Acceptance of and Preference for COVID-19 Vaccination in India, the United Kingdom, Germany, Italy, and Spain: An International Cross-Sectional Study

Dong, Yanqi; Zhang, He; Liu, Taoran; Huang, Jian; Zhang, Casper J. P.; Akinwunmi, Babatunde; Ming, Wai‐Kit

doi:10.3390/vaccines10060832

Cited by 9 publications

(9 citation statements)

References 49 publications

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“…A review paper showed that the prevalence of hesitancy for COVID-19 vaccination varied from 4.3% to 72% among healthcare workers worldwide [ 41 ]. Possible explanations for the disparities might include policy and socio-cultural differences and different time points [ 39 , 42 , 43 ]. Due to the issues of methodology (for example, imbalanced response options) and self-selection of respondents, the prevalence of refusal is likely to be overestimated.…”

Section: Discussionmentioning

confidence: 99%

Future COVID-19 Booster Vaccine Refusal in Healthcare Workers after a Massive Breakthrough Infection Wave, a Nationwide Survey-Based Study

Lin

Chen

et al. 2023

Vaccines

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Background: An unprecedented coronavirus disease 2019 (COVID-19) wave occurred in China between December 2022 and January 2023, challenging the efficacy of the primary series of COVID-19 vaccines. The attitudes toward future COVID-19 booster vaccines (CBV) after the massive breakthrough infection among healthcare workers remain unknown. This study aimed to explore the prevalence and determinants of future CBV refusal after the unprecedented COVID-19 wave among healthcare workers. Methods: Between 9 and 19 February 2023, a cross-sectional nationwide online survey was conducted using a self-administered questionnaire vaccine among healthcare workers in China. Sociodemographics, profession, presence of chronic medical conditions, previous COVID-19 infection, attitudes towards future CBV, and reasons for future CBV refusal were collected. We estimated odds ratio [OR] with 95% confidence interval [CI] using a multivariable logistic regression model to explore the factors associated with future CBV refusal. Results: Among the 1618 participants who completed the survey, 1511 respondents with two or more doses of COVID-19 vaccines were analyzed. A total of 648 (41.8%) of respondents were unwilling to receive a future CBV. Multivariable logistic regression analysis revealed the association of CBV refusal with profession (vs. other staff, physician-adjusted OR 1.17, 95%CI 0.79–1.72, nurse-adjusted OR 1.88, 95%CI 1.24−2.85, p = 0.008), history of allergy (adjusted OR 1.72, 95%CI 1.05–2.83, p = 0.032), a lower self-perceived risk of future COVID-19 infection (p < 0.001), and a lower belief in CBV effectiveness (p = 0.014), safety (p < 0.001), and necessities for healthcare workers and the public (p < 0.001, respectively). Conclusions: Our findings highlight that a considerable proportion of healthcare workers were against a future booster dose after an unprecedented COVID-19 wave. Self-perception of future COVID-19 risk, and potential harm or doubtful efficacy of vaccines are the main determinants. Our findings may help public health authorities to establish future COVID-19 vaccination programs.

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Section: Discussionmentioning

confidence: 99%

Future COVID-19 Booster Vaccine Refusal in Healthcare Workers after a Massive Breakthrough Infection Wave, a Nationwide Survey-Based Study

Lin

Chen

et al. 2023

Vaccines

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“…The number of COVID-19 cases began to rise rapidly around mid-April. As of August 7, 2022, Russia was ranked ninth in the world in terms of the number of COVID-19 instances, behind the United Kingdom and Italy ( 84 , 85 ). COVID-19 cases totaled 18,485,632 in Russia, with 381,835 deaths, despite an ongoing battle against the disease's rapid spread ( 78 ).…”

Section: Results Designmentioning

confidence: 99%

Global law, policy, and governance for effective prevention and control of COVID-19: A comparative analysis of the law and policy of Pakistan, China, and Russia

Khaskheli

Wang

Hussain

et al. 2023

Front. Public Health

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Global health governance is a developing system in this complex institutional regime. The local and regional health policies sometimes challenge global health governance due to diverse discourse in various countries. In the wake of COVID-19, global health governance was reaffirmed as indifferent modules to control and eliminate the pandemic; however, the global agencies later dissected their own opinion and said that “countries must learn to live with a pandemic.” Given the controversial statement, this research focuses on the strong and effective policies of the Russian Federation, Pakistan, and China. The research uses the law and governance results and newly developed policies of the three countries formed under the global health policies. The conclusion is based on the statement that in order to live with the pandemic, strong health measures are required at each level.

