RT Journal Article SR Electronic T1 Financial Incentives Are Associated with Lower Likelihood of COVID-19 Vaccination in Northeast Ohio JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP jabfm.2022.220265R1 DO 10.3122/jabfm.2022.220265R1 A1 Gong, Jenny D. A1 Barnboym, Emma A1 O’Mara, Megan A1 Gurevich, Natalie A1 Mattar, Maya A1 Anthony, Donald D. A1 Singer, Nora G. A1 Perzynski, Adam T. YR 2023 UL http://www.jabfm.org/content/early/2023/01/02/jabfm.2022.220265R1.abstract AB Background: Declining COVID-19 vaccination rates have led to implementation of monetary incentives to increase vaccine uptake. The Ohio Vax-a-Million lottery and subsequent $100 incentives were created to encourage individuals to become vaccinated. The purpose of this survey was to determine the efficacy of these monetary incentives on vaccination rates.Methods: A 38-item questionnaire was given to outpatients at MetroHealth and Cleveland Veteran Affairs Hospitals between August 2021 and February 2022 who either waited 2 or more months to receive the COVID-19 vaccination or have not yet been vaccinated. The survey contained questions regarding demographics and perceptions of COVID-19 monetary incentives on vaccination likelihood.Results: Of the 471 participants surveyed, 0.95% reported that the Ohio Vax-a-Million lottery increased their vaccination likelihood, while 29.7% reported that it decreased their likelihood. 6.8% of respondents reported the $100 incentive increased their vaccination likelihood while 17.4% reported it decreased their vaccination chances. 20.6% of participants stated news of the Delta (δ) variant increased their vaccination likelihood.Conclusion: Our study results suggest that monetary incentives were not associated with increased COVID-19 vaccination rates. Instead, more participants believed that these incentives decreased their vaccination likelihood. Expansion of the survey across a wider sociodemographic range can provide further evidence of the efficacy of these programs before reimplementation.