Systematic Review

What Demographic, Social, and Contextual Factors Influence the Intention to Use COVID-19 Vaccines: A Scoping Review

September 2021

This scoping review of all peer-reviewed articles published between November 2019 and December 2020 was performed to determine the prevalence of intention to use COVID-19 vaccines among adults aged 18-60, and to identify the demographic, social and contextual factors that influence the intention to use COVID-19 vaccines. A total of 48 relevant articles were identified for inclusion in the review. Outcomes presented fell into seven themes: demographics, social factors, vaccination beliefs and attitudes, vaccine-related perceptions, health-related perceptions, perceived barriers and vaccine recommendations. Age, gender, education level, race/ethnicity, vaccine safety and effectiveness, influenza vaccination history and self-protection from COVID-19 were the most prominent factors associated with intention to use COVID-19 vaccines. These factors are likely to play a major role in any targeted vaccination programs, particularly COVID-19 vaccination, and related strategies could include transparent communication, social media engagement and the initiation of education programs.