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Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China.
Front Public Health. 2021; 9:777565.FP

Abstract

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.

Authors+Show Affiliations

Clinical Educational Department, Gansu Provincial Hospital, Lanzhou, China.School of Public Health, The University of Queensland, Herston, QLD, Australia.School of Nursing, Gansu University of Chinese Medicine, Lanzhou, China.Clinical Educational Department, Gansu Provincial Hospital, Lanzhou, China.Clinical Educational Department, Gansu Provincial Hospital, Lanzhou, China.Department of Human Resource, Gansu Provincial Hospital, Lanzhou, China.Geriatrics Department, Gansu Provincial Hospital, Lanzhou, China.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

35071162

Citation

Zhang, Juxia, et al. "Determinants of COVID-19 Vaccine Acceptance and Hesitancy: a Health Care Student-Based Online Survey in Northwest China." Frontiers in Public Health, vol. 9, 2021, p. 777565.
Zhang J, Dean J, Yin Y, et al. Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China. Front Public Health. 2021;9:777565.
Zhang, J., Dean, J., Yin, Y., Wang, D., Sun, Y., Zhao, Z., & Wang, J. (2021). Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China. Frontiers in Public Health, 9, 777565. https://doi.org/10.3389/fpubh.2021.777565
Zhang J, et al. Determinants of COVID-19 Vaccine Acceptance and Hesitancy: a Health Care Student-Based Online Survey in Northwest China. Front Public Health. 2021;9:777565. PubMed PMID: 35071162.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China. AU - Zhang,Juxia, AU - Dean,Judith, AU - Yin,Yuhuan, AU - Wang,Dongping, AU - Sun,Yanqing, AU - Zhao,Zhenhua, AU - Wang,Jiancheng, Y1 - 2022/01/06/ PY - 2021/09/16/received PY - 2021/12/02/accepted PY - 2022/1/24/entrez PY - 2022/1/25/pubmed PY - 2022/1/28/medline KW - COVID-19 vaccine KW - China KW - healthcare students KW - vaccine acceptance KW - vaccine hesitant SP - 777565 EP - 777565 JF - Frontiers in public health JO - Front Public Health VL - 9 N2 - 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. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/35071162/Determinants_of_COVID_19_Vaccine_Acceptance_and_Hesitancy:_A_Health_Care_Student_Based_Online_Survey_in_Northwest_China_ L2 - https://doi.org/10.3389/fpubh.2021.777565 DB - PRIME DP - Unbound Medicine ER -