scholarly journals COVID-19 Vaccination Rates Are Lowest among Political Outsiders in the United States

2021 ◽  
Author(s):  
Byungkyu Lee ◽  
James Chu
Keyword(s):  
United States ◽  
Presidential Elections ◽  
The United States ◽  
Vaccination Rate ◽  
Longitudinal Survey ◽  
Vaccine Hesitancy ◽  
Vaccination Rates ◽  
Longitudinal Survey Data ◽  
Nationally Representative ◽  
The U.S

Vaccine hesitancy is a critical barrier to widespread vaccination uptake and containment of the COVID-19 pandemic. In the United States, vaccines have become politically polarized, with high rates of vaccine hesitancy observed among Republicans. In contrast to prior research focusing on partisan gaps, we investigate vaccination attitudes and uptake among a group overlooked in prior research: those who are eligible to vote but did not register in the presidential elections. Drawing on nationally representative and longitudinal survey data from April 2020 to October 2021, we show that this group – whom we call “political outsiders” – represents about 16% of the U.S. population. They had the lowest vaccination rate (47%) by 2021 October, significantly lower than Republican (65%), Independent (76%), and Democratic voters (88%). Further, we find that political outsiders are less likely to trust physicians compared to other partisan groups. Because the sources they trust differ from partisans, existing public health messaging may be less likely to reach them successfully. Finally, we find that political outsiders experience more socio-economic hardships and are less integrated into society. Hence, our results underscore the importance of targeted efforts to reach this highly vulnerable population.

Can Information Decrease Political Polarization? Evidence From the U.S. Taxpayer Receipt

2017 ◽  
Vol 8 (7) ◽  
pp. 736-745 ◽  
Author(s):  
Erik P. Duhaime ◽  
Evan P. Apfelbaum
Keyword(s):  
United States ◽  
The United States ◽  
Political Polarization ◽  
White House ◽  
Contentious Issue ◽  
Baseline Levels ◽  
Nationally Representative ◽  
High Level ◽  
The U.S ◽  
Do So

Scholars, politicians, and laypeople alike bemoan the high level of political polarization in the United States, but little is known about how to bring the views of liberals and conservatives closer together. Previous research finds that providing people with information regarding a contentious issue is ineffective for reducing polarization because people process such information in a biased manner. Here, we show that information can reduce political polarization below baseline levels and also that its capacity to do so is sensitive to contextual factors that make one’s relevant preferences salient. Specifically, in a nationally representative sample (Study 1) and a preregistered replication (Study 2), we find that providing a taxpayer receipt—an impartial, objective breakdown of how one’s taxes are spent that is published annually by the White House—reduces polarization regarding taxes, but not when participants are also asked to indicate how they would prefer their taxes be spent.

The Dynamics of Structural Realignment

1987 ◽  
Vol 81 (3) ◽  
pp. 775-796 ◽  
Author(s):  
Stuart Elaine Macdonald ◽  
George Rabinowitz
Keyword(s):  
United States ◽  
Political Parties ◽  
Political System ◽  
Presidential Elections ◽  
The United States ◽  
Spatial Theory ◽  
United States Congress ◽  
Presidential Candidates ◽  
Congressional Behavior ◽  
The U.S

Governments render decisions on how resources and values are allocated in a society. In the United States, Congress is the institution in which most of the key allocating decisions are made. To the extent the U.S. political system is integrated, the coalitions that form around the issues debated in Congress should be reflected in the coalitions that support presidential candidates and those that support the major political parties. We formulate a spatial theory of political change in which new ideological cleavages appear in congressional behavior and presidential elections and gradually reorganize the mass party base. The theory leads us explicitly to consider the question of dealignment and to specify conditions under which the parties will lose support from voters.

scholarly journals Spatial Modeling of COVID-19 Vaccine Hesitancy in the United States

2021 ◽  
Vol 18 (18) ◽  
pp. 9488
Author(s):  
Abolfazl Mollalo ◽  
Moosa Tatar
Keyword(s):  
United States ◽  
Healthcare Providers ◽  
Vulnerability Index ◽  
The United States ◽  
Vaccine Hesitancy ◽  
Social Vulnerability Index ◽  
Vaccination Programs ◽  
Public Health Decision ◽  
Vaccination Rates ◽  
The Impact

