• Jenny D Gong, Emma Barnboym, Megan O'Mara, Natalie Gurevich, Maya Mattar, Donald D Anthony, Nora G Singer, and Adam T Perzynski.
• Case Western Reserve University School of Medicine, Cleveland, OH (JDG, DDA, NGS, ATP); The MetroHealth System, Cleveland, OH (JDG, EB, DDA, NGS, ATP); Cleveland Veterans Affairs Medical Center, Cleveland, OH (JDG, MO, NG, MM, DDA).
• J Am Board Fam Med. 2023 Jan 2.

BackgroundDeclining 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.MethodsA 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.ResultsOf 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.ConclusionOur 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.© Copyright by the American Board of Family Medicine.

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