International Journal of Public Health (May 2023)
Factors Associated With COVID-19 Non-Vaccination in Switzerland: A Nationwide Study
- Serena Sabatini,
- Marco Kaufmann,
- Marta Fadda,
- Stefano Tancredi,
- Nazihah Noor,
- Bernadette W. A. Van Der Linden,
- Stéphane Cullati,
- Stéphane Cullati,
- Irene Frank,
- Gisela Michel,
- Erika Harju,
- Erika Harju,
- Chantal Luedi,
- Anja Frei,
- Tala Ballouz,
- Dominik Menges,
- Jan Fehr,
- Philipp Kohler,
- Christian R. Kahlert,
- Christian R. Kahlert,
- Victor Scheu,
- Victor Scheu,
- Natalia Ortega,
- Natalia Ortega,
- Patricia Chocano-Bedoya,
- Patricia Chocano-Bedoya,
- Nicolas Rodondi,
- Nicolas Rodondi,
- Silvia Stringhini,
- Silvia Stringhini,
- Silvia Stringhini,
- Hélène Baysson,
- Hélène Baysson,
- Elsa Lorthe,
- Maria Caiata Zufferey,
- L. Suzanne Suggs,
- L. Suzanne Suggs,
- Emiliano Albanese,
- Julia Vincentini,
- Murielle Bochud,
- Valérie D’Acremont,
- Samira Gonseth Nusslé,
- Medea Imboden,
- Medea Imboden,
- Dirk Keidel,
- Dirk Keidel,
- Melissa Witzig,
- Melissa Witzig,
- Nicole Probst-Hensch,
- Nicole Probst-Hensch,
- Viktor von Wyl,
- Viktor von Wyl
Affiliations
- Serena Sabatini
- Instutite of Public Health, Università della Svizzera Italiana, Lugano, Switzerland
- Marco Kaufmann
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Marta Fadda
- Instutite of Public Health, Università della Svizzera Italiana, Lugano, Switzerland
- Stefano Tancredi
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Nazihah Noor
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Bernadette W. A. Van Der Linden
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Stéphane Cullati
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Stéphane Cullati
- Department of Readaptation and Geriatrics, University of Geneva, Geneva, Switzerland
- Irene Frank
- Clinical Trial Unit, Lucerne Cantonal Hospital, Lucerne, Switzerland
- Gisela Michel
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Erika Harju
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Erika Harju
- ZHAW Zurich University of Applied Sciences, School of Health Sciences, Winterthur, Switzerland
- Chantal Luedi
- Faculty of Health Sciences and Medicine, University of Lucerne, Lucerne, Switzerland
- Anja Frei
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Tala Ballouz
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Dominik Menges
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Jan Fehr
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Philipp Kohler
- Cantonal Hospital St. Gallen, Division of Infectious Diseases and Hospital Epidemiology, St. Gallen, Switzerland
- Christian R. Kahlert
- Cantonal Hospital St. Gallen, Division of Infectious Diseases and Hospital Epidemiology, St. Gallen, Switzerland
- Christian R. Kahlert
- Children’s Hospital of Eastern Switzerland, Division of Infectious Diseases and Hospital Epidemiology, St. Gallen, Switzerland
- Victor Scheu
- 0Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
- Victor Scheu
- 1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Natalia Ortega
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Natalia Ortega
- 1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Patricia Chocano-Bedoya
- Population Health Laboratory (#PopHealthLab), University of Fribourg, Fribourg, Switzerland
- Patricia Chocano-Bedoya
- 1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Nicolas Rodondi
- 0Department of General Internal Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
- Nicolas Rodondi
- 1Institute of Primary Health Care (BIHAM), University of Bern, Bern, Switzerland
- Silvia Stringhini
- 2Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Silvia Stringhini
- 3Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Silvia Stringhini
- 4University Center for General Medicine and Public Health, University of Lausanne, Lausanne, Switzerland
- Hélène Baysson
- 2Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Hélène Baysson
- 3Department of Health and Community Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
- Elsa Lorthe
- 2Unit of Population Epidemiology, Division of Primary Care Medicine, Geneva University Hospitals, Geneva, Switzerland
- Maria Caiata Zufferey
- 5Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Manno, Switzerland
- L. Suzanne Suggs
- Instutite of Public Health, Università della Svizzera Italiana, Lugano, Switzerland
- L. Suzanne Suggs
- 6Institute of Communication and Public Policy, Università della Svizzera Italiana, Lugano, Switzerland
- Emiliano Albanese
- Instutite of Public Health, Università della Svizzera Italiana, Lugano, Switzerland
- Julia Vincentini
- 7University Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
- Murielle Bochud
- 7University Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
- Valérie D’Acremont
- 7University Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
- Samira Gonseth Nusslé
- 7University Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland
- Medea Imboden
- 8Swiss Tropical and Public Health (TPH) Institute, Allschwil, Switzerland
- Medea Imboden
- 9Faculty of Medicine, University of Basel, Basel, Switzerland
- Dirk Keidel
- 8Swiss Tropical and Public Health (TPH) Institute, Allschwil, Switzerland
- Dirk Keidel
- 9Faculty of Medicine, University of Basel, Basel, Switzerland
- Melissa Witzig
- 8Swiss Tropical and Public Health (TPH) Institute, Allschwil, Switzerland
- Melissa Witzig
- 9Faculty of Medicine, University of Basel, Basel, Switzerland
- Nicole Probst-Hensch
- 8Swiss Tropical and Public Health (TPH) Institute, Allschwil, Switzerland
- Nicole Probst-Hensch
- 9Faculty of Medicine, University of Basel, Basel, Switzerland
- Viktor von Wyl
- Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
- Viktor von Wyl
- 0Institute for Implementation Science in Health Care, University of Zurich, Zurich, Switzerland
- DOI
- https://doi.org/10.3389/ijph.2023.1605852
- Journal volume & issue
-
Vol. 68
Abstract
Objectives: We compared socio-demographic characteristics, health-related variables, vaccination-related beliefs and attitudes, vaccination acceptance, and personality traits of individuals who vaccinated against COVID-19 and who did not vaccinate by December 2021.Methods: This cross-sectional study used data of 10,642 adult participants from the Corona Immunitas eCohort, an age-stratified random sample of the population of several cantons in Switzerland. We used multivariable logistic regression models to explore associations of vaccination status with socio-demographic, health, and behavioral factors.Results: Non-vaccinated individuals represented 12.4% of the sample. Compared to vaccinated individuals, non-vaccinated individuals were more likely to be younger, healthier, employed, have lower income, not worried about their health, have previously tested positive for SARS-CoV-2 infection, express lower vaccination acceptance, and/or report higher conscientiousness. Among non-vaccinated individuals, 19.9% and 21.3% had low confidence in the safety and effectiveness of SARS-CoV-2 vaccine, respectively. However, 29.1% and 26.7% of individuals with concerns about vaccine effectiveness and side effects at baseline, respectively vaccinated during the study period.Conclusion: In addition to known socio-demographic and health-related factors, non-vaccination was associated with concerns regarding vaccine safety and effectiveness.
Keywords
