I believe this is a prominent factor and more of a reason than accessibility, imho. Distrust of the government is also a big factor why people like my mom and brother are not going to get it, even though Tennessee is overflowing with vaccine.
proven is a strong word. this isn't new with covid, this was an existing issue that applies to covid vaccines as well, and is demonstrated through studies like the one I linked, as well as logically making sense in the same way that rural elders also require assistance in accessing things.
I have family in Alaska. they were vaccinated months ago because the local native group was given a surplus of vaccine and they were wanting to use it on anyone in the area who wanted it. Supply met and exceeded demand. this is not the case in communities without access to supply. I'm driving 2 hours on Sunday to get vaccinated. Many people do not have the ability to do that, it is a privilege I have because I own a car and don't work on weekends much, and can comfortably afford to do so. I got the appt due through using a personal broadband internet connection on a home computer. not everyone has these things.
What the hell is going on Virginia? Tennessee is begging people to come use up its surplus of vaccine.
This has been studied. There is a large amount of distrust, but socioeconomic access checks more boxes. Now, an argument can be made that dist is just one box, and socioeconomic is a lot of different boxes, but both are still perception. And the perceptions lean socioeconomic.
That is your State being a dumbass and running it very poorly. I bet you will have low levels of all groups getting the shot compared to other states if your experience is the norm. I wouldn't do all of that to get it. In Tennessee, if you want the shot you can easily get it.
My state apparently won't move on until EVERY PERSON in a group has had the shot... but that is dumb. Give an opportunity and then move on.
Questionnaires. You probably don't have the pleasure of using learning hospitals and doctors offices. But, were you to, you'd find that the medical students, residents, even some undergrads, are all running various studies, both in and out of the University the learning hospital is attached to. And those questionnaires contain triggers, like, "If patient has missed vaccine, hand them form 12345." And the patient gets a form that says something like: "In the last 6 months, you missed a necessary vaccination schedule (or medical visit, or tooth pulling, or whatever is being studied.) Can check why. Multiple choices are allowed (or not, depending on the study)" [] Didn't have a ride [] Couldn't afford [] Don't want to [] Don't believe they work Etc. And then hospitals and offices all over combine their results at the end, and they put weight on each answer. Using basic graph theory, where each answer gives weight to a point on a graph, the largest circle will be the one checked the most, correct? And the second largest circle the second most. And then individual reasons can be identified, as well as classes of reasons. And so based on that, we know that the reasons are socioeconomic, because that's the class of reasons that keeps being largest. And the only way to conclude that it isn't those, is to conclude that more people lie to anonymous pieces of paper than not lie. Which is just full blown paranoia if you think most people lie to paper.
It's not my area of expertise, so I wouldn't base your acceptance or rejection of the concept off of my ability to present it to you.
Your question doesn't make sense. It's like asking "Do the vast majority of people not use my doctor?" And the answer is ... yea, most people don't use your doctor. The person would be overworked. But also not everyone can afford him/her. And they can't get there. And they have someone else. Can you ask your question in more of way that makes sense?