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Preventive Medicine Reports






To examine the factors associated with coronavirus vaccine hesitancy among students in higher education, we conducted a cross-sectional mixed-methods study between June and August 2021 among California students in higher education (n = 4444). We collected information on vaccination status, socio-demographics, and attitudes towards coronavirus vaccination. After adjusting for social demographics and social network characteristics, compared to those with household members who were vaccinated, those who had household members who were unvaccinated had 0.11 (95% CI 0.09 – 0.14) times the odds of being vaccinated. Political identification was related to vaccination status: compared to those who did not identify with any particular party, those who identified as progressive had 12.5 (95% CI 3.70 – 50.0) times the odds of being vaccinated. Asians had higher odds (OR = 1.54; 95% CI 1.08 – 2.04) of being vaccinated compared to whites and men were marginally less likely to be vaccinated (OR = 0.79; 95% CI 0.61 – 1.00). However, age, parental education, and educational status were unrelated to vaccination status. Social and demographic factors may be associated with the decision to remain vaccinated among young adults. Public health messages should utilize social networks to encourage vaccination uptake among young adults.


California, College students, COVID-19, Higher education, Mandates, Vaccines

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This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.


Public Health and Recreation