COVID-19 Vaccine Hesitancy Among Older Adolescents and Young Adults: A National Cross-Sectional Study in China

Zhang, Panpan; Li, Yan; Wang, Huan‐Chün; Luo, Liyan; Wang, Ping; Wang, Huimin; Li, Qing; Meng, Zejing; Yang, Hui; Liu, Yuanhong; Zhou, Shiyue; Li, Nan; Zhang, Shengnan; Bi, Jianzhong; Zhang, Jiewen; Zheng, Xiu

doi:10.3389/fpubh.2022.877668

Cited by 11 publications

(26 citation statements)

References 44 publications

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“…The vaccination acceptance of younger people has also been reported in China (multiple logistic regression analysis: p = 0.003, OR = 0.93, 95% CI: 0.89–0.98) [ 14 ], where Zhang et al 2022 reported a higher prevalence of vaccine hesitancy among young adults aged 18 to 21 years compared to older adolescents 16 to 17 years (16.5% vs. 7.9%, p < 0.001) [ 13 ]. However, other studies have recorded no significant differences [ 9 , 10 , 18 ], while a trend that goes in the opposite direction as regards age was found in the Netherlands (80% 16–17 years vs. 68% 12–15 years), in line with a higher level of education, which implies a greater inclination to vaccination compared with a low level of education (78% vs. 64%) [ 12 ].…”

Section: Discussionmentioning

confidence: 86%

“…According to Zhang et al 2022, however, the trend in vaccination adherence as age increases is then reversed, and vaccination hesitation has a higher prevalence in young adults between 18 and 21 than in older adolescents (16/17 years). Reasons for hesitation include underestimating the risks of infection, thinking that protection from innate immunity is sufficient, special physical conditions not suitable for vaccination, and conspiracy theories about vaccination, which are more common among young adults than older teenagers [ 13 ]. Cai et al 2021 reported that younger adolescents were more likely to vaccinate than older adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

et al. 2023

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Purpose: The knowledge, attitudes, and behavior of young Italians towards the COVID-19 vaccination were analyzed in order to provide information useful to elaborate the strategies that can be implemented to obtain the best possible vaccination coverage in this population. Methods: A cross-sectional study was conducted on 5313 young people aged between 11 and 30 years. Data were collected through an online survey during the period from 1 to 10 March 2021. The answers to the questionnaire were analyzed using SPSS statistical software. Intention to vaccinate was studied by univariate analysis using Pearson’s chi-square test to assess differences between groups for categorical variables, and by multivariate analysis applying the binary logistic regression model, and the Hosmer–Lemeshow test was performed to assess goodness of fit. Results: Television (32.1%), internet/search engine (25.9%), and social networks (10.4%) were the main sources of information for young Italians. The survey analysis showed that 74.5% (3956) of the respondents were willing to be vaccinated against COVID-19 versus 25.5% (1357) who were against it. Demographic data, in particular, age, gender, experience with influenza vaccine, and level of knowledge about the disease, were significant determinants (p < 0.001) for the choice to vaccinate against COVID-19. Discussion: These results suggest that in order to implement the vaccination campaign, correct information is needed to improve awareness of the vaccine and COVID-19, while also taking into account the target group, which differs not only in age but also in the sources of information used compared to the adult population.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

et al. 2023

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“…Moreover, the fact that immunosuppressants may affect the immunogenicity of the vaccine played a role in whether parents allowed their children to be vaccinated (43). The adolescents themselves believed that they had no risk of infection and that their symptoms would not be severe if they were infected (44). Adolescents with a history of immune-related diseases or other primary diseases in particular refused vaccination unless convincing evidence indicated clear benefits to them (42,44).…”

Section: Influence Of Population Heterogeneity On Vaccination Acceptancementioning

confidence: 99%

“…The adolescents themselves believed that they had no risk of infection and that their symptoms would not be severe if they were infected (44). Adolescents with a history of immune-related diseases or other primary diseases in particular refused vaccination unless convincing evidence indicated clear benefits to them (42,44). Moreover, clinical trials on the COVID-19 vaccine for adolescents (younger than 18) are still lacking and real-time dissemination of information on vaccine efficacy among adolescents is still limited.…”

