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Factors Influencing COVID-19 Vaccine Confidence and Uptake in Australian Adults
Open accessAbstract
In January 2021, Australia initiated a national COVID-19 vaccine rollout strategy but faced setbacks, leading to negative press and media controversy, which may have diminished vaccine confidence. This study aimed to assess the factors influencing vaccine confidence in Australian adults (≥18 years of age) following the administration of a COVID-19 vaccine. Conducted at Blacktown Hospital, Sydney, a cross-sectional survey with 1053 respondents gauged vaccine confidence and influencing factors. The results showed overall high confidence (mean score 33/40). Trusted sources included the Australian Department of Health (77.8%), NSW Health (76.7%), and general practitioners (53.7%), while social media was distrusted (5.9%). The motivations for vaccination varied: university-educated individuals prioritised personal health (X2 = 17.81; p < 0.001), while religious and/or older respondents (≥50 years of age) emphasised community (X2 = 11.69; p < 0.001) and family protection (X2 = 17.314; p < 0.001). Multivariate logistic regression revealed use of the Australian Department of Health website as a trusted source of COVID-19 information as the strongest predictor of high confidence (>30; OR 1.43; p = 0.041), while exposure to fake news decreased confidence (OR 0.71; p = 0.025). The study underscores the importance of reliable health information sources in bolstering vaccine confidence and highlights the detrimental effects of misinformation. Promoting awareness of trustworthy health channels is crucial to combat vaccine hesitancy in Australia.
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Where community trust and confidence in vaccination are well established and individuals broadly trust and rely on official sources of information, acceptance of restrictive public health measures like vaccine mandates is more likely when a public health crisis emerges.
“Where community trust and confidence in vaccination are well established, as is generally the case in Australia (The Vaccine Confidence Project 2025), and individuals broadly trust and rely on official sources of information, acceptance of restrictive public health measures like vaccine mandates is more likely when a public health crisis emerges”
From Ethical Principles in Legal Context: Vaccine Mandates During the COVID-19 Pandemic in Australia (2026) · cites this paper as Williams, et al. 2024
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RetractedMisinformation and Its Correction: Continued Influence and Successful Debiasing
Lewandowsky, S., Ecker, U. K. H., Seifert, C. M., Schwarz, N., & Cook, J. (2012) · Psychological Science in the Public Interest · doi:10.1177/1529100612451018 · Cited by 2,920
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Ethical Principles in Legal Context: Vaccine Mandates During the COVID-19 Pandemic in Australia
Thomasson, A., Williams, J., Drislane, S., & Rizzi, M. (2026) · Journal of Bioethical Inquiry · doi:10.1007/s11673-026-10570-8 · Cited by 1
Metadata
- Authors
- Williams, C. T., Saini, B., Zaidi, S. T. R., Kali, C., Moujalli, G., & Castelino, R.
- Affiliations
- The University of Sydney (AU)
- University of Tasmania (AU)
- Blacktown & Mount Druitt Hospital (AU)
- Corresponding author
- Williams, Charles Travers
- Venue
- Vaccines
- Publisher
- MDPI AG
- Published
- 2024-06-05
- Volume
- 12
- Issue
- 6
- Pages
- 627
- ISSN
- 2076-393X (ISSN-L)
- PMC
- PMC11209045
- OpenAlex
- W4399360515
- Cited by
- 6
- References
- 2
- Citations by year
- 2026: 4 · 2025: 2
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Vaccines (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Social Sciences › Sociology and Political Science › Misinformation and Its Impacts
- Health Sciences › Medicine › Infectious Diseases › SARS-CoV-2 and COVID-19 Research
- Keywords
- vaccine uptake, vaccine hesitancy, fake news, misinformation, general practitioners, vaccination motivation, Australian adults
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