COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong

Ethnic minorities account for 8% of the Hong Kong population, most are Filipino and Indonesian domestic helpers taking care of children and the elderly. To understand the COVID-19 vaccination rates and factors associated with vaccine acceptance of ethnic minorities, we performed a cross-sectional qu...

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Main Authors: Gilbert T. Chua, Cheung Lok Yan, Wilfred HS Wong, Siddharth Sridhar, Kelvin KW To, Joseph Lau, Sharmila Gurung, Shalini Mahtani, Raymond Ho, Wing Sum Li, Jason CS Yam, Jaime S Rosa Duque, Ian C K Wong, Yu Lung Lau, Mike Yat Wah Kwan, Patrick Ip
Format: Article
Language:English
Published: Taylor & Francis Group 2022-11-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2054261
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author Gilbert T. Chua
Cheung Lok Yan
Wilfred HS Wong
Siddharth Sridhar
Kelvin KW To
Joseph Lau
Sharmila Gurung
Shalini Mahtani
Raymond Ho
Wing Sum Li
Jason CS Yam
Jaime S Rosa Duque
Ian C K Wong
Yu Lung Lau
Mike Yat Wah Kwan
Patrick Ip
author_facet Gilbert T. Chua
Cheung Lok Yan
Wilfred HS Wong
Siddharth Sridhar
Kelvin KW To
Joseph Lau
Sharmila Gurung
Shalini Mahtani
Raymond Ho
Wing Sum Li
Jason CS Yam
Jaime S Rosa Duque
Ian C K Wong
Yu Lung Lau
Mike Yat Wah Kwan
Patrick Ip
author_sort Gilbert T. Chua
collection DOAJ
description Ethnic minorities account for 8% of the Hong Kong population, most are Filipino and Indonesian domestic helpers taking care of children and the elderly. To understand the COVID-19 vaccination rates and factors associated with vaccine acceptance of ethnic minorities, we performed a cross-sectional questionnaire study recruiting Hong Kong ethnic minorities aged ≥18 years between 1 July and 18 July 2021 in public areas. Demographics, knowledge about COVID-19, vaccination status, intention and reasons to receive the vaccine, and planning to be re-vaccinated were analyzed. Continuous and categorical variables were compared using unpaired t-test and Chi-square test, respectively. Potential confounders were adjusted using multiple logistic regression. 2,012 ethnic minorities participated, with a mean age of 39 years, of which 97.6% were female, 79.5% were Filipino, and 17.5% were Indonesian. 80.6% of participants were categorized as vaccine acceptance, and 69.2% were willing to be re-vaccinated. There were significantly more Filipinos than Indonesians in the vaccine acceptance group (p < .001). Subjects in the vaccine acceptance group were more likely to have higher education (p < .001), a higher COVID-19 knowledge score (p < .001), received information from the Government website (p = .003) and not from their friends or family members (p = .02), and were more confident in judging the accuracy of the information (p < .001). Logistic regression showed the mean knowledge score (β = 3.07, p < .001) and receiving information from official Government websites (adjusted OR = 1.37, p = .03) were significant factors that positively influenced vaccine acceptance. The Hong Kong Government should improve COVID-19 vaccination acceptance among ethnic minorities through public education using official channels.
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spelling doaj.art-02584f0e4192440092ff36ad38d3d5c72023-09-26T13:19:06ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118510.1080/21645515.2022.20542612054261COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong KongGilbert T. Chua0Cheung Lok Yan1Wilfred HS Wong2Siddharth Sridhar3Kelvin KW To4Joseph Lau5Sharmila Gurung6Shalini Mahtani7Raymond Ho8Wing Sum Li9Jason CS Yam10Jaime S Rosa Duque11Ian C K Wong12Yu Lung Lau13Mike Yat Wah Kwan14Patrick Ip15The University of Hong KongThe University of Hong KongThe University of Hong KongThe University of HongThe University of HongThe Chinese University of Hong KongUnited Christian Nethersole Community Health ServiceThe Zubin FoundationHealth Promotion Branch, Department of HealthHealth Promotion Branch, Department of HealthThe Chinese University of Hong KongThe University of Hong KongDepartment of Pharmacology and Pharmacy, The University of Hong KongThe University of Hong KongPrincess Margaret HospitalThe University of Hong KongEthnic minorities account for 8% of the Hong Kong population, most are Filipino and Indonesian domestic helpers taking care of children and the elderly. To understand the COVID-19 vaccination rates and factors associated with vaccine acceptance of ethnic minorities, we performed a cross-sectional questionnaire study recruiting Hong Kong ethnic minorities aged ≥18 years between 1 July and 18 July 2021 in public areas. Demographics, knowledge about COVID-19, vaccination status, intention and reasons to receive the vaccine, and planning to be re-vaccinated were analyzed. Continuous and categorical variables were compared using unpaired t-test and Chi-square test, respectively. Potential confounders were adjusted using multiple logistic regression. 2,012 ethnic minorities participated, with a mean age of 39 years, of which 97.6% were female, 79.5% were Filipino, and 17.5% were Indonesian. 80.6% of participants were categorized as vaccine acceptance, and 69.2% were willing to be re-vaccinated. There were significantly more Filipinos than Indonesians in the vaccine acceptance group (p < .001). Subjects in the vaccine acceptance group were more likely to have higher education (p < .001), a higher COVID-19 knowledge score (p < .001), received information from the Government website (p = .003) and not from their friends or family members (p = .02), and were more confident in judging the accuracy of the information (p < .001). Logistic regression showed the mean knowledge score (β = 3.07, p < .001) and receiving information from official Government websites (adjusted OR = 1.37, p = .03) were significant factors that positively influenced vaccine acceptance. The Hong Kong Government should improve COVID-19 vaccination acceptance among ethnic minorities through public education using official channels.http://dx.doi.org/10.1080/21645515.2022.2054261ethnic minoritiescovid-19 vaccineacceptancehesitancy
spellingShingle Gilbert T. Chua
Cheung Lok Yan
Wilfred HS Wong
Siddharth Sridhar
Kelvin KW To
Joseph Lau
Sharmila Gurung
Shalini Mahtani
Raymond Ho
Wing Sum Li
Jason CS Yam
Jaime S Rosa Duque
Ian C K Wong
Yu Lung Lau
Mike Yat Wah Kwan
Patrick Ip
COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
Human Vaccines & Immunotherapeutics
ethnic minorities
covid-19 vaccine
acceptance
hesitancy
title COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
title_full COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
title_fullStr COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
title_full_unstemmed COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
title_short COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong
title_sort covid 19 vaccine acceptance and hesitancy among ethnic minorities in hong kong
topic ethnic minorities
covid-19 vaccine
acceptance
hesitancy
url http://dx.doi.org/10.1080/21645515.2022.2054261
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