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Predictors of Uncertainty and Unwillingness to Receive the COVID-19 Vaccine in Men Who Have Sex with Men in France

Author

Listed:
  • Youssoufa M. Ousseine

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France)

  • Sophie Vaux

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France)

  • Stéphanie Vandentorren

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France
    Université de Bordeaux, INSERM UMR 1219, PHAreS Team, 33000 Bordeaux, France)

  • Isabelle Bonmarin

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France)

  • Karen Champenois

    (Université de Paris, INSERM, IAME, 75006 Paris, France)

  • Nathalie Lydié

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France)

  • Annie Velter

    (Santé Publique France, French National Public Health Agency, 94415 Saint-Maurice, France
    Aix Marseille Univ., INSERM, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de L’Information Médicale, ISSPAM, 13005 Marseille, France)

Abstract

The development of vaccines against COVID-19 has given hope to populations. Public acceptability of vaccination is a major driver in containing the disease. However, in marginalized and stigmatized populations, uncertainty and unwillingness may be a challenge. This study aimed to analyze the factors associated with uncertainty and unwillingness to vaccinate against COVID-19 in men who have sex with men (MSM) living in France. The data used came from Rapport au Sexe (ERAS) 2021, a voluntary, cross-sectional, anonymous, self-administered, online survey conducted from 26 February to 11 April 2021. Among the 15,426 respondents included in the analysis, 60.5% were willing to vaccinate (these included persons already vaccinated), 17.5% were not, and 22% were uncertain. Factors independently associated with uncertainty and unwillingness were lower education level, low health literacy level, financial hardship, being under 30 years of age, and living in a rural area. HIV-positive MSM were less likely to report vaccination uncertainty and unwillingness than HIV-negative MSM and those with unknown serostatus. Although more impacted by COVID-19, socioeconomically vulnerable MSM were the sub-group most unwilling to vaccinate. To improve acceptability of COVID-19 vaccination in MSM, policy makers and researchers must increase access to and understanding of medical information by considering the general public’s health literacy when developing information sources. Moreover, a dedicated global care approach, which ensures these populations can be reached, is necessary.

Suggested Citation

  • Youssoufa M. Ousseine & Sophie Vaux & Stéphanie Vandentorren & Isabelle Bonmarin & Karen Champenois & Nathalie Lydié & Annie Velter, 2022. "Predictors of Uncertainty and Unwillingness to Receive the COVID-19 Vaccine in Men Who Have Sex with Men in France," IJERPH, MDPI, vol. 19(9), pages 1-12, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5372-:d:804572
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    References listed on IDEAS

    as
    1. Yen-Ju Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Explicit and Intrinsic Intention to Receive COVID-19 Vaccination among Heterosexuals and Sexual Minorities in Taiwan," IJERPH, MDPI, vol. 18(14), pages 1-10, July.
    2. Glenn-Milo Santos & Benjamin Ackerman & Amrita Rao & Sara Wallach & George Ayala & Erik Lamontagne & Alex Garner & Ian Holloway & Sonya Arreola & Vince Silenzio & Susanne Strömdahl & Louis Yu & Carol , 2021. "Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men," Post-Print hal-02909813, HAL.
    3. Kyle Melin & Cheyu Zhang & Juan P. Zapata & Yonaira M. Rivera & Katie Fernandez & Enbal Shacham & Souhail M. Malavé-Rivera & Carlos E. Rodriguez-Diaz, 2021. "Factors Associated with Intention to Receive Vaccination against COVID-19 in Puerto Rico: An Online Survey of Adults," IJERPH, MDPI, vol. 18(15), pages 1-10, July.
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