Vaccine hesitancy refers to delay in acceptance or refusal of vaccines despite the availability of vaccine services. Despite the efforts of United States healthcare providers to vaccinate the bulk of its population, vaccine hesitancy is still a severe challenge that has led to the resurgence of COVID-19 cases to over 100,000 people during early August 2021. To our knowledge, there are limited nationwide studies that examined the spatial distribution of vaccination rates, mainly based on the social vulnerability index (SVI). In this study, we compiled a database of the percentage of fully vaccinated people at the county scale across the continental United States as of 29 July 2021, along with SVI data as potential significant covariates. We further employed multiscale geographically weighted regression to model spatial nonstationarity of vaccination rates. Our findings indicated that the model could explain over 79% of the variance of vaccination rate based on Per capita income and Minority (%) (with positive impacts), and Age 17 and younger (%), Mobile homes (%), and Uninsured people (%) (with negative effects). However, the impact of each covariate varied for different counties due to using separate optimal bandwidths. This timely study can serve as a geospatial reference to support public health decision-makers in forming region-specific policies in monitoring vaccination programs from a geographic perspective.

scholarly journals Impact of SARS-CoV-2 Vaccines on Covid-19 Incidence and Mortality in the United States

2021 ◽  
Author(s):  
Fang Fang ◽  
John David Clemens ◽  
Zuo-Feng Zhang ◽  
Timothy F. Brewer
Keyword(s):  
Negative Binomial ◽  
Herd Immunity ◽  
The United States ◽  
Vaccination Rate ◽  
Vaccine Hesitancy ◽  
Percentage Increase ◽  
Protective Effects ◽  
Vaccination Rates ◽  
Incidence And Mortality ◽  
Before And After

Background: Despite safe and effective vaccines to prevent Severe Acute Respiratory Syndrome coronavirus 2 (SARS-CoV-2) infections and disease, a substantial minority of the US remains resistant to getting vaccinated. It is imperative to know if expanding vaccination rates could reduce community-wide Coronavirus 2019 (COVID-19) disease, not just among those vaccinated. Methods: Negative binomial models were used to estimate associations between U.S. county-level vaccination rates and county-wide COVID-19 incidence and mortality between April 23rd and September 30th, 2021. A two-week lag and a four-week lag were introduced to assess vaccination rate impact on incidence and mortality, respectively. Stratified analyses were performed for county vaccination rates >40%, and before and after Delta became the dominant variant. Findings: Among 3,070 counties, each percentage increase in population vaccination rates reduced county-wide COVID-19 incidence by 0.9% (relative risk (RR) 0.9910 (95% CI: 0.9869, 0.9952)) and mortality by 1.9% (RR 0.9807 (95% CI: 0.9745, 0.9823)). Among counties with vaccination coverage >40%, each percentage increase in vaccination rates reduced COVID-19 disease by 1.5%, RR 0.9850 (95% CI: 0.9793, 0.9952) and mortality by 2.7% (RR 0.9727 (95% CI: 0.9632, 0.9823)). These associations were not observed among counties with <40% vaccination rates. Increasing vaccination rates from 40% to 80% would have reduced COVID-19 cases by 45.4% (RR 0.5458 (95% CI: 0.4335, 0.6873)) and deaths by 67.0% (RR 0.3305 (95% CI: 0.2230, 0.4898)). An estimated 5,989,952 COVID-19 cases could have been prevented and 127,596 lives saved had US population vaccination rates increased from 40% to 80%. Interpretations: Increasing U.S. SARS-CoV-2 vaccination rates results in population-wide reductions in COVID-19 incidence and mortality. Furthermore, increasing vaccination rates above 40% has protective effects among non-vaccinated persons. Given ongoing vaccine hesitancy in the U.S., increasing vaccination rates could better protect the entire community and potentially reach herd immunity. Funding: National Cancer Institute

scholarly journals Diagnosis and control of hypertension in the elderly populations of Japan and the United States

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Yasuhiko Saito ◽  
Shieva Davarian ◽  
Atsuhiko Takahashi ◽  
Edward Schneider ◽  
Eileen M. Crimmins
Keyword(s):  
United States ◽  
Life Expectancy ◽  
The United States ◽  
Therapeutic Interventions ◽  
Medical Care System ◽  
Treatment Of Hypertension ◽  
Nationally Representative ◽  
Representative Samples ◽  
The U.S ◽  
Care System