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“…Processes 2022, 10, 1665 2 of 19 deaths [3]. For example, the statistics from a study conducted in India revealed the severe consequences of COVID-19 on the country in terms of affecting India's economy and causing social unrest and increased rates of domestic violence [2].…”

Section: Introductionmentioning

confidence: 99%

“…Since neighboring countries have influenced each other in battling COVID-19, the countries are generally listed below according to their geographic locations. Studies in four European countries (i.e., the UK, Germany, Italy, and Spain) and India found that the vaccine efficacy followed by the vaccine cost were considered the most prominent factors in vaccine hesitancy [3], while studies in France found a direct correlation between knowledge of the vaccine's safety and vaccination rates [7]. Meanwhile, the studies conducted by Toshkov 2022 [9] using the data from Eurobarometer for 27 European Union countries determined that individuals who trust the Internet and social networks as sources of information on health were less likely to trust the COVID-19 vaccine.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Investigation of American Vaccination Preference via Historical Data

Chen¹,

Chen²,

Shi³

et al. 2022

Processes

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While COVID-19 vaccines are generally available, not all people receive vaccines. To reach herd immunity, most of a population must be vaccinated. It is, thus, important to identify factors influencing people’s vaccination preferences, as knowledge of these preferences allows for governments and health programs to increase their vaccine coverage more effectively. Fortunately, vaccination data were collected by U.S. Census Bureau in partnership with the CDC via the Household Pulse Survey (HPS) for Americans. This study presents the first analysis of the 24 vaccination datasets collected by the HPS from January 2021 to May 2022 for 250 million respondents of different ages, genders, sexual orientations, races, education statuses, marital statuses, household sizes, household income levels, and resources used for spending needs, and with different reasons for not receiving or planning to receive a vaccine. Statistical analysis techniques, including an analysis of variance (ANOVA), Tukey multiple comparisons test, and hierarchical clustering (HC), were implemented to analyze the HPS vaccination data in the R language. It was found that sexual orientation, gender, age, and education had statistically significant influences on the vaccination rates. In particular, the gay/lesbian group showed a higher vaccination rate than the straight group; the transgender group had a lower vaccination rate than either the female or the male groups; older respondents showed greater preference for vaccination; respondents with higher education levels also preferred vaccination. As for the other factors that were not significant enough to influence vaccinations in the ANOVA, notable trends were found. Asian Americans had higher vaccination rates than other races; respondents from larger household sizes had a lower chance of getting vaccinated; the unmarried group showed the lowed vaccination rate in the marital category; the respondents depending on borrowed money from the Supplemental Nutrition Assistance Program (SNAP) showed a lower vaccination rate than people with regular incomes. Concerns regarding the side-effects and the safety of the vaccines were the two major reasons for vaccination hesitance at the beginning of the pandemic, while having no trust in the vaccines and no trust in the government became more common in the later stage of the pandemic. The findings in this study can be used by governments or organizations to improve their vaccination campaigns or methods of combating future pandemics.

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Acceptance of and Preference for COVID-19 Vaccination in India, the United Kingdom, Germany, Italy, and Spain: An International Cross-Sectional Study

Cited by 9 publications

References 49 publications

Future COVID-19 Booster Vaccine Refusal in Healthcare Workers after a Massive Breakthrough Infection Wave, a Nationwide Survey-Based Study

Future COVID-19 Booster Vaccine Refusal in Healthcare Workers after a Massive Breakthrough Infection Wave, a Nationwide Survey-Based Study

Global law, policy, and governance for effective prevention and control of COVID-19: A comparative analysis of the law and policy of Pakistan, China, and Russia

A Systematic Investigation of American Vaccination Preference via Historical Data

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