COVID-19 vaccination intention and vaccine hesitancy among citizens of the Mtis Nation of Ontario

ObjectiveThe study objective is to measure the influence of psychological antecedents of vaccination on COVID-19 vaccine intention among citizens of the Metis Nation of Ontario (MNO).MethodsA population-based online survey was implemented by the MNO when COVID-19 vaccines were approved in Canada. Questions included vaccine intention, the short version of the "5C" psychological antecedents of vaccination scale (confidence, complacency, constraint, calculation, collective responsibility), and socio-demographics. Census sampling via the MNO Registry was used achieving a 39% response rate. Descriptive statistics, bivariate analyses, and multinomial logistic regression models (adjusted for sociodemographic variables) were used to analyze the survey data.ResultsThe majority of MNO citizens (70.2%) planned to be vaccinated. As compared with vaccine-hesitant individuals, respondents with vaccine intention were more confident in the safety of COVID-19 vaccines, believed that COVID-19 is severe, were willing to protect others from getting COVID-19, and would research the vaccines (Confident OR = 19.4, 95% CI 15.5-24.2; Complacency OR = 6.21, 95% CI 5.38-7.18; Collective responsibility OR = 9.83, 95% CI 8.24-11.72; Calculation OR = 1.43, 95% CI 1.28-1.59). Finally, respondents with vaccine intention were less likely to let everyday stress prevent them from getting COVID-19 vaccines (OR = 0.47, 95% CI 0.42-0.53) compared to vaccine-hesitant individuals.ConclusionThis research contributes to the knowledge base for Metis health and supported the MNO's information sharing and educational activities during the COVID-19 vaccines rollout. Future research will examine the relationship between the 5Cs and actual uptake of COVID-19 vaccines among MNO citizens. ObjectifNous avons cherche a mesurer l'influence des antecedents psychologiques de vaccination sur l'intention de se faire vacciner contre la COVID-19 chez les citoyennes et citoyens de la Nation metisse de l'Ontario (NMO).MethodeUn sondage populationnel en ligne a ete mis en oe uvre par la NMO quand des vaccins contre la COVID-19 ont ete approuves au Canada. Les questions posees ont porte sur l'intention de se faire vacciner, la version abregee du modele << 5C >> de l'echelle de vaccination (Confiance, Contraintes, Complaisance, Calcul et responsabilite Collective) et le profil sociodemographique. Nous avons utilise l'echantillonnage fonde sur le recensement via le registre de la NMO pour obtenir un taux de reponse de 39 %. Des statistiques descriptives, des analyses bivariees et des modeles de regression logistique multinomiale (ajustes selon les variables sociodemographiques) ont servi a analyser les donnees du sondage.ResultatsLa majorite (70,2 %) des citoyennes et citoyens de la NMO prevoyaient se faire vacciner. Comparativement aux personnes reticentes a l'egard de la vaccination, les personnes ayant l'intention de se faire vacciner avaient plus confiance en l'innocuite des vaccins contre la COVID-19, consideraient la COVID-19 comme une maladie grave, etaient disposees a proteger les autres contre la COVID-19 et cherchaient a se renseigner au sujet des vaccins (Confiance : RC = 19,4, IC95% 15,5-24,2; Complaisance : RC = 6,21, IC95% 5,38-7,18; responsabilite Collective : RC = 9,83, IC95% 8,24-11,72; Calcul : RC = 1,43, IC95% 1,28-1,59). Enfin, les repondantes et les repondants ayant l'intention de se faire vacciner etaient moins susceptibles de laisser le stress quotidien les empecher de se faire vacciner contre la COVID-19 (RC = 0,47, IC95% 0,42-0,53) comparativement aux personnes reticentes a l'egard de la vaccination.ConclusionCette etude contribue a la base de connaissances sur la sante des Metis et a appuye les activites de sensibilisation et d'echange d'informations de la NMO pendant le deploiement des vaccins contre la COVID-19. Une etude future portera sur la relation entre les << 5C >> et le recours reel aux vaccins contre la COVID-19 chez les citoyennes et citoyens de la NMO.