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COVID-19 Vaccination Coverage Survey (CVCS): Cycle 2 full report

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About the second cycle

The second cycle of the COVID-19 Vaccination Coverage Survey (CVCS) was conducted from April 12 to May 12, 2021. It targeted all adults 18 years of age and older living in the 10 provinces except those who live in institutions, collective dwellings and on reserve.

Highlights

Intent to get vaccinated

  • At the time of the survey, 45% of adults in the provinces were already vaccinated against COVID-19, while 49% intended to get vaccinated and 5% did not intend to get vaccinated.
  • The proportion of adults who did not intend to get vaccinated was higher among younger age groups, males, those with less than post-secondary education and those with household income of less than $60,000.
  • Among those who were not vaccinated, 10% did not want to be vaccinated at this time or at all
  • The top reasons for not wanting to get vaccinated were:
    • concerns about the safety and effectiveness of COVID-19 vaccines
    • perception that there was a low risk of getting COVID-19

Knowledge, attitudes and beliefs

  • Most adults were confident that COVID-19 vaccines are safe (82%) and effective (87%) in preventing the disease.
  • However, among vaccinated and unvaccinated adults in the provinces:
    • 30% believed that physical distancing, frequent handwashing and wearing a mask are enough to protect them from the disease
    • 24% did not trust COVID-19 vaccines because they believe they were developed too quickly
    • 20% believed that the severity of the pandemic has been overstated

Response rate

The overall response rate for Cycle 2 was 59%. The response rate varied from one province to another. Saskatchewan had the lowest response rate at 55%; and Nova Scotia had the highest at 67% (Table 1).

Table 1: COVID-19 Vaccination Coverage Survey, Cycle 2 response rate in the provinces
Cycle 2 Sample size (n) Response rate (%)
All 10 provinces 10,678 59
British Columbia 1,063 58
Alberta 1,002 61
Saskatchewan 806 55
Manitoba 968 65
Ontario 2,048 60
Quebec 1,445 63
New Brunswick 779 56
Nova Scotia 923 67
Prince Edward Island 815 61
Newfoundland and Labrador 819 62

Intent to get vaccinated against COVID-19 in the provinces

Respondents were asked whether they intended to get vaccinated against COVID-19. This allows to better understand the uptake of COVID-19 vaccines in the 10 provinces.

Overall, adults were more likely to get vaccinated than to not get vaccinated. Only 5% of adults in all the provinces did not intend to get vaccinated against COVID-19.

Figure 1: Intent to get vaccinated against COVID-19 in the provinces
Figure 1. Text version below.
Figure 1: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all the provinces, and in each province, April to May 2021
Provinces Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
All 10 provinces 45 49 5
British Columbia 46 48 6
Alberta 46 48 6
Saskatchewan 54 40 7
Manitoba 42 50 8
Ontario 45 51 5
Quebec 47 48 5
New Brunswick 40 55 5
Nova Scotia 36 59 5
Prince Edward Island 33 62 5
Newfoundland and Labrador 43 53 4

Key results by sociodemographic factors

The intent to receive COVID-19 vaccines may be associated with sociodemographic factors such as age, gender, level of education, household income and immigration status. The next section shows how intent to get vaccinated against COVID-19 varies with these factors in all 10 provinces.

By age groups

  • The proportions of adults who had received at least one dose were higher in the older age groups. More than 90% of individuals over 70 years had received at least one dose, which reflects the fact that vaccination campaigns prioritized seniors at the time of the survey.
  • The proportion of individuals who did not intend to get vaccinated was higher in those between the ages of 18 to 49 years old (7%) comparing to those aged 60 years old and above (3%). However, the majority of the unvaccinated adults in younger age groups intended to get vaccinated.
Figure 2: Intent to get vaccinated against COVID-19 in all provinces by age groups
Figure 2. Text version below.
Figure 2: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all provinces by age groups, April to May 2021
Age groups Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
18-29 17 77 7
30-39 26 67 7
40-49 34 59 7
50-59 45 50 5
60-69 71 26 3
70+ 91 7 3

By gender

  • The proportion of adults who did not intend to get vaccinated against COVID-19 was higher in men (6%) compared to women (4%).
  • While men were less likely to have received at least one dose, more than half (54%) of them intended to get vaccinated against COVID-19.
Figure 3: Intent to get vaccinated against COVID-19 in all provinces by gender
Figure 3. Text version below.
Figure 3: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all provinces by gender, April to May 2021
Gender Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
Male 40 54 6
Female 51 45 4

By level of education

  • The proportion of adults who did not intend to get vaccinated against COVID-19 was higher in those with post-secondary education or lower.
Figure 4: Intent to get vaccinated against COVID-19 in all the provinces by level of education
Figure 4. Text version below.
Figure 4: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all the provinces by level of education, April to May 2021
Level of education Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
Secondary or less 46 48 7
Post-secondary 45 50 6
University 46 51 3

By household income

  • The proportion of adults who did not intend to get vaccinated against COVID-19 was higher in those with a household income of less than $60,000 comparing to incomes of $120,000 and over.
  • Adults who make less than $60,000 were more likely to be vaccinated than the ones making between $60,000 to < $120,000.
Figure 5: Intent to get vaccinated against COVID-19 in all the provinces by household income
Figure 5. Text version below.
Figure 5: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all the provinces by household income, April to May 2021
Household income Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
< $60,000 49 45 6
$60,000 to < $120,000 41 54 5
≥ $120,000 45 52 3

By immigration status

  • There was no difference in the proportion of adults who did not intend to get vaccinated between recent immigrants, long-term immigrants and non-immigrants
  • Recent immigrants (<10 years) were less likely to be vaccinated than long-term immigrants and non-immigrants, which may be attributed to recent immigrants being much younger
Figure 6: Intent to get vaccinated against COVID-19 in all the provinces by immigration status
Figure 6. Text version below.

