## Who Doesn’t Want to be Vaccinated? Determinants of Vaccine Hesitancy During COVID-19

_IMF Working Papers, May 6, 2021_

## Source details

**Canonical URL:** [Who Doesn’t Want to be Vaccinated? Determinants of Vaccine Hesitancy During COVID-19](https://www.imf.org/en/publications/wp/issues/2021/05/06/who-doesnt-want-to-be-vaccinated-determinants-of-vaccine-hesitancy-during-covid-19-50244)

## Other formats

- [Markdown version](/en/publications/wp/issues/2021/05/06/who-doesnt-want-to-be-vaccinated-determinants-of-vaccine-hesitancy-during-covid-19-50244/index.md)
- [Structured JSON version](/en/publications/wp/issues/2021/05/06/who-doesnt-want-to-be-vaccinated-determinants-of-vaccine-hesitancy-during-covid-19-50244/index.json)
- [Bundle manifest](/en/publications/wp/issues/2021/05/06/who-doesnt-want-to-be-vaccinated-determinants-of-vaccine-hesitancy-during-covid-19-50244/bundle-manifest.json)

## Bibliographic details
- Authors: Hibah Khan, Era Dabla-Norris, Frederico Lima, Alexandre Sollaci
- Published: May 6, 2021
- Series: IMF Working Papers
- DOI: https://doi.org/10.5089/9781513573717.001

---

### Summary
- Quick vaccine rollouts are crucial for a strong economic recovery, but vaccine hesitancy could prolong the pandemic and the need for social distancing and lockdowns.
- Individual-level data from nationally representative surveys developed by YouGov and Imperial College London are used to empirically examine determinants of vaccine hesitancy across 17 countries and over time.
- Vaccine hesitancy is introduced into an extended SIR model to assess its impact on pandemic dynamics.

### Key empirical findings
- Vaccine demand depends on demographic features:
  - Age
  - Gender
- Vaccine demand also depends on perceptions and behavioral factors:
  - Perceptions about the severity of COVID-19
  - Perceptions about side effects of the vaccine
  - Vaccine access
  - Compliance with protective behaviors
  - Overall trust in government
  - How information is shared with peers

### Model results and scenarios
- Introducing vaccine hesitancy into an extended SIR model yields two key scenario outcomes:
  - If hesitancy slows down vaccine rollouts, hesitancy can increase COVID-19 infections and deaths significantly.
  - If all willing adults can be immunized rapidly, hesitancy has a smaller impact on pandemic outcomes.

---

## Content in this bundle

- **Working Paper**
  - [Working Paper (Markdown version)](/-/media/files/publications/wp/2021/english/wpiea2021130-print-pdf.pdf.md){rel="alternate" type="text/markdown"}
  - [Working Paper (PDF)](/-/media/files/publications/wp/2021/english/wpiea2021130-print-pdf.pdf){rel="external" type="application/pdf"}

---

_Source: https://www.imf.org/en/publications/wp/issues/2021/05/06/who-doesnt-want-to-be-vaccinated-determinants-of-vaccine-hesitancy-during-covid-19-50244_