The Japanese have the highest life expectancy in the world while the United States (U.S.) has relatively low life expectancy. Furthermore, the Americans have relatively poorer health compared to the Japanese. Examination of the treatment of specific conditions such as hypertension in these two countries may provide insights into how the health care system con-tributes to the relative health in these two countries. In this study, we focus on the treatment of hypertension, as this is the most common condition requiring therapeutic interventions in se-niors. This study examines hypertension diagnoses and controls in nationally representative samples of the older populations (68 years old or older) of Japan and the U.S. Data come from two nationally representative samples: the Nihon University Japanese Longitudinal Study of Aging (NUJLSOA) (n = 2,309) and the U.S. Health and Retirement (HRS) Study (n = 3,517). The overall prevalence of hypertension is higher in Japan than the U.S. Undiagnosed hyperten-sion is about four times higher in Japan than in the U.S., while the control of blood pressure is more than four times higher in the U.S. than in Japan. Thus, the use of antihypertensive medi-cation is much more frequent and more effective in the U.S. The medical care system seems to be more effective in controlling hypertension in the U.S. than in Japan. This may be due to the more aggressive diagnosis and treatment of hypertension in the U.S.

scholarly journals Underlying factors that influence the acceptance of COVID-19 vaccine in a country with a high vaccination rate

2021 ◽  
Author(s):  
Daniela Toro-Ascuy ◽  
Nicolas Cifuentes-Munoz ◽  
Andrea Avaria ◽  
Camila Pereira-Montecinos ◽  
Gilena Cruzat ◽  
...  
Keyword(s):  
Policy Design ◽  
Vaccination Rate ◽  
Vaccine Hesitancy ◽  
Willingness To Accept ◽  
Vaccination Programs ◽  
Individual Level ◽  
Explanatory Variables ◽  
Vaccination Rates ◽  
Process Understanding ◽  
Nationally Representative

Control of the COVID-19 pandemic largely depends on the effectiveness of the vaccination. Several factors including vaccine hesitancy can affect the vaccination process. Understanding the factors that underlie the willingness to accept vaccination brings pivotal information to control the pandemic. We analyzed the association between the willingness level to accept the COVID-19 vaccine, and vaccine determinants amidst the Chilean vaccination process. Individual-level survey data was collected from nationally representative samples of 744 respondents, and multivariate regression models used to estimate the association between outcome and explanatory variables. Trust in the COVID-19 vaccine, scientists, and medical professionals were found to increase the willingness to: accept the vaccine, a booster dose, annual vaccination, and children vaccination. Our results are critical to understanding the acceptance of COVID-19 vaccines in the context of a country with one of the highest vaccination rates in the world. We provide information for decision-making, policy design and communication of vaccination programs.

Prevalence and Demographic Differences in Work as a Calling in the United States: Results From a Nationally Representative Sample

2021 ◽  
pp. 106907272199569
Author(s):  
Micah J. White ◽  
Dylan R. Marsh ◽  
Bryan J. Dik ◽  
Cheryl L. Beseler
Keyword(s):  
United States ◽  
Panel Study ◽  
Social Science Research ◽  
Age Groups ◽  
Science Research ◽  
The United States ◽  
Demographic Differences ◽  
Life Study ◽  
Nationally Representative ◽  
The U.S

Within the last two decades, social science research on work as a calling has rapidly grown. To date, knowledge regarding prevalence and demographic differences of calling in the United States derives from data collected mainly from regionally limited and/or occupationally homogenous samples. The present study used data from the Portraits of American Life Study, a nationally stratified panel study of religion in the United States (U.S.), to estimate calling’s prevalence in the U.S. Our findings represent the first known population estimates of seeking, perceiving, and living a calling in the U.S. Results revealed that calling is a relevant concept for many U.S. adults, with 43% endorsing “mostly true” or “totally true” to the statement “I have a calling to a particular kind of work.” Small differences for presence of and search for a calling emerged across age groups, employment statuses, and levels of importance of God or spirituality. For living a calling, significant differences were identified only for importance of God or spirituality, contrasting with previous findings that suggested that living a calling varies as a function of income and social status. Implications for research and practice are explored.

Democracy in America? Partisanship, Polarization, and the Robustness of Support for Democracy in the United States

2020 ◽  
Vol 114 (2) ◽  
pp. 392-409 ◽  
Author(s):  
MATTHEW H. GRAHAM ◽  
MILAN W. SVOLIK
Keyword(s):  
United States ◽  
Political Ideology ◽  
The United States ◽  
The Public ◽  
Support For Democracy ◽  
Nationally Representative ◽  
Democratic Stability ◽  
Democratic Principles ◽  
The U.S ◽  
Do So

