Psychobehavioral Responses and Likelihood of Receiving COVID-19 Vaccines during the Pandemic, Hong Kong

Kwok, Kin On; Li, Kin-Kit; Tang, Arthur; Tsoi, Margaret Ting Fong; Chan, Emily Ying Yang; Tang, Julian W.; Wong, Angel; Wei, Wan In; Wong, Samuel Yeung Shan

doi:10.3201/eid2707.210054

Cited by 44 publications

(57 citation statements)

References 35 publications

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“…The low intention may be partly attributable to the low infection rate and recently reported deaths after vaccination, despite the government’s assurance that vaccination did not increase the mortality risk. Consistent with the findings for the general adult population [ 5 ], it is unsurprising that increased confidence in vaccines and health authorities was associated with higher parental intention to vaccinate their children. Vaccine skepticism might be related to mistrust towards the government [ 5 ], apprehension about the speed of vaccine development, and doubts about the return to normalcy after mass vaccination.…”

supporting

confidence: 84%

“…Consistent with the findings for the general adult population [ 5 ], it is unsurprising that increased confidence in vaccines and health authorities was associated with higher parental intention to vaccinate their children. Vaccine skepticism might be related to mistrust towards the government [ 5 ], apprehension about the speed of vaccine development, and doubts about the return to normalcy after mass vaccination. Special attention should be given to tertiary-educated parents as they might be more sensitive and critical towards the government, and hence more likely to resist their vaccination recommendations.…”

supporting

confidence: 84%

“…In this survey, conducted when Hong Kong’s vaccination campaign was launched and daily infections fluctuated around 20 cases, parental intention to accept COVID-19 vaccination for their child (21.2%) was lower than their own (36.1%). The vaccination rate for children was lower than the rate reported from England (89.1%) [ 4 ] but similar to the rate among adults in Hong Kong (37.6%) [ 5 ]. The low intention may be partly attributable to the low infection rate and recently reported deaths after vaccination, despite the government’s assurance that vaccination did not increase the mortality risk.…”

mentioning

confidence: 50%

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Likelihood of COVID-19 vaccination among primary school students in Hong Kong

Kwok

Wei

et al. 2022

Clinical Microbiology and Infection

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supporting

confidence: 84%

supporting

confidence: 84%

mentioning

confidence: 50%

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Likelihood of COVID-19 vaccination among primary school students in Hong Kong

Kwok

Wei

et al. 2022

Clinical Microbiology and Infection

Self Cite

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“…Furthermore, collective responsibility, defined as the willingness to protect others by the means of one's own vaccination, was observed to be an important factor in COVID-19 vaccination intention in this study. While this result is also found in other populations, such as health professionals [20,28] and older populations [29,30], it may have been underestimated in younger individuals. In our study, students who rated high on collective responsibility showed five-times higher odds of getting vaccinated than students who rated lower.…”

Section: Discussionmentioning

confidence: 49%

To Vaccinate or Not to Vaccinate—This Is the Question among Swiss University Students

Dratva

Wagner

Zysset

et al. 2021

IJERPH

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The speed and innovation of the COVID-19 vaccine development has been accompanied by insecurity and skepticism. Young adults’ attitude to vaccination remains under investigation, although herd immunity cannot be reached without them. The HEalth in Students during the Corona pandemic study (HES-C) provided the opportunity to investigate vaccination intention in 1478 students in the sixth survey wave (January 2021), including vaccination intention, psychological antecedents of vaccine hesitancy, trust in government’s vaccination strategy, and vaccination history. Associations with vaccination intention were analyzed with multivariate ordinal regression and predicted margins were calculated adjusting for gender, age, anxiety, health profession, and subjective health status. A third was decided (yes 25.1%, no 7.6%), and 68% were unsure about getting the COVID-19 vaccine when available. Next to demographic characteristics, vaccination history (influenza vaccination OR = 1.39; 95% CI: 1.06–1.83, travel vaccination OR = 1.29; 95% CI: 1.04–1.60), trust in vaccination strategy (OR = 2.40; 95% CI: 1.89–3.05), and 5C dimensions were associated with vaccination intention: confidence (OR = 2.52; 95% CI: 2.09–3.03), complacency (OR = 0.79; 95% CI: 0.66–0.96), calculation (OR = 0.79; 95% CI: 0.70–0.89), constraints (OR = 1.18; 95% CI: 0.99–1.41), and collective responsibility (OR = 4.47; 95% CI: 3.69–5.40). Addressing psychological antecedents and strengthening trust in official strategies through targeted campaigns and interventions may increase decisiveness and result in higher vaccination rates.

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“…Reasons for scepticism could include: lower levels of perceived threat from SARS-CoV-2; concerns over potential adverse effects from vaccines; and previously low overall COVID-19 case numbers in these populations. These factors may discourage vaccine uptake, as has been demonstrated in Hong Kong.HYPERLINK "https://paperpile.com/c/Hu3hJf/L8dM" \o "https://paperpile.com/c/Hu3hJf/L8dM" \h 5 …”

Section: To the Editormentioning

confidence: 99%