COVID-19 vaccine hesitancy between teachers and students in a college, a cross-sectional study in China

Yan, Chen; Zhang, Meixian; Lin, Xiaoqing; Wu, Hongwei; Tung, Tao‐Hsin; Zhu, Jiansheng

doi:10.1080/21645515.2022.2082171

Cited by 20 publications

(18 citation statements)

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“…To the best of our knowledge, there have been only a few reports on COVID-19 vaccine hesitancy among teachers. We reviewed the literature on teachers’ intention to receive the COVID-19 vaccine; as shown in Table 4 , their willingness to get vaccinated ranged from 31.7% to 95.6% across studies from Taizhou in China [ 19 ], Greece [ 23 ], Ethiopia [ 25 , 36 , 37 ], Italy [ 38 ], Ghana [ 39 , 40 ], Germany [ 41 ], Canada [ 24 ], and Taiwan [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

“…Historically, vaccination acceptance rates have varied by populations and epidemic phases [ 12 , 13 ]. In China, several studies have investigated the acceptance and hesitancy of COVID-19 vaccination in both the general population [ 14 , 15 ] and some specific populations, including healthcare workers [ 16 ], factory workers [ 17 ], and college students [ 18 , 19 ]. However, few studies have examined the college faculty population in mainland China.…”

Section: Introductionmentioning

confidence: 99%

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COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers

Xu¹,

Shi

Zheng

et al. 2023

Annals of Medicine

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Background Teachers with high educational levels significantly impact the health-related knowledge and attitudes of young students and their family members. This study aimed to investigate the coronavirus disease 2019 (COVID-19) vaccine hesitancy and associated factors, and compare the differences between decision-makers and non-decision-makers among college teachers. Methods A cross-sectional online survey was administered across mainland China from 4 to 7 August 2021. Overall, 251 college teachers were included using snowball sampling. A multivariable logistic regression model was applied to explore the association between decision-makers and hesitancy to receive a COVID-19 vaccine. Results Overall, 42.2% of the teachers were hesitant to being vaccinated against COVID-19. The hesitancy rate was lower among primary decision-makers than that among non-decision-makers (34.8% vs. 60.3%, p < .001). Primary decision-makers were less hesitant regarding COVID-19 vaccination than non-decision-makers (OR = 0.37, 95% CI 0.20–0.70); remarkably, whereas those engaged in nursing education versus non-medical related professional education (OR = 2.67, 95% CI 1.29–5.49), and partial versus full-course vaccination recipients (OR = 4.48, 95% CI: 1.76–11.42) were more likely to be hesitant regarding COVID-19 vaccination. Conclusion Our findings indicate that a high proportion of college teachers in China are hesitant to receiving COVID-19 vaccination, and that primary decision-makers are less likely to exhibit hesitancy to being vaccinated against COVID-19 than non-decision-makers in their family. Family decision-makers among teachers can be considered a priority for COVID-19 vaccine promotion, thereby enhancing vaccine acceptance among vulnerable populations—including older adults and children—and preventing adverse outcomes. KEY MESSAGES Question: How prevalent is COVID-19 vaccine hesitancy among college teachers? Do differences exist between decision-makers and non-decision-makers? Findings: We found that a substantial proportion of college teachers are hesitant to being vaccinated against COVID-19, and that family decision-makers exhibited a lower hesitancy rate than non-decision-makers. Meaning: Our findings indicate that distinguishing between family decision-makers and non-decision-makers is necessary to facilitate vaccination promotion interventions among college teachers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers

Xu¹,

Shi

Zheng

et al. 2023

Annals of Medicine

Self Cite

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“…Thus, vaccine hesitancy in students mainly depends on perceptions of vaccine safety rather than subjective norms (ie, teacher vaccine hesitancy). 29 …”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Perspective Among University Lecturers and Students: A Qualitative Study of Pre Implementation of Vaccination

Rahayuwati¹,

Mutyara²,

Nugraha³

et al. 2023

JMDH

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Background The determinants of vaccine preferences and hesitancy varied by time and place. Objective The aim of this study was to assess the perspective of a COVID-19 vaccine among university-based groups. Methodology This qualitative research involved lecturers and students, and a selection of online focused group discussion was conducted based on the following criteria, including representatives of the health and non-health faculties, with at least 8 attendees in lecturer groups, and 8 participants in student groups. Results This study is described in 8 themes covering various issues about COVID-19 vaccine, such as views on COVID-19 vaccine, fake news, vaccine implementation by government. Conclusion The assessment of vaccine perspective shows that although awaited by some people, it also creates contradictions. This is due to the massive amount of information available regarding the vaccine descriptions. The role of the government as the main policy maker is to provide the right information and to make the right decisions about vaccines and vaccination implementation.

