AUTHOR=Sabatini Serena , Kaufmann Marco , Fadda Marta , Tancredi Stefano , Noor Nazihah , Van Der Linden Bernadette W. A. , Cullati Stéphane , Frank Irene , Michel Gisela , Harju Erika , Luedi Chantal , Frei Anja , Ballouz Tala , Menges Dominik , Fehr Jan , Kohler Philipp , Kahlert Christian R. , Scheu Victor , Ortega Natalia , Chocano-Bedoya Patricia , Rodondi Nicolas , Stringhini Silvia , Baysson Hélène , Lorthe Elsa , Zufferey Maria Caiata , Suggs L. Suzanne , Albanese Emiliano , Vincentini Julia , Bochud Murielle , D’Acremont Valérie , Nusslé Samira Gonseth , Imboden Medea , Keidel Dirk , Witzig Melissa , Probst-Hensch Nicole , von Wyl Viktor TITLE=Factors Associated With COVID-19 Non-Vaccination in Switzerland: A Nationwide Study JOURNAL=International Journal of Public Health VOLUME=68 YEAR=2023 URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2023.1605852 DOI=10.3389/ijph.2023.1605852 ISSN=1661-8564 ABSTRACT=

Objectives: We compared socio-demographic characteristics, health-related variables, vaccination-related beliefs and attitudes, vaccination acceptance, and personality traits of individuals who vaccinated against COVID-19 and who did not vaccinate by December 2021.

Methods: This cross-sectional study used data of 10,642 adult participants from the Corona Immunitas eCohort, an age-stratified random sample of the population of several cantons in Switzerland. We used multivariable logistic regression models to explore associations of vaccination status with socio-demographic, health, and behavioral factors.

Results: Non-vaccinated individuals represented 12.4% of the sample. Compared to vaccinated individuals, non-vaccinated individuals were more likely to be younger, healthier, employed, have lower income, not worried about their health, have previously tested positive for SARS-CoV-2 infection, express lower vaccination acceptance, and/or report higher conscientiousness. Among non-vaccinated individuals, 19.9% and 21.3% had low confidence in the safety and effectiveness of SARS-CoV-2 vaccine, respectively. However, 29.1% and 26.7% of individuals with concerns about vaccine effectiveness and side effects at baseline, respectively vaccinated during the study period.

Conclusion: In addition to known socio-demographic and health-related factors, non-vaccination was associated with concerns regarding vaccine safety and effectiveness.