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Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: A Cross-Sectional Study.
Vaccines (Basel). 2021 Dec 10; 9(12)V

Abstract

Coronavirus disease 2019 (COVID-19) booster vaccination has been proposed in response to the new challenges of highly contagious variants, yet few studies have examined public acceptance of boosters. This study examined public acceptance of COVID-19 booster vaccination and its influencing factors by using the data from a self-administered online cross-sectional survey conducted in June 2021 in China. Multiple logistic analysis was used to examine the influencing factors of booster acceptance based on the health belief model (HBM). Among 1145 respondents, 84.80% reported to accept COVID-19 booster vaccination. Having COVID-19 vaccination history, perceiving high benefits and low barriers to booster vaccination, being younger (18-30 vs. 41-50), having a lower education level, being employed, and belonging to priority groups for vaccination were associated with increased odds of booster acceptance. The primary reason for refusing booster vaccination was concern about vaccine safety. The vast majority (92.8%) of respondents reported an annual willingness to pay between 0 and 300 CNY (0-46.29 USD) if the booster was not free. Our findings suggest that the acceptance rate of booster vaccination is relatively high in China, and the HBM-based analysis reveals that more efforts are needed to increase perceived benefits and reduce perceived barriers of vaccination to design effective and proper vaccination extension strategies when boosters become widely recommended.

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Authors+Show Affiliations

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

China Center for Health Development Studies, Peking University, Beijing 100191, China.

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

Department of Statistics and Modeling, Beijing Weikexing Technology, Beijing 100191, China.

School of Public Administration and Policy, Renmin University of China, Beijing 100872, China.

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

School of Public Health, Peking University, Beijing 100191, China. China Center for Health Development Studies, Peking University, Beijing 100191, China.

China Center for Health Development Studies, Peking University, Beijing 100191, China. Peking University Health Science Center, Chinese Center for Disease Control and Prevention, Joint Center for Vaccine Economics, Beijing 100191, China. Key Laboratory of Reproductive Health, National Health Commission of the People's Republic of China, Beijing 100191, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34960208

Citation

Lai, Xiaozhen, et al. "Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: a Cross-Sectional Study." Vaccines, vol. 9, no. 12, 2021.

Lai X, Zhu H, Wang J, et al. Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: A Cross-Sectional Study. Vaccines (Basel). 2021;9(12).

Lai, X., Zhu, H., Wang, J., Huang, Y., Jing, R., Lyu, Y., Zhang, H., Feng, H., Guo, J., & Fang, H. (2021). Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: A Cross-Sectional Study. Vaccines, 9(12). https://doi.org/10.3390/vaccines9121461

Lai X, et al. Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: a Cross-Sectional Study. Vaccines (Basel). 2021 Dec 10;9(12) PubMed PMID: 34960208.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Public Perceptions and Acceptance of COVID-19 Booster Vaccination in China: A Cross-Sectional Study. AU - Lai,Xiaozhen, AU - Zhu,He, AU - Wang,Jiahao, AU - Huang,Yingzhe, AU - Jing,Rize, AU - Lyu,Yun, AU - Zhang,Haijun, AU - Feng,Huangyufei, AU - Guo,Jia, AU - Fang,Hai, Y1 - 2021/12/10/ PY - 2021/11/09/received PY - 2021/12/02/revised PY - 2021/12/07/accepted PY - 2021/12/28/entrez PY - 2021/12/29/pubmed PY - 2021/12/29/medline KW - COVID-19 KW - China KW - booster vaccination KW - health belief model KW - vaccine JF - Vaccines JO - Vaccines (Basel) VL - 9 IS - 12 N2 - Coronavirus disease 2019 (COVID-19) booster vaccination has been proposed in response to the new challenges of highly contagious variants, yet few studies have examined public acceptance of boosters. This study examined public acceptance of COVID-19 booster vaccination and its influencing factors by using the data from a self-administered online cross-sectional survey conducted in June 2021 in China. Multiple logistic analysis was used to examine the influencing factors of booster acceptance based on the health belief model (HBM). Among 1145 respondents, 84.80% reported to accept COVID-19 booster vaccination. Having COVID-19 vaccination history, perceiving high benefits and low barriers to booster vaccination, being younger (18-30 vs. 41-50), having a lower education level, being employed, and belonging to priority groups for vaccination were associated with increased odds of booster acceptance. The primary reason for refusing booster vaccination was concern about vaccine safety. The vast majority (92.8%) of respondents reported an annual willingness to pay between 0 and 300 CNY (0-46.29 USD) if the booster was not free. Our findings suggest that the acceptance rate of booster vaccination is relatively high in China, and the HBM-based analysis reveals that more efforts are needed to increase perceived benefits and reduce perceived barriers of vaccination to design effective and proper vaccination extension strategies when boosters become widely recommended. SN - 2076-393X UR - https://www.unboundmedicine.com/medline/citation/34960208/Public_Perceptions_and_Acceptance_of_COVID_19_Booster_Vaccination_in_China:_A_Cross_Sectional_Study_ DB - PRIME DP - Unbound Medicine ER -