Is support for democracy in the United States robust enough to deter undemocratic behavior by elected politicians? We develop a model of the public as a democratic check and evaluate it using two empirical strategies: an original, nationally representative candidate-choice experiment in which some politicians take positions that violate key democratic principles, and a natural experiment that occurred during Montana’s 2017 special election for the U.S. House. Our research design allows us to infer Americans’ willingness to trade-off democratic principles for other valid but potentially conflicting considerations such as political ideology, partisan loyalty, and policy preferences. We find the U.S. public’s viability as a democratic check to be strikingly limited: only a small fraction of Americans prioritize democratic principles in their electoral choices, and their tendency to do so is decreasing in several measures of polarization, including the strength of partisanship, policy extremism, and candidate platform divergence. Our findings echo classic arguments about the importance of political moderation and cross-cutting cleavages for democratic stability and highlight the dangers that polarization represents for democracy.

scholarly journals The Relationship between US Adults’ Misconceptions about COVID-19 Vaccines and Vaccination Preferences

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 901
Author(s):  
Sarah E. Kreps ◽  
Jillian L. Goldfarb ◽  
John S. Brownstein ◽  
Douglas L. Kriner
Keyword(s):  
United States ◽  
Clinical Trials ◽  
Vaccine Safety ◽  
The United States ◽  
Vaccine Hesitancy ◽  
Representative Survey ◽  
Factors Associated ◽  
Nationally Representative ◽  
The Relationship ◽  
Sizeable Minority

While mass vaccination has blunted the pandemic in the United States, pockets of vaccine hesitancy remain. Through a nationally representative survey of 1027 adult Americans conducted in February 2021, this study examined individual misconceptions about COVID-19 vaccine safety; the demographic factors associated with these misconceptions; and the relationship between misconceptions and willingness to vaccinate. Misconceptions about vaccine safety were widespread. A sizeable minority (40%) believed that vaccine side effects are commonly severe or somewhat severe; 85% significantly underestimated the size and scale of the clinical trials; and a sizeable share believed either that the vaccines contain live coronavirus (10%) or were unsure (38%), a proxy for fears that vaccination itself may cause infection. These misconceptions were particularly acute among Republicans, Blacks, individuals with lower levels of educational attainment, and unvaccinated individuals. Perceived side effect severity and underestimating the size of the clinical trials were both significantly associated with vaccine hesitancy.

scholarly journals Marked Inequalities in COVID-19 Vaccination by Racial/Ethnic, Socioeconomic, Geographic, and Health Characteristics, United States, January 6 – February 15, 2021

2021 ◽  
Vol 5 (2) ◽  
pp. 103-112
Author(s):  
Gopal K Singh ◽  
Hyunjung Lee ◽  
Romuladus E Azuine
Keyword(s):  
United States ◽  
The United States ◽  
Vaccination Rates ◽  
Creative Commons ◽  
Wide Range ◽  
Uninsured Adults ◽  
Nationally Representative ◽  
Priority Populations ◽  
Age Range ◽  
Us Census

Background: The COVID-19 pandemic has had a substantial adverse impact on the health and wellbeing of populations in the United States (US) and globally. Since the availability of COVID-19 vaccines in December 2020, efforts have been underway to vaccinate priority populations who are at increased risks of COVID-19 infections, morbidity, and mortality, but rigorous and analytical national data on vaccination rates are lacking. Using the latest nationally representative data, we examine disparities in COVID-19 vaccination among US adults aged 18 years and older by a wide range of social determinants. Methods: Using three consecutive rounds of the US Census Bureau’s Household Pulse Survey from January 6 to February 15, 2021 (N=224,458), disparities in vaccination rates by race/ethnicity, socioeconomic status, health insurance, health status, and metropolitan area were modeled by multivariate logistic regression. Results: An estimated 33.6 million or 13.6% of US adults received COVID-19 vaccination. Vaccination rates varied 5-fold across the age range, from a low of 5.8% for adults aged 18-24 to 19.1% for those aged 65-74, and 29.0% for those aged ≥75 years. Males, non-Hispanic Blacks, Hispanics, divorced/separated and single individuals, those with lower education and household income levels, renters, not-employed individuals, the uninsured, and individuals with higher depression levels reported significantly lower rates of vaccination. Controlling for covariates, non-Hispanic Blacks had 11% lower odds and Asians had 50% higher odds of receiving vaccination than non-Hispanic Whites. Adults with less than a high school education had 64% lower adjusted odds of receiving vaccination than those with a Master’s degree. Adults with an annual income of <$25,000 had 33% lower adjusted odds of vaccination than those with a ≥$200,000. Vaccination rates ranged from 10.7% in Riverside-San Bernardino, California to 16.1% in Houston, Texas. Conclusion and Implications for Translation: Ethnic minorities, socioeconomically-disadvantaged individuals, uninsured adults, and those with serious depression reported significantly lower vaccination rates. Equitable vaccination coverage is critical to reducing inequities in COVID-19 health outcomes.   Copyright © 2021 Singh. et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

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