Determinants of Covid-19 Vaccine Acceptance and Hesitancy

A Health Care Student-Based Online Survey in Northwest China

Datos Bibliográficos

ID22079334
AutoresJuxia Zhang (0000-0002-3993-7920, Gansu Provincial Hospital), Judith A Dean (0000-0002-2513-2013, The University of Queensland), Judith Dean, Yuhuan Yin (Gansu University of Traditional Chinese Medicine), Dongping Wang (0000-0001-7386-1600, Gansu Provincial Hospital), Yanqing Sun (0000-0002-3022-369X, Gansu Provincial Hospital), Zhenhua Zhao (0000-0003-2018-9595, Gansu Provincial Hospital, autor de correspondencia), Jiancheng Wang (0000-0002-6851-4951, Gansu Provincial Hospital, autor de correspondencia)
Año2022
Volumen9
Páginas777565-777565
Fecha de publicación2022-01-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaFrontiers in Public Health (JOURNAL)
Identificadores de la revistaISSN: 2296-2565 • E-ISSN: 2296-2565
EditorialFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2021.777565
PMID35071162
OpenAlexW4205301501
IdiomaEN
Citas recibidas5
Referencias citadas44

Background: With the spread of COVID-19 around the world, herd immunity through vaccination became a key measure to control the pandemic, but high uptake of vaccine is not guaranteed. Moreover, the actual acceptance of COVID-19 vaccination and associated factors remain uncertain among health care students in Northwest China. Methods: A cross-sectional survey of a sample of 631 health care students was performed using a questionnaire developed through Wen Juan Xing survey platform to collect information regarding their attitudes, beliefs, and acceptance of COVID-19 vaccination. Binary logistic regression analyses were performed to identify the association between vaccination willingness and demographics, attitudes, and beliefs to determine the factors that actually effect acceptance and hesitancy of COVID-19 vaccine among health care students. Results: Overall, 491 (77.81%) students actually received the COVID-19 vaccine, and of the 140 unvaccinated, 69 were hesitant and 71 rejected. Binary logistic regression analysis showed that the actually vaccinated individuals were those who mostly believed in the effectiveness of the COVID-19 vaccine (OR = 2.94, 95%CI: 1.37, 6.29), those who mostly felt it is their responsibility to receive the vaccine to protect others from infection (OR = 2.75, 95%CI: 1.45, 5.23), with less previous experience about other vaccines (OR = 1.70, 95%CI: 1.06, 2.72), students who mostly thought COVID-19 to be very severe (OR = 1.77, 95%CI: 1.07, 2.93), and students who mostly thought the COVID-19 vaccine was one of the best protection measures (OR = 1.68, 95%CI: 1.03, 2.76). Concerns about side effects of vaccines (OR = 0.30, 95%CI: 0.18, 0.51) and the use of personal protective behavior as an alternative to the COVID-19 vaccination (OR = 0.16, 95%CI: 0.06, 0.39) hindered the vaccine acceptance. Conclusions: Our study showed higher COVID-19 vaccine acceptance among healthcare students. However, the individuals with vaccine hesitancy and rejection were still worrying. Vaccine safety and effectiveness issues continue to be a major factor affecting students' acceptance. To expand vaccine coverage in response to the COVID-19 pandemic, appropriate vaccination strategies and immunization programs are essential, especially for those with negative attitudes and beliefs

China · Cross-sectional study · Environmental health · Family medicine · Geography · Health care · Herd immunity · Influenza vaccine · Logistic regression · Pandemic · Vaccination · Demography · Medicine · Psychology of Moral and Emotional Judgment · SARS-CoV-2 and COVID-19 Research · Vaccine Coverage and Hesitancy · Immunology · Internal Medicine