COVID-19 Vaccination Willingness among Chinese Adults under the Free Vaccination Policy

Abstract

(1) Background: China will provide free coronavirus disease 2019 (COVID-19) vaccinations for the entire population. This study analyzed the COVID-19 vaccination willingness rate (VWR) and its determinants under China’s free vaccination policy compared to a paid vaccine. (2) Methods: Data on 2377 respondents were collected through a nationwide questionnaire survey. Multivariate ordered logistic regression models were specified to explore the correlation between the VWR and its determinants. (3) Results: China’s free vaccination policy for COVID-19 increased the VWR from 73.62% to 82.25% of the respondents. Concerns about the safety and side-effects were the primary reason for participants’ unwillingness to be vaccinated against COVID-19. Age, medical insurance and vaccine safety were significant determinants of the COVID-19 VWR for both the paid and free vaccine. Income, occupation and vaccine effectiveness were significant determinants of the COVID-19 VWR for the free vaccine. (4) Conclusions: Free vaccinations increased the COVID-19 VWR significantly. People over the age of 58 and without medical insurance should be treated as the target intervention population for improving the COVID-19 VWR. Contrary to previous research, high-income groups and professional workers should be intervention targets to improve the COVID-19 VWR. Strengthening nationwide publicity and education on COVID-19 vaccine safety and effectiveness are recommended policies for decision-makers.

Acceptance of COVID-19 Vaccine and Determinant Factors Among Patients with Chronic Disease Visiting Dessie Comprehensive Specialized Hospital, Northeastern Ethiopia

“…Lastly, respondents who had a positive attitude towards the COVID-19 vaccines had a significantly higher acceptance rate of the COVID-19 vaccine which was supported by the findings in South Africa, 47 Ethiopia, 48 and the USA. 60 The current finding clearly showed that continuous awareness promotion on the necessity of the COVID-19 vaccine should be undertaken utilizing various information dissemination methods.…”

“…Furthermore, participants who had health insurance showed a significantly higher acceptance rate of COVID-19 vaccines which was in line with the findings in the USA 52 and China. 60 There was a wide range of acceptance rates among participants; those who live in High-Income countries had the highest acceptance rate (70.2%), whereas those who live in LMIC had the lowest acceptance rate (57.4%). 20 But, according to the report of the Ethiopian ministry of health, the COVID-19 vaccine is given for free for Ethiopians.…”

Intention to COVID-19 vaccination and associated factors among health care workers: A systematic review and meta-analysis of cross-sectional studies

“…Moreover, a previous meta-analysis showed that the majority of HCWs could accept a mandatory vaccination policy, suggesting that it could be accepted if necessary 35 . Furthermore, free vaccination policy may also contribute to increase vaccination rates and the result has been validated by a study conducted in China 36 .…”

Will COVID-19 Vaccinations End Discrimination against COVID-19 Patients in China? New Evidence on Recovered COVID-19 Patients

“…All investigators recruited in the 27 cities received standardized training before the interviews. Before the roll-out of the nationwide vaccination program in China, face-to-face interviews were conducted from 30 May to 10 June 2020 on respondents who intended to COVID-19 vaccinate and the unvaccinated [ 33 ]. All participants were informed about the purpose of the survey and gave informed consent.…”