Change in self-perceived vaccine confidence in France after the COVID-19 vaccination campaign: A cross-sectional survey in the French general population

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Gagneux-Brunon, Amandine | Botelho-Nevers, Elisabeth | Verger, Pierre | Gauna, Fatima | Launay, Odile | Ward, Jeremy

Edité par CCSD -

International audience. Introduction: High COVID-19 vaccine coverage was obtained in France after theCOVID-19 vaccination campaign, in part due to the implementation of a COVID-19 vaccination pass, a kind of vaccine mandate. Vaccine mandates could lead to reactance and may affect confidence in vaccines. We aimed to evaluate the impact of the COVID-19 vaccination campaign on self-perceived vaccine confidence in France.Methods: Between the 25th of April and the 9th of May 2022, we conducted a cross-sectional online survey among a representative sample of the French population aged 18 and over. The primary outcome was the perceived change in vaccine confidence after the COVID-19 vaccination campaign. We performed a multinomial regression analysis to identify factors associated with perceived decrease and increase in vaccine confidence in reference to no change.Results: Among the 1,928 respondents, decrease in vaccine confidence was reported by 579 (30 %) and increase in vaccine confidence by 259 (13.4%). Among the 1,711 vaccinated individuals, 693 (40.5%), 404 (23.6%) respectively reported that they felt strongly and a little coerced into getting vaccinated against COVID-19. Younger age, feeling coerced to get vaccinated, low confidence in health authorities, fears about vaccine side effects, and not considering vaccination as a collective responsibility were associated with perceived decrease in vaccine confidence in multivariable analysis. Men were more prone than women to report a gain in vaccine confidence.Conclusion: Vaccination campaign that included coercive measures to raise high COVID-19 vaccine coverage could have led to reactance and with an impact on vaccine confidence in general.

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