Vaccination against COVID-19 is an important strategy for its control. Assessing the willingness to accept the COVID-19 vaccine in different subgroups is important for an inclusive vaccination program design. Our aim was to determine the COVID-19 vaccine acceptance rate and associated factors among foreigners in South Korea. An online cross-sectional study was carried out from May to June 2021. In this study, 710 individuals participated and most were aged between 26 and 29 (36.1%) years. Overall, 70.8% were willing to receive the vaccine. Males were less likely to accept the vaccine than females (OR: 0.5; 95% CI: 0.4–0.7, p < 0.001). Single people were more likely to receive the vaccine than those who were married (OR: 1.4; 95% CI: 0.9–2.0, p = 0.04). Other factors associated with willingness to accept COVID-19 vaccine were; vaccine convenience (OR: 1.7; 95% CI: 1.2–2.3, p = 0.002), doctors’ recommendation (OR: 2.8; 95% CI: 2.0–3.9, p < 0.001), vaccine price (OR: 1.7; 95% CI: 1.2–2.3, p = 0.003), vaccine effectiveness (OR: 8.3; 95% CI: 5.8–12.1, p < 0.001), vaccine importance (OR: 7.9; 95% CI: 4.6–14.1, p < 0.001), and vaccine safety (OR: 6.9; 95% CI: 4.5–10.8, p < 0.001). Providing more information on vaccine safety and effectiveness is required to increase vaccine acceptance.
The quality of life (QoL) of an individual is affected in a complex way by the person’s physical health, psychological state, social relationships, and their relationship to their environment. We assessed the QoL of international university students using the World Health Organization Quality of Life (WHOQOL-BREF) tool and explored the QoL-associated factors. We conducted a cross-sectional study between January and March 2021. The WHOQOL-BREF was summarized as a four-domain construct following the WHO guidelines and QoL scores for each domain were compared through a t-test and chi-squared test. To determine the factors associated with international students’ QoL we used multiple linear regression models, with each of the domains serving as the outcome variable. In total, 261 students participated, with 52.5% being males. We reported predicted means (PM) along with 95% confidence intervals (CI). Cronbach’s alpha for the overall WHOQOL-BREF tool was 0.88. Students’ self-reported QoL mean score was 3.67 ± 0.71 and the mean score of their overall satisfaction with health was 3.61 ± 0.83. The social relationships domain had the highest mean score at 56.88 ± 19.55 and was significantly associated with age (>25 years: PM: 59.7; 95% CI: 56.2–63.2, p = 0.033) and region of origin (Asia: PM: 54.4; 95% CI: 42.5–64.8, p = 0.027). Students above 25 years had significantly higher scores in all domains (p < 0.05). Our results showed that the social relationships and psychological health domains have more positive impact on international students’ QoL compared to the physical and environmental health domains. To cope with factors influencing international students’ QoL, universities should develop and provide efficient support systems for foreign students in South Korea.
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