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Patterns and influencing factors of COVID-19 vaccination willingness among college students in China.
Vaccine. 2022 05 11; 40(22):3046-3054.V

Abstract

BACKGROUND

Vaccination is an important preventive measure against the coronavirus disease 19 (COVID-19) pandemic. We aimed to examine the willingness to vaccination and influencing factors among college students in China.

METHODS

From March 18 to April 26, 2021, we conducted a cross-sectional online survey among college students from 30 universities in Wuhan, Hubei Province, China. The survey was composed of the sociodemographic information, psychological status, experience during pandemic, the willingness of vaccination and related information. Students' attitudes towards vaccination were classified as 'vaccine acceptance', 'vaccine hesitancy', and 'vaccine resistance'. Multinomial logistic regression analyses were performed to identify the influencing factors associated with vaccine hesitancy and resistance.

RESULTS

Among 23,143 students who completed the survey, a total of 22,660 participants were included in the final analysis with an effective rate of 97.9% after excluding invalid questionnaires. A total of 60.6% of participants would be willing to receive COVID-19 vaccine, 33.4% were hesitant to vaccination, and 6.0% were resistant to vaccination. Social media platforms and government agencies were the main sources of information vaccination. Worry about the efficacy and adverse effects of vaccine were the top two common reason of vaccine hesitancy and resistance. Multiple multinomial logistic regression analysis identified that participants who worried about the adverse effects of vaccination were more likely to be vaccine hesitancy (aOR = 2.44, 95% CI = 2.30, 2.58) and resistance (aOR = 2.71, 95% CI = 2.40, 3.05).

CONCLUSION

More than half of college students are willing to receive the COVID-19 vaccine, whereas nearly one-third college students are still hesitant or resistant. It is crucial to provide sufficient and scientific information on the efficacy and safety of vaccine through social media and government agencies platforms to promote vaccine progress against COVID-19 and control the pandemic in China.

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Authors+Show Affiliations

Zhu XM
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Yan W
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Sun J
Center for Pain Medicine, Peking University Third Hospital, Beijing 100191, China.
Liu L
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China; School of Public Health, Peking University, Beijing 100191, China.
Zhao YM
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China; School of Public Health, Peking University, Beijing 100191, China.
Zheng YB
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China; Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100191, China.
Que JY
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Sun SW
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Gong YM
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China; Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100191, China.
Zeng N
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China; School of Public Health, Peking University, Beijing 100191, China.
Yuan K
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Shi L
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Sun YK
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China.
Guo SH
Wuhan Wuchang Hospital, Wuhan University of Science and Technology, Wuhan, China.
Lu Y
Wuhan Wuchang Hospital, Wuhan University of Science and Technology, Wuhan, China.
Ran MS
Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.
Wong SYS
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong Special Administrative Region.
Shi J
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China.
Jiang ZD
Wuhan Wuchang Hospital, Wuhan University of Science and Technology, Wuhan, China.
Bao YP
National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China; School of Public Health, Peking University, Beijing 100191, China.
Lu L
Institute of Mental Health, National Clinical Research Center for Mental Disorders, Key Laboratory of Mental Health and Peking University Sixth Hospital, Peking University, Beijing 100191, China; National Institute on Drug Dependence and Beijing Key Laboratory of Drug Dependence, Peking University, Beijing 100191, China; Peking-Tsinghua Center for Life Sciences and PKU-IDG/McGovern Institute for Brain Research, Peking University, Beijing 100191, China. Electronic address: linlu@bjmu.edu.cn.

