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Published in: Journal of Public Health 8/2023

Open Access 07-01-2022 | COVID-19 Vaccination | Review Article

Gender differences in the intention to get vaccinated against COVID-19: a systematic review and meta-analysis

Authors: Stephanie Zintel, Charlotte Flock, Anna Lisa Arbogast, Alice Forster, Christian von Wagner, Monika Sieverding

Published in: Journal of Public Health | Issue 8/2023

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Abstract

Aim

We conducted a systematic review and meta-analysis to analyse gender differences in COVID-19 vaccination intentions.

Subject and methods

PubMed, Web of Science and PsycInfo were searched (November 2020 to January 2021) for studies reporting absolute frequencies of COVID-19 vaccination intentions by gender. Averaged odds ratios comparing vaccination intentions among men and women were computed. Descriptive analyses of the studies were reported.

Results

Sixty studies were included in the review and data from 46 studies (n = 141,550) were available for meta-analysis. A majority (58%) of papers reported men to have higher intentions to get vaccinated against COVID-19. Meta-analytic calculations showed that significantly fewer women stated that they would get vaccinated than men, OR 1.41 (95% CI 1.28 to 1.55). This effect was evident in several countries, and the difference was bigger in samples of health care workers than in unspecified general population samples.

Conclusion

This systematic review and meta-analysis found lower vaccination intentions among women than men. This difference is discussed in the light of recent data on actual vaccination rates in different countries.
Appendix
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Footnotes
1
Sixteen papers were only excluded from meta-analytic calculations due to the authors not providing us with the necessary data. Three papers were completely excluded. One was a preprint-version of a published article we already included, another one reported an outcome item for vaccination intention that included questions about the assumptions that the COVID-19 vaccination would be a good way to protect oneself and therefore differed too widely from the usually used vaccination intention item. The last one was a preliminary report of a study not properly analysed yet (and only reported gender differences for a specific age group).
 
2
Additional frequencies were provided for: Australia, China, Germany, Spain, France, Italy, Japan, South Korea, Mexico, Sweden, the UK and USA.
 
Literature
go back to reference Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H, Fidancı İ, Cankurtaran M (2020) While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract e13891. https://doi.org/10.1111/ijcp.13891 Akarsu B, Canbay Özdemir D, Ayhan Baser D, Aksoy H, Fidancı İ, Cankurtaran M (2020) While studies on COVID-19 vaccine is ongoing, the public’s thoughts and attitudes to the future COVID-19 vaccine. Int J Clin Pract e13891. https://​doi.​org/​10.​1111/​ijcp.​13891
go back to reference Murphy J, Vallières F, Bentall RP, Shevlin M, McBride O, Hartman TK et al (2020) Preparing for a COVID-19 vaccine: identifying and psychologically profiling those who are vaccine hesitant or resistant in two general population samples. PsyArxiv. https://doi.org/10.31234/osf.io/pev2b Murphy J, Vallières F, Bentall RP, Shevlin M, McBride O, Hartman TK et al (2020) Preparing for a COVID-19 vaccine: identifying and psychologically profiling those who are vaccine hesitant or resistant in two general population samples. PsyArxiv. https://​doi.​org/​10.​31234/​osf.​io/​pev2b
go back to reference Papagiannis D, Malli F, Raptis DG, Papathanasiou IV, Fradelos EC, Daniil Z et al (2020) Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in Greece before the outbreak period. Int J Environ Res 17:4925. https://doi.org/10.3390/ijerph17144925CrossRef Papagiannis D, Malli F, Raptis DG, Papathanasiou IV, Fradelos EC, Daniil Z et al (2020) Assessment of knowledge, attitudes, and practices towards new coronavirus (SARS-CoV-2) of health care professionals in Greece before the outbreak period. Int J Environ Res 17:4925. https://​doi.​org/​10.​3390/​ijerph17144925CrossRef
go back to reference Paul E, Steptoe A, Fancourt D (2020) Anti-vaccine attitudes and risk factors for not agreeing to vaccination against COVID-19 amongst 32,361 UK adults: Implications for public health communications. Available at SSRN 3716874. https://doi.org/10.2139/ssrn.3716874 Paul E, Steptoe A, Fancourt D (2020) Anti-vaccine attitudes and risk factors for not agreeing to vaccination against COVID-19 amongst 32,361 UK adults: Implications for public health communications. Available at SSRN 3716874. https://​doi.​org/​10.​2139/​ssrn.​3716874
go back to reference Williams L, Gallant AJ, Rasmussen S, Brown Nicholls LA, Cogan N, Deakin K et al (2020) Towards intervention development to increase the uptake of COVID-19 vaccination among those at high risk: outlining evidence-based and theoretically informed future intervention content. Br J Health Psychol 25:1039–1054. https://doi.org/10.1111/bjhp.12468CrossRefPubMed Williams L, Gallant AJ, Rasmussen S, Brown Nicholls LA, Cogan N, Deakin K et al (2020) Towards intervention development to increase the uptake of COVID-19 vaccination among those at high risk: outlining evidence-based and theoretically informed future intervention content. Br J Health Psychol 25:1039–1054. https://​doi.​org/​10.​1111/​bjhp.​12468CrossRefPubMed
Metadata
Title
Gender differences in the intention to get vaccinated against COVID-19: a systematic review and meta-analysis
Authors
Stephanie Zintel
Charlotte Flock
Anna Lisa Arbogast
Alice Forster
Christian von Wagner
Monika Sieverding
Publication date
07-01-2022
Publisher
Springer Berlin Heidelberg
Published in
Journal of Public Health / Issue 8/2023
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-021-01677-w

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