Table 2 Factors associated with COVID-19 vaccine hesitancy based on the 3-level hierarchical model in the Dominican Republic (surveyed June-October 2021).

From: Spatial multilevel analysis of individual, household, and community factors associated with COVID-19 vaccine hesitancy in the Dominican Republic

Predictors

Odds ratio (95% CI)

P value

Intercept

0.20 (0.03–1.36)

0.100

Age

0.47 (0.28–0.80)**

0.005

Ethnicity (reference: white)

Indigenous

0.49 (0.13–1.82)

0.289

Mestizo

0.24 (0.03–1.69)

0.151

Mulatto

0.11 (0.02–0.66)**

0.016

Born in the Dominican Republic (reference: yes)

no

43.67 (6.01-317.22)**

< 0.001

Education level (reference: no formal)

Primary school

0.40 (0.14–1.13)

0.084

Secondary School

0.17 (0.05–0.61)**

0.006

Technical

0.62 (0.06–6.37)

0.688

University

0.18 (0.03–0.95)**

0.043

Work environment: (reference: indoor)

Mix

1.31 (0.46–3.74)

0.608

Not relevant

1.08 (0.48–2.43)

0.854

Outdoor

0.41 (0.10–1.70)

0.220

Travel in the past 5 years outside of the country (reference: yes)

no

0.30 (0.07–1.19)*

0.087

Vaccinating myself against COVID-19 is important for my health

0.21 (0.09–0.49)**

< 0.001

I am concerned about serious adverse effects of the COVID-19 vaccine

4.34 (2.15 8.78)**

< 0.001

The benefits of vaccination against COVID-19 outweighs the risks

0.62 (0.36–1.08)*

0.089

Death in the household from any cause

(reference: no)

yes

0.54 (0.18–1.58)

0.258

Source of health information

(reference: social media)

  

Health professionals

0.30 (0.10–0.92)**

0.035

Internet

1.88 (0.18–20.10)

0.600

Neighbors, family/friends, co-workers

4.13 (0.77-22.00)*

0.097

school

0.08 (0.01–0.99)**

0.050

TV, radio, newspapers, brochures

1.77 (0.66–4.74)

0.253

Trust the religious leaders

2.86 (1.04–7.85)**

0.042

Trust the media

1.93 (1.28–2.90)**

0.002

Trust the local government

0.68 (0.47–0.98)**

0.039

Trust the social media

0.94 (0.63–1.38)

0.738

Trust the national government

1.22 (0.87–1.70)

0.254

Number of hospitals per population in the community household located

1.10 (1.06–1.14)**

0.000

Variance and covariance of random effects

 

Level 2 (Household)

6.41 (2.74)

Level 3 (Community)

2.31 (0.67)

Log-Likelihood

-1737636.2

  1. “*” indicates a significant association at P < 0.1, and “** “indicates a significant association at P < 0.05.