E: Interpret estimate with caution because of high variability.

Figure 6: Text description
Percentage of individuals 18 years old or older who intended to get vaccinated against COVID-19 in all the provinces by immigration status, April to May 2021
Immigration status Already received at least one dose Non-vaccinated
Likely to get vaccinated Unlikely to get vaccinated
Immigrant < 10 years 22 75 3
Immigrant ≥ 10 years 49 48 4
Non-immigrant 47 47 5
Non-permanent resident 12Footnote E 76Footnote E 11Footnote E
Footnote E

Interpret estimate with caution because of high variability.

Return to footnote E referrer

Reasons for non-vaccination against COVID-19

  • The most common reason across all adults for not getting their COVID-19 vaccine in younger age groups was they were not part of a priority group for vaccination.
  • Almost one fifth of the population stated that they had an appointment in the future (18%). The proportion was the highest among people aged 60 to 69 years (52%).
  • Less than one tenth did not want to be vaccinated at this time (8%) or at all (3%).
Table 2: Reasons for non-vaccination against COVID-19 by age group in all provinces
Reasons for non-vaccination Age group in years (%)
18-29 30-39 40-49 50-59 60-69 70+ All 18+
I am not part of a priority group for vaccination at this time 67 57 43 27 6 Footnote * 47
I have an appointment in the future 7 13 18 26 52 31 18
I have not been able to get an appointment yet 8 12 16 19 12 7 13
I do not want to be vaccinated at this time 7 7 7 8 11 20 8
I do not want to be vaccinated at all 3 1 3 2 3 6 3
I do not have confidence in the vaccine that was offered to me 2 2 3 4 5 3 3
Footnote *

Due to Statistics Canada data confidentiality rules, cells with < 5 observations are suppressed.

Return to footnote * referrer

The top reasons among those who did not want to be vaccinated at this time and those who did not want to be vaccinated at all include:

  1. I do not trust the safety of the COVID-19 vaccines (45%).
  2. I do not trust the effectiveness of the COVID-19 vaccines (30%).
  3. I am not at high risk of getting COVID-19 (26%).

Knowledge, attitudes and beliefs

To better understand the factors influencing decisions on vaccination, respondents were asked about their views regarding COVID-19 vaccines and vaccines in general (Table 3).

  • The majority believed that vaccines in general are safe (95%) and effective (97%) in protecting people.
  • Most were confident that COVID-19 vaccines are safe (82%) and effective (87%) in preventing the disease. However, the proportions were relatively lower than those who trust the safety and the effectiveness of vaccines in general.
  • About one fifth distrusted COVID-19 vaccines because they were developed too quickly and one third believed that physical distancing, frequent handwashing and wearing a mask are enough to protect themselves from the disease.
Table 3: Knowledge, attitudes and beliefs about COVID-19 vaccination and vaccine in general in all provinces
Statement Percentage who agree or strongly agree with
Vaccines in general
In general, vaccines are safe 95%
In general, vaccines are effective in protecting people from disease 97%
I am confident that Canada's regulation process approves vaccines only if they are safe and effective 90%
COVID-19 vaccines
I am confident that COVID-19 vaccines are safe 82%
I am confident that COVID-19 vaccines are effective in preventing the disease 87%
By being vaccinated against COVID-19, I am protecting myself from the disease 93%
By being vaccinated against COVID-19, I am helping to protect the health of others in my community 94%
I distrust COVID-19 vaccines because they were developed too quickly 24%
Only those at risk of becoming seriously ill from COVID-19 need to be vaccinated 13%
It is better to develop immunity from having COVID-19 rather than from a vaccine 16%
Physical distancing, frequent handwashing and wearing a mask are enough to protect me from COVID-19 30%
Those who have had COVID-19 do not need to be vaccinated 10%
The severity of the pandemic has been overstated 20%

Trusted sources of information about COVID-19 vaccines

To measure the performance of vaccination campaigns and design future vaccination programs, respondents were asked about their trusted sources of information regarding COVID-19 vaccines (Table 4).

  • The most trusted sources of information about the COVID-19 vaccines were the Public Health Agency of Canada and Health Canada (84%), and health scientists and researchers (70%).
  • Less than one fifth trusted vaccine information from friends or family (17%), and 10% believed the information from alternative health providers.
Table 4: Trusted sources of information about COVID-19 vaccines in all provinces
Sources of information Percentage trusting each source
Public Health Agency of Canada and Health Canada 84%
Health scientists and researchers 70%
Provincial, territorial or regional health authorities 68%
World Health Organization (WHO) 62%
My physician 58%
Other healthcare professionals 46%
Pharmaceutical companies producing the COVID-19 vaccines 31%
Friends or family 17%
Other people's experience or knowledge 16%
Alternative health providers 10%
Other source 6%

To summarize

Almost half of the eligible population in the provinces were already vaccinated against COVID-19 at the time of the survey, 49% intended to get vaccinated and 5% did not intend to get vaccinated. The proportion of adults who did not intend to get vaccinated was higher among younger adults, males, those with lower level of education and lower household income.

To be continued

The data collection period for the next cycle of the CVCS is to be determined.

For more information about the COVID-19 Vaccination Coverage Survey, please contact us at: phac.coverage-couvertures.aspc@canada.ca.

For more information about COVID-19 vaccines

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2022-06-07

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