Section: Influence Of Population Heterogeneity On Vaccination Acceptancementioning

confidence: 99%

Status of and perspectives on COVID-19 vaccination after lifting of the dynamic zero-COVID policy in China

Zhang

Wang

Zhang

et al. 2023

GHM

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Commission issued the Ten New Covid Rules lifting the dynamic zero-COVID policy. In the interim, vaccination campaigns continue to be promoted. We assessed the potential impacts on the status, perceptions, and attitudes toward COVID-19 vaccines via an online self-administered questionnaire. Among 1,170 participants, 1,142 (97.6%) participants were vaccinated against COVID-19, and 51.8% (591/1,142) have already received the booster. More than half of the participants who were vaccinated were ages 31 to 50 (51.8%). Participants believed the following strategies could improve the vaccination rate: timely feedback of the vaccination data (such as safety, efficacy, and other issues of public concern) from authoritative media (95.6%), increasing the number of vaccination sites and availability of vaccines and using more convenient methods of making appointment (95.2%), recommendations from friends and relatives (94.8%), and presenting the qualifications of the staff performing vaccination (89.1%). More measures, including targeted measures for different age groups and timely feedback on the vaccination data including safety and efficacy from authoritative media, are likely to help improve vaccination rates.

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“…With the promotion of various media and government policies, the COVID-19 vaccination rate in China is impressive, but further efforts are still required. Current studies reported many factors that contributed to COVID-19 vaccine hesitancy, such as the concerns of effectiveness, safety and the vague side-effect about the existing vaccine (12)(13)(14)(15). COVID-19 vaccine hesitancy presented to be a noteworthy public health issue.…”

Section: Introductionmentioning

confidence: 99%

An online longitudinal study about search index reflexing public attention of vaccinate against COVID-19

Ma¹,

Luo²,

Xu³

2022

Ann Transl Med

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Background The coronavirus disease of 2019 (COVID-19) has had catastrophic effects worldwide. Mounting efforts for vaccination against COVID-19 have achieved tremendous progress. Online searching is a voluntary behavior of people might reflect the public attention and awareness.. Screening and analyzing the details of vaccine related searches may help the government to grasp the trend of public opinion and provide a reference for vaccination strategies and future efforts to protect public health. Methods Three terms related to COVID-19 and COVID-19 vaccine as well as daily relative search volumes (RSV) were retrieved in the Baidu Index (BDI) from 1 January 2020 to 1 July 2021 in China. Besides the national total data, those of the individual provinces/cities/region of Beijing, Shanghai, Guangdong, Heilongjiang, Sichuan, and Tibet were also included. Vaccine-related policies were also gathered during this period. The vaccination rates within China were derived from the National Health Commission of the People’s Republic of China, from 23 March 2021 to 1 July 2021. The searching index was calculated by the searching volume and curve graphs were used to demonstrate the variation and the related trend of the RSV and vaccination rates. Results A total of 548 days’ BDI data were retrieved. The national and provincial curves of the BDI exhibited similar fluctuating upward trends, with 5 obvious rises, especially in COVID-19 vaccine searching volume. The vaccination number was correlated with the searching volume growth of COVID-19 vaccine and vaccine uptake (r=0.382, P<0.001; r=0.256, P=0.010). Relevant vaccination events corresponded to the variation searching trend and were attributed to or were influenced by the searching variation. Conclusions Public awareness about vaccination against COVID-19 was related to the implementation of vaccine policies. Positive vaccine-related policy and high public awareness about vaccination could play a vital role in maximizing the vaccination uptake. Advanced internet data grabbing could consolidate public information in an efficient and timely manner. These findings would support efforts to utilize the big data monitoring of the public opinion to forecast and guide the public health policies. Dynamic monitoring as well as prevention and timely adjustment under this supervision could be expected.

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COVID-19 Vaccine Hesitancy Among Older Adolescents and Young Adults: A National Cross-Sectional Study in China

Cited by 11 publications

References 44 publications

Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

Knowledge, Attitude, and Behavior toward COVID-19 Vaccination in Young Italians

Status of and perspectives on COVID-19 vaccination after lifting of the dynamic zero-COVID policy in China

An online longitudinal study about search index reflexing public attention of vaccinate against COVID-19

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