Big Shift Seen in High-Risk Older Adults’ Attitudes Toward COVID-19 Vaccination

Poll shows double-digit jumps since autumn in percentage of Black, Hispanic and chronically ill older adults who say they’ll get vaccinated – or already have.

1:46 PM

Author | Kara Gavin

three vials of covid virus background in light blue with light blue germs flying around
Credit: IHPI

Last fall, nearly half of older adults were on the fence about COVID-19 vaccination – or at least taking a wait-and-see attitude, according to a University of Michigan poll taken at the time.

But a new follow-up poll shows that 71% of people in their 50s, 60s and 70s are now ready to get vaccinated against COVID-19 when a dose becomes available to them, or had already gotten vaccinated by the time they were polled in late January. That's up from 58% in October.

Three groups of older adults with especially high risk of severe COVID-19 – Blacks, Hispanics and people in fair or poor health – had even bigger jumps in vaccine receptiveness between October and late January.

The poll shows a 20-point jump in just four months in the percentage of Black respondents who said they would likely get vaccinated, and an 18-point jump for Hispanic older adults. The jump for white respondents in that time was 9 points.

SEE ALSO: The Urgent Need for National Medical Education on Vaccine Hesitancy

People who said their health was fair or poor – likely including many with chronic conditions that can increase their risk of serious illness if they catch the coronavirus – had an 11-point jump in likelihood of getting vaccinated. However, they were still less likely to want to get vaccinated than those in better health.

This is incredibly encouraging, given the amount of hesitancy we saw in our poll from late fall. But these new data still reveal gaps in attitudes about COVID-19 vaccination between racial and ethnic groups.
Preeti Malani, M.D.

By late January, 60% of Black respondents, 69% of Hispanic respondents and 62% of those in fair or poor health said they were very likely or somewhat likely to get vaccinated, or had already gotten at least one dose. Among all white respondents regardless of health status, it was 72%.

The data come from the National Poll on Healthy Aging, based at U-M's Institute for Healthcare Policy and Innovation with support from AARP and Michigan Medicine, U-M's academic medical center. In November 2020, the poll published a full report based on data from a poll conducted in October. The new data come from a question asked in late January and are being issued as an update to the previous poll.

"This is incredibly encouraging, given the amount of hesitancy we saw in our poll from late fall," says Preeti Malani, M.D., the poll's director and a professor of infectious diseases at U-M. "But these new data still reveal gaps in attitudes about COVID-19 vaccination between racial and ethnic groups. We hope this new knowledge will help the various groups doing education and outreach tailor their approach so they can address questions, concerns and reasons for vaccine hesitancy."

In both outings, the poll asked older adults the question, "Assuming no cost to you, when a COVID vaccine is available, how likely are you to get it?" Respondents in January had the additional option to answer that they had already been vaccinated.

The percentage of all respondents who were most enthusiastic about vaccination – those who said they were 'very likely' to get the vaccine – jumped 20 percentage points, from 33% in October to 53% in January.

SEE ALSO: COVID Vaccines: Does it Matter Which One You Get?

As states like Michigan open up vaccination eligibility to people over 50, the poll reveals that this group may need a bit more persuading than those 65 and up. The younger half of the poll group had an 11-point rise in likelihood of vaccination, compared with 14-point rise in the older group.

As in October, the new poll shows that individuals who have higher household incomes or more education were also more likely to report they would get a COVID vaccine.

The National Poll on Healthy Aging results are based on responses from a nationally representative sample of adults aged 50 to 80 who answered a wide range of questions online; the October poll included 1,553 respondents, and the January one included 2,022 respondents. Questions were written, and data interpreted and compiled, by the IHPI team. Laptops and Internet access were provided to poll respondents who did not already have them.

Read a full report of the findings and methodology of the October report, along with past National Poll on Healthy Aging reports.


More Articles About: Rounds Covid-19 COVID-19 Vaccine Immunizations Geriatrics infectious disease
Health Lab word mark overlaying blue cells
Health Lab

Explore a variety of health care news & stories by visiting the Health Lab home page for more articles.

Media Contact Public Relations

Department of Communication at Michigan Medicine

[email protected]

734-764-2220

Stay Informed

Want top health & research news weekly? Sign up for Health Lab’s newsletters today!

Subscribe
Featured News & Stories friends adults thanksgiving dinner table
Health Lab
How to safely celebrate the holidays and avoid getting sick
This holiday season, follow these five expert-approved steps to celebrate safely and avoid getting sick.
Minding Memory with a microphone and a shadow of a microphone on a blue background
Minding Memory
The Link Between Hearing Loss and Cognitive Decline
Hearing loss is one of the most common conditions of aging, affecting nearly two-thirds of older adults over the age of 70, but it’s not just a matter of diminished hearing. Hearing loss can contribute to poor psychosocial outcomes for patients including loneliness, depression, and social isolation. New research also shows that hearing loss is linked to a higher risk of cognitive decline and dementia. In fact, the 2024 Lancet Commission on Dementia Prevention, Intervention, and Care identified hearing loss as one of 14 modifiable risk factors for dementia. According to the commission, treating hearing loss could prevent up to 7% of dementia cases globally, making it one of the most impactful areas for potential prevention. This raises the question of whether use of hearing aids in people with hearing loss can reduce or mitigate this increased dementia risk. To help us understand these connections and the latest research in this area, we are joined today by Dr. Alison Huang, an epidemiologist and Senior Research Associate from the Johns Hopkins Cochlear Center for Hearing and Public Health. Her research studies the impact of sensory loss on cognitive and mental health in older adults. Dr. Huang was an author of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) study, a large, multicenter randomized controlled trial that tested whether treating hearing loss in older adults could help slow cognitive decline published in the Lancet. Alison Huang, PhD, MPH Link to article: Lin FR, Pike JR, Albert MS, Arnold M, Burgard S, Chisolm T, Couper D, Deal JA, Goman AM, Glynn NW, Gmelin T, Gravens-Mueller L, Hayden KM, Huang AR, Knopman D, Mitchell CM, Mosley T, Pankow JS, Reed NS, Sanchez V, Schrack JA, Windham BG, Coresh J; ACHIEVE Collaborative Research Group. Hearing intervention versus health education control to reduce cognitive decline in older adults with hearing loss in the USA (ACHIEVE): a multicentre, randomised controlled trial. Lancet. 2023 Sep 2;402(10404):786-797. doi: 10.1016/S0140-6736(23)01406-X. Epub 2023 Jul 18. PMID: 37478886; PMCID: PMC10529382.
friends talking outside older walking smiling
Health Lab
Older adults’ health may get a little help from their friends 
Close friendships include help with health-related advice or support for people over 50, but those with major mental or physical health issues have fewer close friends.
out the window woman staring
Health Lab
1 in 3 older adults still experience loneliness and isolation
Rates of loneliness and social isolation in older people have declined from pandemic highs, but are still a problem especially for those with mental or physical health issues or disabilities.
pigs sick and chickens in background with blue background and green cells floating around
Health Lab
Why the bird flu’s jump to pigs is concerning
A Michigan Medicine virologist speaks about the implications of H5N1 influenza, or bird flu, and whether a new pandemic could be on the horizon.
family of four sitting on couch in living room looking at an ipad laughing
Health Lab
Grandparents help grandkids in many ways – but the reverse may be true too
A poll shows the many ways (childcare, nutrition, major expenses) that grandparents help their grandchildren, but also suggests a link to older adults’ sense of isolation and their mental health.