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1000minds survey reveals New Zealanders’ top concerns about vaccines

Vaccine hesitancy is one of the biggest public health threads worldwide. A first-of-its kind study that aims to combat vaccine hesitancy used 1000minds to reveal New Zealander's biggest concerns when it comes to vaccine characteristics.

1000minds survey reveals New Zealanders’ top concerns about vaccines

Prompted by concerns about vaccine hesitancy following the COVID-19 pandemic, researchers at the University of Auckland led by Associate Professor Amy Chan used 1000minds software to study New Zealanders’ biggest concerns when it comes to vaccine characteristics. 

Vaccine hesitancy is one of the top 10 biggest public health threats worldwide, according to the World Health Organization. Low COVID vaccination rates in many parts of the world raised fears about possible deadly future outbreaks of other vaccine-preventable diseases, such as measles. 

According to previous studies, one way to combat vaccine hesitancy is to make sure that public-health messaging communicates information that people consider important. 

To better understand what vaccine attributes are most important to the New Zealand public when making a decision about vaccination, in a first-of-its-kind study, the researchers surveyed 600 New Zealanders using 1000minds preferences research tools. 

Survey participants were presented with a series of pairwise-comparison questions, each prompting the person to make a trade-off when choosing between different combinations of 13 vaccine characteristics.  

For example, participants may have been asked to choose between a vaccine that is effective for life but has a small risk of severe side effects, or a vaccine that is only effective for one year but has almost no risk of severe side effects (Figure 1). 

Figure 1: Example of a 1000minds pairwise-comparison question 

Which of these 2 hypothetical geo-engineering mitigations to climate change do you prefer?
The vaccine protects you against infection for
Lifetime
The chance of you having severe side effects (e.g. needing to go to hospital) is
1 in 1000
This one
The vaccine protects you against infection for
1 year
The chance of you having severe side effects (e.g. needing to go to hospital) is
1 in 1,000,000 (million)
This one
They are equal
Which of these 2 hypothetical geo-engineering mitigations to climate change do you prefer?
The vaccine protects you against infection for
1 year
The vaccine is given by
Oral (by mouth)
This one
The vaccine protects you against infection for
Lifetime
The vaccine is given by
Needle injection into muscle
This one
They are equal
Which of these 2 hypothetical geo-engineering mitigations to climate change do you prefer?
Per dose, the vaccine would cost you
$0
The number of doses you need to take for maximal protection
Three
This one
Per dose, the vaccine would cost you
$50
The number of doses you need to take for maximal protection
One
This one
They are equal

The most important attributes were found to be adverse side effects, vaccine effectiveness and duration of protection from disease. The least important attributes were vaccine origin and development time and route of administration. 

However, the results differed slightly for people who subscribe to conspiracy theories. Such participants cared most about how long the vaccine took to develop and how many doses are required for the vaccine to be effective. 

The results of this study can be used to help public health officials improve vaccine uptake by providing information to citizens about the vaccine attributes they find most important. 


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