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Table 1 Characteristics of the study about COVID-19 vaccine acceptance sorting by time

From: Vaccine acceptance, determinants, and attitudes toward vaccine among people experiencing homelessness: a systematic review and meta-analysis

Author/year/country

Date of survey

N

Target population

Outcome measures

Acceptance rates

Predictors of acceptance

Predictors of hesitance

Quality

Longchamps/2021/ France [10]

May 2—June 28 2020

235

Homeless shelters

Acceptance: “If a vaccine existed would you be willing to get vaccinated?”

59.15%

 

1, Being women

2, Living with partners

3, Having legal residence

4, Having low health literacy

Good

Hsu/2021/USA [23]

August 7—September 17 2020

78

Young PEH

Acceptance: “When COVID-19 vaccine is available, how interested would you be in taking the vaccine?” in 7-level scale

Attitudes: Respondents were asked their level of agreement on whether they believed the potential COVID-19 vaccine would (1) be necessary to protect their health, (2) do a good job to stop the COVID-19 spread, and (3) be safe

56.41%

  

Fair

Swendeman/2022/USA [33]

October 2020

153

Young PEH

Acceptance: “What is the likelihood that you will get a COVID-19 vaccination when it is available?”, on a 5-level scale (‘Very likely’, ‘Likely’, ‘Somewhat likely’, ‘Not likely’, or ‘Refuse to answer/don’t know’)

Attitudes: VHS

51.63%

  

Fair

Knight/2021/USA [11]

July—October 2020

91

PEH

Interview by telephone

 

1, Return to regular life

2, Wait until other take the vaccine

1, Need more data of vaccine

2, Negative experiences with other vaccines

3, Mistrust in government

Poor

Iacoella/2021/Italy [39]

February 1—February 15 2021

112

PEH

Acceptance: Would you be willing to be vaccinated against COVID-19?

64.29%

 

1, Being female

Poor

Meehan/2022/USA [27]

February 9 – February 23 2021

106

Homeless shelters

Attitudes: open-ended questions

57.55%

1, Protect own health

2, Protect others

3, Resume travel and social activities

1, Side effects concerns

2, Vaccine is being new

3, Human experiments

4, Don’t trust medical field

Fair

Kuhn/2021/USA [25]

December—February 26 2021

90

PEH

Acceptance: respondents were asked if they would take the vaccine if they were offered it, with possible responses of “yes,” “no” or “prefer not to answer

Attitudes: could not determine

52.22%

1, Trusting COVID-19 information from the official sources

1, Having lower COVID-19 threat index scores

2, Highly engage in protective behaviors

3, Trusting personal contacts for COVID-19 information

Fair

Rogers/2022/USA [31]

November 1—February 28 2021

672

Homeless shelters

Acceptance: “Once a vaccine against COVID-19 becomes available to you, do you plan to get it?”

53.72%

1, Higher level of educational attainment

2, Receiving Influenza vaccine before

1, BeingMultiracial

2, Being Black/African American

3, Being female

4, Safety concerns

5, Need more information

6, Not afraid of COVID-19

Good

Rodriguez/2021/USA [30]

December 20—March 7 2021

84

Homeless patients visited emergency departments

Acceptance: “Would you accept the COVID19 vaccine when it becomes available?”

63.10%

  

Good

Gin/2022/USA [22]

January—April 2021

20

Homelessness veterans

Semi-structured interviews

70%

1, Protect own health

2, Protect other

3, Used to get vaccines in military

1, Vaccines were not tested enough

2, Long-term side effects concerns

3, Mistrust in government

Fair

Abramovich/2022/Canada [40]

January—June 2021

91

Youth LGBT + PEH

An adapted version of the Vaccination Attitudes Examination Scale [43]

63.74%

1, Being White

1, Being Black

2, Being racialized versus non-racialized

Good

Meehan/2022/USA [26]

March—June 2021

864

Homeless unshelters

A questionnaire template with over 20 questions to assess COVID-19 vaccine uptake, intention, and associated factors

