Studies
  • Humans
  • Pandemics
  • Self Report
  • Sociodemographic Factors
  • Vaccination

Substances

  • COVID-19 Vaccines

Grants and funding