TY - JOUR AU - Gurley, Stephen AU - Bennett, Brady AU - Sullivan, Patrick Sean AU - Kiley, Maryellen AU - Linde, Jamie AU - Szczerbacki, David AU - Guest, Jodie PY - 2021 DA - 2021/12/15 TI - COVID-19 Vaccine Perceptions, Intentions, and Uptake Among Young Adults in the United States: Prospective College-Based Cohort Study JO - JMIR Public Health Surveill SP - e33739 VL - 7 IS - 12 KW - COVID-19 KW - vaccine KW - hesitancy KW - college KW - higher education KW - race KW - perception KW - intention KW - uptake KW - prospective KW - cohort KW - demographic KW - minority KW - young adult AB - Background: Uptake of the COVID-19 vaccine among US young adults, particularly those that belong to racial and ethnic minorities, remains low compared to their older peers. Understanding vaccine perceptions and their influence on vaccination uptake among this population remains crucial to achieving population herd immunity. Objective: We sought to study perceptions of COVID-19 vaccines as well as intended and actual vaccine uptake among one population of college students, faculty, and staff. Methods: As part of a larger study aimed at investigating the dynamics of COVID-19 transmission, serology, and perception on a college campus, participants were asked about their views on the COVID-19 vaccine in February 2021. Vaccination status was assessed by self-report in April 2021. Logistic regression was used to calculate prevalence ratios with marginal standardization. Results: We found that non-White participants were 25% less likely to report COVID-19 vaccination compared to White participants. Among those who were unvaccinated, Black and other non-White participants were significantly more likely to indicate they were unwilling to receive a COVID-19 vaccine compared to White participants. The most common reason for unwillingness to receive the vaccine was belief that the vaccine approval process was rushed. Conclusions: There are racial differences in perceptions of the COVID-19 vaccine among young adults, and these differences might differentially impact vaccine uptake among young racial and ethnic minorities. Efforts to increase vaccine uptake among college populations might require campaigns specifically tailored to these minority groups. SN - 2369-2960 UR - https://publichealth.jmir.org/2021/12/e33739 UR - https://doi.org/10.2196/33739 UR - http://www.ncbi.nlm.nih.gov/pubmed/34847054 DO - 10.2196/33739 ID - info:doi/10.2196/33739 ER -