53.82%

1, Having underlying medical conditions

2, Having previous COVID-19 illness

3, Received health information from hospitals/health centers, religious leaders, and multimedia news sources

4, Protect own health

5, Protect health of family or friends

1, Vaccine was new

2, Received health information from the social media

3, Need more information

4, Side effects concerns

5, Human experiments concerns

Good

Balut/2022/USA [17]

January—April 2021 and July—August 2021

 

Healthcare and housing service providers’ perspectives of homeless veterans

semi-structured interviews

  

1, Distrust and cynicism

2, Long vaccine appointment scheduling process

3, Mandating vaccination

Fair

Cox/2022/USA [19]

March 2020—August 2 2021

98

Homeless shelters

Self-report their perceived risk of COVID-19 and intent to receive a COVID-19 vaccine across four different seasonal time point

Change intent over time: “Overall, how have your feelings about getting a COVID-19 vaccine changed since beginning of the pandemic (Spring 2020)?”

74.23%

1, Vaccine was safe

2, Vaccine was effective in preventing COVID-19

3, Encouragement from family/friends

1, Mistrust in government and healthcare providers

2, Side effects concerns

Good

Tucker/2022/USA [34]

March—October 2021

125

Young PEH

Acceptance: participants indicated whether they had gotten the COVID-19 vaccine (yes, no) and rated how much they agreed/disagreed with the following two statements: If the COVID-19 vaccine were available to me now (a year from now), I would get the vaccine (1 strongly disagree to 4 strongly agree)

50.4%

1, Being LGBTQ young adults

 

Good

Finnigan/2022/USA [20]

September 27 -October 8 2021

289

PEH

Acceptance: “Have you received a COVID-19 vaccine?” if the answer was no then there was another question "Do you plan to get vaccinated for COVID-19?”, with answer choices consisting of definitely getting a vaccine, probably getting a vaccine, unsure about getting a vaccine, probably NOT getting a vaccine, and definitely NOT getting a vaccine

74.73%

 

1, Side effects concerns

2, Did not trust COVID-19 vaccine

3, Did not trust the government

Fair

Currie/2022/Australia [37]

23 September and 28 October 2021

49

PEH

Semi-structured interviews of people who already accepted the vaccine

 

1, Important to own health

2, Important to community health

3, Someone told to get vaccine

4, Visit loved ones

 

Fair

Rosen/2022/USA [32]

May—November 2021

4949

PEH

Acceptance: unvaccinated participants were asked if they wanted to get vaccinated and answered yes, no, or not yet

Attitudes: list of 13 reasons for vaccine readiness and hesitancy

75.57%

1, $50 gift card

2, Protecting other

3, Outreach staff recommended it

1, Not a top priority

2, Not a afraid of COVID-19

3, Safety concerns

4, Side effects concerns

Fair

Roederer/2022/France [16]

November 15 -December 22 2021

3690

Migrants, homeless shelters, and homeless unshelters

Acceptance: COVID-19 vaccination status was verified via the national vaccine certificate – and interviews for further information

89.26%

1, Protect own health

2, Protect others

3, Vaccine certificate as the motivation (continue to work, travel, etc.)

1, Side effects concerns

2, Fear of injection/serious disease

3, Skepticism about vaccine effectiveness

Good

Grune/2023/Germany [42]

August—April 2022

20

PEH

Semi-structured interviews

 

1, High risk perception of COVID-19

2, Protect others

3, Continue with normal life

4, Vaccine was effective and safe

1, Side effects concerns

2, Mistrust in government/health systems

Fair

Polla/2022/Italy [38]

June and October 2022

313

PEH

5 section questionnaire: sociodemographic, knowledge about COVID-19, attitudes and beliefs, and COVID-19 vaccination and the reasons for the decision

88.18%

1, Being older

2, Higher knowledge of COVID-19

3, Perceived themselves as a higher risk of the disease

1, Side effects concerns

Good

  1. Abbreviation: PEH People experiencing homelessness, VHS Vaccine Hesitancy Scale developed by World Health Organization