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“…Moreover, the teacher community plays a significant role in educational attainment, particularly those teachers in boarding facilities. Recent studies have documented the substantial influence of teachers on student attitudes and behavior [29] and dynamic vaccine behaviors existing in a college setting [30]. Several observational studies conducted in Bangladesh to date have focused on COVID-19 vaccination events among diverse sub-group populations [31][32][33][34][35][36][37][38], including university students [39][40][41][42][43].…”

Section: Introductionmentioning

confidence: 99%

Multi-dimensional potential factors influencing COVID-19 vaccine booster acceptance and hesitancy among university academic community in Bangladesh: A cross-sectional comparative study

Roy¹,

Azam

Islam

2023

PLoS ONE

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Background and aims Vaccination is the most powerful public health intervention proven to be safe and effective in the battle against the coronavirus disease-2019 (COVID-19) pandemic. Despite the potential therapeutic benefits of primer vaccine dosage regimens, public perceptions of COVID-19 vaccine booster dose (VBD) acceptance and hesitancy vary among various sub-group populations. This study investigates COVID-19 vaccine booster dose acceptance and compares the multi-dimensional potential factors influencing VBD acceptance and hesitancy among university teachers and the student community in Bangladesh. Methods This web-based cross-sectional study employed an anonymous, validated, and self-administered questionnaire. The questionnaire items were adopted from a theoretical analysis of the recent relevant literature. The questionnaire was deployed in an on-line-enabled format (Google form) and conveniently distributed to 685 teachers and 990 students between 15th June, 2022 and 15th August, 2022 which resulted in the participation of 1250 (505 teachers vs.745 students) total respondents (response rate 73.72% vs. 75.25%) from various universities in Bangladesh. A non-parametric analytical tool (binary logistic regression) was applied to rationalize the study objectives and a Chi-squared test was performed to estimate the booster- hesitant risky group. Results The pooled COVID-19 vaccine booster dose acceptance rates were 84.6% (95% CI 81.5─87.7) and 67.2% (95% CI 63.8─70.6) for teachers and students in the university academic community, respectively. In employing a binary logistic regression, this study revealed that out of twelve (12)multi-dimensional key predictors, “equal safety”, “risk-benefit ratio”, and “variant control” had a significant positive association with VBD acceptance in both sets (p = 0.000, p = 0.000, and p = 0.005, respectively). Varied effects were found for several predictors; post-vaccination “side effects” had a significant negative association (p = 0.020) and “community protection” had significant positive association (p = 0.034) with vaccine booster dose acceptance in the teachers community while these variables were insignificant in the students cohort. “Trust” had a highly significant positive association (p = 0.000);“communication” and “academic attainment” had significant positive associations (p = 0.033 and 0.024, respectively) with VBD acceptance in the students cohort, while these predictors were insignificant in the teachers community. Women were more likely to receive a third dose of the vaccine (OR = 1.4 vs. 0.9 between teacher and student model); however, no significant association between gender and booster vaccine acceptance was found in a comparative Chi-squared model. Therefore, statistically, the booster vaccine-hesitant risky group was not found to implicate the massive booster vaccine drive among the university academic community. Conclusions COVID-19 booster vaccine acceptability among the student cohort was slightly lower than pre-roll-out intent. The teacher community was more inclined to get booster vaccinated. Moreover, differences were found between the multi-dimensional potential factors associated with VBD acceptance among teachers and students in university settings. This study explicitly confirmed positive attitudes toward the safety, health benefits, and variants control of the COVID-19 VBD under any circumstances. Post-vaccination side effect concern was found to be a barrier to administering booster shots and a reason for booster skepticism. Tailored communication and health education interventions need to be adopted to improve the public awareness of booster vaccine consequences, and limit booster skepticism.

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COVID-19 vaccine hesitancy between teachers and students in a college, a cross-sectional study in China

Cited by 20 publications

References 45 publications

COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers

COVID-19 vaccine hesitancy between family decision-makers and non-decision-makers among college teachers

COVID-19 Vaccine Perspective Among University Lecturers and Students: A Qualitative Study of Pre Implementation of Vaccination

Multi-dimensional potential factors influencing COVID-19 vaccine booster acceptance and hesitancy among university academic community in Bangladesh: A cross-sectional comparative study

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