Self-reported COVID-19 vaccination acceptance and hesitancy among autistic adults.
Shea Lindsay L, Becker Alec, Lee Brian K, Miller Kaitlin Koffer, Cooper Dylan, Anderson Kristy, Salzer Mark S, Vanness David J
What this study means for families
Researchers studied why some autistic adults got COVID-19 vaccines while others didn't. Adults who got vaccinated were more likely to feel lonely during COVID, live in bigger cities, and want to protect other people. They also trusted that vaccines were safe and worried about catching COVID. Adults who didn't want vaccines were mainly concerned about vaccine safety, but weren't necessarily unconcerned about COVID itself.
Understanding these differences can help create better health messages for autistic people.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Research summary
This 2022 study examined COVID-19 vaccination acceptance among autistic adults, identifying factors that distinguished vaccine accepters from those who were hesitant. Vaccine accepters were more likely to report increased loneliness during the pandemic, live in more populated counties, and reside in areas that voted for President Biden. Strong positive correlations emerged between vaccination acceptance and desire to protect others, concern about contracting COVID-19, and trust in vaccine safety. Among vaccine-hesitant individuals, concerns about vaccine safety were common, though lack of concern about COVID-19 overall was not a significant factor.
The findings highlight the importance of understanding lived experiences of vulnerable populations for developing targeted health promotion strategies.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Key findings
- 1
Vaccine accepters were more likely to report increased loneliness during COVID-19 and live in more populous counties
Confidence: moderateRelevance: Suggests social isolation and geographic factors influence vaccination decisions in autistic adults - 2
Strong positive correlations found between vaccination acceptance and desire to protect others, concern about contracting COVID-19, and trusting vaccine safety
Confidence: moderateRelevance: Identifies key motivational factors that could be leveraged in vaccination promotion strategies - 3
Vaccine safety concerns were common among vaccine-hesitant individuals, while lack of COVID-19 concern was not
Confidence: moderateRelevance: Indicates safety concerns, rather than COVID minimization, drive hesitancy in this population
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Clinical implications
Healthcare providers should address vaccine safety concerns through clear, evidence-based communication with autistic adults. Emphasizing protection of others and addressing social isolation may increase vaccination acceptance. Geographic and political context should be considered when developing vaccination promotion strategies for this population.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Limitations
Sample size not reported, limiting assessment of study power. Study type unclear, preventing evaluation of methodology strength. Self-reported data may introduce bias. Cross-sectional design cannot establish causality between identified factors and vaccination decisions.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Original abstract
Identifying factors associated with COVID-19 vaccination acceptance among vulnerable groups, including autistic individuals, can increase vaccination rates and support public health. The purpose of this study was to determine differences among autistic adults who reported COVID-19 vaccination acceptance from those who did not. In this study we describe COVID-19 vaccination status and self-reported preferences among autistic adults and identify related factors. Vaccine accepters were more likely to report increased loneliness during COVID-19, lived in more populous counties (p = 0.02), and lived in counties won by President Biden in the 2020 US presidential election (p < 0.001).
Positive correlations were found between desire to protect others, concern about contracting COVID-19, and trusting vaccine safety (p < 0.001). Concern about vaccine safety was common among the vaccine hesitant, while lack of concern about COVID-19 overall was not. Identifying health promotion strategies based on self-reported, lived experiences about COVID-19 among vulnerable groups is key for public health impact.
Evidence Grade
limited
Grade assigned by AutismInsights based on study type and published abstract.
Study Details
- Journal
- Vaccine
- Year
- 2022
- PMID
- 35484038
- DOI
- 10.1016/j.vaccine.2022.04.060
MeSH Terms