Suspicious and Misinformed

When it comes to Covid, suspicious and misinformed are words that describe millions of Americans—especially those who live in rural areas. Rural residents are much more likely than urban residents to say they "definitely won't" get a Covid vaccine, according to a KFF survey fielded in November. More than one in five (21 percent) adults in rural areas say they definitely won't get a vaccine versus 16 percent of suburban residents and 8 percent of adults in urban areas. 

Among parents with children under age 18, the rural-urban gap is even larger...

Parents with children aged 12 to 17 who say they definitely won't get their child vaccinated

Rural: 53%

Suburban: 29%

Urban: 20%

Parents with children aged 5 to 11 who say they definitely won't get their child vaccinated

Rural: 49%

Suburban: 27%

Urban: 22%

One reason for the heightened resistance among rural parents is their belief that the vaccine is not safe. Among parents in rural areas, 65 percent of those with children aged 12 to 17 and an even larger 71 percent of those with children aged 5 to 11 are "not too/not at all confident" in the safety of Covid vaccines. Most rural parents, in fact, think the bigger risk to their child's health is the vaccine itself rather than Covid.

Parents with children aged 12 to 17 who say the bigger risk to their child's health is the vaccine 

Rural: 60% 

Suburban: 40% 

Urban: 25% 

Parents with children aged 5 to 11 who say the bigger risk to their child's health is the vaccine

Rural: 53% 

Suburban: 44% 

Urban: 28% 

Source: KFF, KFF Covid-19 Vaccine Monitor: Differences in Vaccine Attitudes between Rural, Suburban, and Urban Areas