COVID-19 Vaccination Preferences of University Students and Staff in Hong Kong

Fung, Lydia W Y; Zhao, Jiaxi; Yan, Vincent Ka Chun; Blais, Joseph E; Chan, Jacky C H; Li, Silvia T H; Shami, Jessica J P; Kwan, Christine M. L.; Yue, Wei; Wong, Carlos King Ho; Li, Xue; Chui, Celine S L; Wan, Eric Yuk Fai; Lai, Francisco Tsz Tsun; Tse, Samson; Cowling, Benjamin J.; Wong, Ian C K; Chan, Esther Wai Yin

doi:10.1001/jamanetworkopen.2022.12681

Cited by 9 publications

(7 citation statements)

References 28 publications

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“…While it was criticized as having bias and difficulty in generalizability, it has the benefits of being cost-effective ( Sharma, 2017 ). Besides, there are many studies that are based on a single university on the scientific literature (e.g., Mant et al, 2021 ; Fung et al, 2022 ; Yu et al, 2022 ).…”

Section: Methodsmentioning

confidence: 99%

Stress and depressive symptoms in university students in Hong Kong under the pandemic: Moderating effect of positive psychological attributes

et al. 2023

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IntroductionThere are very few studies examining the psychological well-being of university students in Hong Kong under the COVID-19 pandemic. Besides COVID-19-related stress, the “social event” in 2019-2020 has caused significant stress in young people. As such, we attempted to answer several research questions in this paper. First, what are the relationships between stresses (COVID-19 and “social event” related stresses) and psychological well-being indexed by depressive symptoms? Based on the stress and coping perspective, we predicted that there would be positive relationships between both types of stress and depression. Second, what are the relationships between different positive psychological factors (including life satisfaction, resilience and emotional management, flourishing, and beliefs about adversity) and depression? Based on different theoretical models of positive psychology, we hypothesized that negative relationships would exist between positive psychological factors and depressive symptoms. Third, do positive psychological attributes moderate the associations between stresses (COVID-19 and “social event” related stresses) and depressive symptoms? Based on the positive psychology literature, we hypothesized that positive psychological attributes would buffer the negative impact of stresses on depression.MethodsWe recruited university students roughly one year after the first wave of the pandemic (N = 1,648) in early 2021. We used 25 items to measure COVID-19-related stress and “social event” related stress. For psychological well-being indexed by depressive symptoms, we used the “Centre for Epidemiologic Studies Depression Scale Revised (CESD-R)”. For positive psychological attributes, we employed established measures of life satisfaction, resilience and emotional management, flourishing, and beliefs about adversity.ResultsRegarding the relationship between stress and depression, we found positive relationships between both types of stress and depressive symptoms. As predicted, negative relationships existed between all positive psychological attributes and depressive symptoms. Besides, the positive psychological attributes significantly moderated the effects of stresses on depression, suggesting that these factors can reduce the negative impacts of stresses on depression. The present findings provide support for those models, highlighting the importance of positive psychological attributes as protective factors for university students’ depression.DiscussionThe findings of this study underscore the important role of positive psychological attributes in the stress-depression relationship in university students under the pandemic. The findings also generalize the positive youth development theory in the Chinese context. In terms of practice, university administrators and service providers should consider cultivating positive psychological attributes in university students with the purpose of promoting their psychological well-being.

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Section: Methodsmentioning

confidence: 99%

Stress and depressive symptoms in university students in Hong Kong under the pandemic: Moderating effect of positive psychological attributes

et al. 2023

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“…The anonymous nature of the survey did not permit us to compare respondents and nonrespondents, leading to a potential sampling bias. Third, since majority of respondents accepted free service during this study time, this ease of access might limit the interpretability of WTP results [ 55 ]. Our study showed that the DCE method is available and promised to be used among employees.…”

Section: Discussionmentioning

confidence: 99%

Employees’ seeking preference towards influenza vaccination in organization: A discrete choice experiment in China

Jiang,

Li,

Dai

et al. 2024

Heliyon

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“…This is consistent with findings of studies conducted on the general public after China's 2021 vaccination program ( 18 ). However, the Hong Kong based student surveys reported that duration of protection was the least influential attribute ( 29 , 30 ), perhaps due to the different vaccination contextual backgrounds, such as low trust in government ( 37 ) and varying policy settings, which makes inferring the Hong Kong results to mainland Chinese vaccination policies potentially misleading.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of student vaccine heterogeneity, the existing literature suggests that student majors do not contribute to differing vaccination preferences ( 26 ), except for medical or nursing students who exhibit overall higher vaccination willingness ( 27 , 28 ). Two DCE studies identified efficacy, safety, number of doses, origin of vaccine and costs in student vaccination preferences, but for students in Hong Kong ( 29 , 30 ).…”

Section: Introductionmentioning

confidence: 99%

Student COVID-19 vaccination preferences in China: A discrete choice experiment

Wang

Maitland²,

Wang³

et al. 2022

Front. Public Health

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ObjectiveThis study uses a discrete choice experiment (DCE) questionnaire to investigate student vaccination preferences for both intrinsic and extrinsic attributes.MethodsA two-part DCE questionnaire was distributed to 1,138 students through face-to-face interviews at vaccination centers in Qingdao, China. Conditional logit models were used to understand student preference trade-offs. Mixed logit models (MLM) and sub-group analysis were conducted to understanding student preference heterogeneity.ResultsWe found that students preferred vaccines with fewer side effects (β = 0.845; 95% CI, 0.779–0.911), administered through third level health facilities (β = 0.170; 95% CI, 0.110–0.230), and had at least 1 year duration of protection (β = 0.396; 95% CI, 0.332–0.461. Higher perception of COVID-19 risks (β = 0.492; 95% CI, 0.432–0.552) increased the likelihood of student vaccination uptake. Surprisingly, vaccine effectiveness (60%) and percentages of acquaintances vaccinated (60%) reduced vaccination utility, which points to free-rider problems. In addition, we find that student study majors did not contribute to preference heterogeneity, and the main disparities in preferences were attributed to student risk tolerances.ConclusionBoth intrinsic and extrinsic attributes were influential factors shaping student preferences for COVID-19 vaccines. Our results inform universities and local governments across China on targeting their vaccination programs.

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COVID-19 Vaccination Preferences of University Students and Staff in Hong Kong

Abstract: IMPORTANCE COVID-19 has required universities to rapidly develop vaccination policies for students and staff, yet little is known about the preferences of these individuals toward vaccination. OBJECTIVE To quantify student and staff preferences for COVID-19 vaccination at a university in

Cited by 9 publications

References 28 publications

Stress and depressive symptoms in university students in Hong Kong under the pandemic: Moderating effect of positive psychological attributes

Stress and depressive symptoms in university students in Hong Kong under the pandemic: Moderating effect of positive psychological attributes

Employees’ seeking preference towards influenza vaccination in organization: A discrete choice experiment in China

Student COVID-19 vaccination preferences in China: A discrete choice experiment

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