key: cord-0304912-8smj9clj
authors: Nicolo, M.; Kawaguchi, E.; Ghanem-Uzqueda, A.; Kim, A. E.; Soto, D.; Deva, S.; Shanker, K. R.; Rogers, C.; Lee, R.; Gilliland, F.; Klausner, J.; Kovacs, A.; Conti, D. V.; Hu, H.; Unger, J. B.
title: Correlates of COVID-19 vaccination status among college students
date: 2021-09-20
journal: nan
DOI: 10.1101/2021.09.15.21263654
sha: 4746c1828b3c79c172980d5ff8db70d6addb6726
doc_id: 304912
cord_uid: 8smj9clj

Objectives. Despite the widespread availability of COVID-19 vaccines in the United States, vaccine hesitancy remains high among certain groups. This study examined the correlates of being unvaccinated among a sample of university students (N=2900) during the spring and summer of 2021, when the campus had been closed for over a year and students were preparing to return to in-person learning. Methods. Students responded to an email invitation and completed electronic surveys. Results. In multivariable logistic regression analyses, students were more likely to be unvaccinated if they were African American, identified with any political affiliation other than Democrat, were undergraduates or international students, had not traveled outside the Los Angeles during the pandemic, and/or had previously been ill with COVID-19. Conclusion. Findings indicate that culturally resonant educational interventions, and possibly vaccine requirements, are needed to promote vaccination among university students.

The recent slowing of COVID-19 vaccination among adults suggests vaccine hesitancy in 26 some individuals and groups.

[1] Reasons for vaccine hesitancy include disparities in access to 27 vaccines and accurate information, political influences, concern over adverse health effects 28 including infertility, and mistrust of the medical community [2] [3] [4] [5] . 29 Given the rising trend in COVID-19 cases, the increased risk posed by the reopening of The USC Institutional Review Board approved the study. The study was advertised on 44 university websites. Emails were sent to all undergraduate and graduate students inviting them to 45 participate in a brief COVID-19 survey. Interested students clicked on a link in the email, 46 provided informed consent electronically, and completed the online survey. Survey responses . CC-BY-NC-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) preprint 

Among the 28,412 students who were sent invitation emails, 2,900 students completed 65 the survey and were included in the analysis. Table 1 shows the demographic characteristics of 66 the sample. The demographic characteristics of the sample were similar to those of the USC 67 student population, although the sample was overrepresented by Asians and women and 68 underrepresented by Latinx/Hispanic and international students. Most participants (82.9%) self-69 reported that they were vaccinated at the time of the survey.

. CC-BY-NC-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. (which was not certified by peer review) preprint CC-BY-NC-ND 4.0 International license It is made available under a is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.

The copyright holder for this this version posted September 20, 2021. ; https://doi.org/10.1101 https://doi.org/10. /2021 Los Angeles area during the pandemic, and being an undergraduate or international student. 

Young Adult Perspectives on COVID-19 Vaccinations

Factors Associated With Racial/Ethnic Group-Based Medical Mistrust and 139 Perspectives on COVID-19 Vaccine Trial Participation and Vaccine Uptake in the US

COVID-19 vaccine hesitancy: Race/ethnicity, trust, and fear. Clinical and 142 Translational Science

Understanding drivers of COVID-19 vaccine hesitancy among Blacks. 144 Clinical infectious diseases: an official publication of the Infectious Diseases Society of America

Deliberation, Dissent, and Distrust: Understanding distinct drivers of COVID-19 147 vaccine hesitancy in the United States

Correlates of COVID-19 Vaccine Hesitancy among a Community Sample of 149

African Americans Living in the Southern United States. Vaccines

Beyond politics-promoting Covid-19 vaccination in the United