MeSH

COVID-19COVID-19 VaccinesChinaCross-Sectional StudiesHumansSARS-CoV-2StudentsVaccinationVaccines

Pub Type(s)

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

Language

eng

PubMed ID

35450782

Citation

Zhu, Xi-Mei, et al. "Patterns and Influencing Factors of COVID-19 Vaccination Willingness Among College Students in China." Vaccine, vol. 40, no. 22, 2022, pp. 3046-3054.
Zhu XM, Yan W, Sun J, et al. Patterns and influencing factors of COVID-19 vaccination willingness among college students in China. Vaccine. 2022;40(22):3046-3054.
Zhu, X. M., Yan, W., Sun, J., Liu, L., Zhao, Y. M., Zheng, Y. B., Que, J. Y., Sun, S. W., Gong, Y. M., Zeng, N., Yuan, K., Shi, L., Sun, Y. K., Guo, S. H., Lu, Y., Ran, M. S., Wong, S. Y. S., Shi, J., Jiang, Z. D., ... Lu, L. (2022). Patterns and influencing factors of COVID-19 vaccination willingness among college students in China. Vaccine, 40(22), 3046-3054. https://doi.org/10.1016/j.vaccine.2022.04.013
Zhu XM, et al. Patterns and Influencing Factors of COVID-19 Vaccination Willingness Among College Students in China. Vaccine. 2022 05 11;40(22):3046-3054. PubMed PMID: 35450782.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patterns and influencing factors of COVID-19 vaccination willingness among college students in China. AU - Zhu,Xi-Mei, AU - Yan,Wei, AU - Sun,Jie, AU - Liu,Lin, AU - Zhao,Yi-Miao, AU - Zheng,Yong-Bo, AU - Que,Jian-Yu, AU - Sun,Si-Wei, AU - Gong,Yi-Miao, AU - Zeng,Na, AU - Yuan,Kai, AU - Shi,Le, AU - Sun,Yan-Kun, AU - Guo,Sui-Huai, AU - Lu,Yu, AU - Ran,Mao-Sheng, AU - Wong,Samuel Yeung Shan, AU - Shi,Jie, AU - Jiang,Zheng-Dong, AU - Bao,Yan-Ping, AU - Lu,Lin, Y1 - 2022/04/11/ PY - 2021/08/29/received PY - 2022/03/09/revised PY - 2022/04/04/accepted PY - 2022/4/23/pubmed PY - 2022/5/6/medline PY - 2022/4/22/entrez KW - COVID-19 vaccine KW - China KW - College students KW - Willingness SP - 3046 EP - 3054 JF - Vaccine JO - Vaccine VL - 40 IS - 22 N2 - BACKGROUND: Vaccination is an important preventive measure against the coronavirus disease 19 (COVID-19) pandemic. We aimed to examine the willingness to vaccination and influencing factors among college students in China. METHODS: From March 18 to April 26, 2021, we conducted a cross-sectional online survey among college students from 30 universities in Wuhan, Hubei Province, China. The survey was composed of the sociodemographic information, psychological status, experience during pandemic, the willingness of vaccination and related information. Students' attitudes towards vaccination were classified as 'vaccine acceptance', 'vaccine hesitancy', and 'vaccine resistance'. Multinomial logistic regression analyses were performed to identify the influencing factors associated with vaccine hesitancy and resistance. RESULTS: Among 23,143 students who completed the survey, a total of 22,660 participants were included in the final analysis with an effective rate of 97.9% after excluding invalid questionnaires. A total of 60.6% of participants would be willing to receive COVID-19 vaccine, 33.4% were hesitant to vaccination, and 6.0% were resistant to vaccination. Social media platforms and government agencies were the main sources of information vaccination. Worry about the efficacy and adverse effects of vaccine were the top two common reason of vaccine hesitancy and resistance. Multiple multinomial logistic regression analysis identified that participants who worried about the adverse effects of vaccination were more likely to be vaccine hesitancy (aOR = 2.44, 95% CI = 2.30, 2.58) and resistance (aOR = 2.71, 95% CI = 2.40, 3.05). CONCLUSION: More than half of college students are willing to receive the COVID-19 vaccine, whereas nearly one-third college students are still hesitant or resistant. It is crucial to provide sufficient and scientific information on the efficacy and safety of vaccine through social media and government agencies platforms to promote vaccine progress against COVID-19 and control the pandemic in China. SN - 1873-2518 UR - https://www.unboundmedicine.com/medline/citation/35450782/Patterns_and_influencing_factors_of_COVID_19_vaccination_willingness_among_college_students_in_China_ DB - PRIME DP - Unbound Medicine ER -