Covid-19 vaccination coverage and its cognitive determinants among older adults in Shanghai, China, during the Covid-19 epidemic

Bibliographic Data

ID22072866
AuthorsLu Wei (0000-0002-2461-5670, Shanghai Jiao Tong University), Wu Zeng (0000-0002-3473-3638, Georgetown University), Yangyang Huang (0000-0001-9272-5997, Shanghai Jiao Tong University), Guoxin Ye (Shanghai Jiao Tong University), Ying Chen (0000-0002-4780-4642, Shanghai Jiao Tong University), Ling Yang (0000-0001-5750-6588, Tongji University, corresponding author), Yuyang Cai (0000-0002-0320-4602, Shanghai Jiao Tong University, corresponding author)
Year2023
Volume11
Pages1163616-1163616
Publication date2023-06-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2023.1163616
PMID37333561
OpenAlexW4379229534
LanguageEN
References cited34

Objectives This study aimed to examine the coverage of coronavirus disease 2019 (COVID-19) vaccination and its cognitive determinants among older adults. Methods A cross-sectional study was conducted using a questionnaire to conduct a survey among 725 Chinese older adults aged 60 years and above in June 2022, 2 months after the mass COVID-19 outbreak in Shanghai, China. The questionnaire covered demographic characteristics, COVID-19 vaccination status, internal risk perception, knowledge, and attitude toward the efficacy and safety of COVID-19 vaccines. Results The vaccination rate was 78.3% among the surveyed individuals. Self-reported reasons for unwillingness to get vaccinated (multiple selections) were “concerns about acute exacerbation of chronic diseases after vaccination (57.3%)” and “concerns regarding vaccine side effects (41.4%).” Compared to the unvaccinated group, the vaccinated group tended to have a higher score in internal risk perception ( t = 2.64, P < 0.05), better knowledge of COVID-19 vaccines ( t = 5.84, P < 0.05), and a more positive attitude toward the efficacy and safety of COVID-19 vaccines ( t = 7.92, P < 0.05). The path analysis showed that the cognitive effect on vaccination behavior is relatively large, followed by the internal risk perception, and then the attitude toward COVID-19 vaccines. The more knowledgeable the participants were about COVID-19 vaccines, the more likely they were to receive the COVID-19 vaccines. In the multivariate logistic regression, the increased coverage of COVID-19 vaccination was associated with reduced age (OR = 0.53 95% CI 0.43–0.66, P < 0.001), being a resident in other places than Shanghai (OR = 0.40, 95% CI 0.17–0.92, P < 0.05), a shorter time of lockdown (OR = 0.33, 95% CI 0.13–0.83, P < 0.05), a history of other vaccines (OR = 2.58, 95% CI 1.45–4.60, P < 0.01), a fewer number of chronic diseases (OR = 0.49, 95% CI 0.38–0.62, P < 0.001), better knowledge about COVID-19 vaccines (OR = 1.60, 95% CI 1.17–2.19, P < 0.01), and a positive attitude toward COVID-19 vaccines (OR = 9.22, 95% CI 4.69–18.09, P < 0.001). Conclusion Acquiring accurate knowledge and developing a positive attitude toward COVID-19 vaccines are important factors associated with COVID-19 vaccination. Disseminating informed information on COVID-19 vaccines and ensuring efficacious communication regarding their efficacy and safety would enhance awareness about COVID-19 vaccination among older adults and consequently boost their vaccination coverage

2019-20 coronavirus outbreak · China · Cognition · Disease · Environmental health · Geography · Outbreak · Pandemic · Psychiatry · Vaccination · COVID-19 and Mental Health · Medicine · SARS-CoV-2 and COVID-19 Research · Vaccine Coverage and Hesitancy · Gerontology · Virology

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