The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows

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The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows
Anti-vaccination protesters pray and rally near Los Angeles City Hall in California on August 14, 2021. David McNew/AFP via Getty Images
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Unvaccinated Americans are 11 times more likely to die and 10 times more likely to be hospitalized from COVID-19 than people who are fully vaccinated, a new study from the Centers for Disease Control and Prevention revealed Friday.

But despite these elevated risks, nearly 1 in 5 US adults remains unwilling to get vaccinated.

A recent survey by Morning Consult, an intelligence company that specializes in online survey research, found that 17% of US adults don't intend to get COVID-19 shots, and another 10% aren't sure if they will get vaccinated - meaning more than one-quarter of Americans are vaccine hesitant.

The US has the second highest vaccine hesitancy rate out of 15 high-income countries, according to Morning Consult's analysis.

Russia has the highest rate, as shown in the chart below - 28% of residents there are unwilling to get their shots, and another 15% aren't sure if they will get vaccinated.

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The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows
A chart shows the rates of vaccine hesitancy in 15 countries based on data collected between August 31 and September 6, 2021. Morning Consult

The analysis is based on at least 50,000 interviews with adults in the US and 14 other countries conducted between August 31 and September 6. The company asked respondents if they had been vaccinated, then gave them four different response options: "Yes," "No, but I will get it in the future," "No, and I am not sure if I will get it in the future," or "No, and I do not plan to get it."

Another chart by Our World In Data suggests a similar ranking: As of August 15, the US had a higher rate of vaccine hesitancy than 13 other high-income nations, according to that data. (The ranking does not include Russia.)

Vaccine hesitancy has been higher in the US throughout the pandemic

The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows
A child holds a sign at a protest against COVID-19 vaccine mandates in New York City on August 9, 2021. Michael M. Santiago/Getty Images

High levels of COVID-19 vaccine hesitancy isn't a new phenomenon in the US.

A February analysis found that vaccine acceptance rates in Southeast Asian countries like Malaysia, Indonesia, and China - which ranged between 91% and 93% - were nearly double the rates in Italy, Russia, Poland, the US, and France, which averaged 56%. The analysis examined surveys conducted across 33 different countries in December 2020, when vaccines weren't widely available.

A July study also revealed that COVID-19 vaccine acceptance rates were lower in the US and Russia than in less wealthy countries. On average, the vaccine acceptance rate across 10 low- and middle-income countries - Colombia, India, Nepal, Pakistan, and six African nations - was more than 80%. But the average acceptance rates in the US and Russia were 65% and 30%, respectively.

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Concerns over side effects drives hesitancy in the US

The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows
Debbie Bonnett (left) administers a COVID-19 vaccine at a pop-up vaccination clinic at Maple Leaf Bar in New Orleans on August 14, 2021. Mario Tama/Getty Images

About 54% of Americans are fully vaccinated as of Friday, up from 48% in mid-July, according to the Mayo Clinic.

In general, concerns over vaccine-related side effects and worry that vaccine clinical trials moved too fast are the top two drivers of vaccine hesitancy across all 15 countries, the Morning Consult survey found.

That said, the percentage of surveyed Americans who are unwilling to get vaccinated has been slowly decreasing since mid-March, when Morning Consult first started polling US adults.

The US ranks second highest among high-income countries in terms of vaccine hesitancy, one chart shows
A volunteer passes out vaccination information at a pop-up vaccination center in Halifax, England on July 31, 2021. Ian Forsyth/Getty Images

Between March 10 and April 19, the percentage of those surveyed who were unwilling to get vaccinated hovered between 20% and 21%. By mid-July, that figure was 19%. By early September, it had dropped to 17% - meaning about one-fifth of formerly unwilling Americans had changed their minds in the last six months.

However, vaccine hesitancy dropped about twice as fast, on average, in the 14 other high-income countries included in the survey.

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