The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study
BackgroundThe present study aimed to investigate the prevalence of COVID-19 vaccine uptake among foreign migrants in China and to explore the determinants of their vaccine uptake behavior.MethodsFrom June to October 2021, we used convenience and snowball sampling to recruit a sample of 764 participa...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1023900/full |
| _version_ | 1797952144101343232 |
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| author | Hao Chen Weitian Lei Zhengyi Wei Fan Wang |
| author_facet | Hao Chen Weitian Lei Zhengyi Wei Fan Wang |
| author_sort | Hao Chen |
| collection | DOAJ |
| description | BackgroundThe present study aimed to investigate the prevalence of COVID-19 vaccine uptake among foreign migrants in China and to explore the determinants of their vaccine uptake behavior.MethodsFrom June to October 2021, we used convenience and snowball sampling to recruit a sample of 764 participants from five cities in which the overwhelming majority of foreign migrants in China live. The chi-square (χ2) tests were used to examine vaccination distribution according to demographic characteristics. Multivariate logistic regression models visualized by forest plot were used to investigate the associations between significant determinants and vaccine uptake.ResultsOverall, the prevalence of vaccination rate was 72.9% [95% confidence interval (CI): 69.9–76.0%]. Migrants whose social participation was very active [adjusted odds ratio (AOR): 2.95, 95% CI: 1.36–6.50, P = 0.007] or had perceived COVID-19 progression prevention by the vaccine (AOR: 1.74, 95% CI: 1.01–3.02, P = 0.012) had higher odds of vaccination compared to those whose social participation was inactive or who did not have this perception. Migrants who perceived the vaccine uptake process as complex (AOR: 0.47, 95% CI: 0.27–0.80, P = 0.016) or were unsure of their physical suitability for the vaccine (AOR: 0.40, 95% CI: 0.24–0.68, P < 0.001) had lower odds of vaccination compared to those who did not have these perceptions. Furthermore, migrants from emerging and developing Asian countries (AOR: 2.32, 95% CI: 1.07–5.21, P = 0.04) and the Middle East and Central Asia (AOR: 2.19, 95% CI: 1.07–4.50, P = 0.03) had higher odds of vaccination than those from major advanced economies (G7) countries, while migrants from other advanced economic countries (OR: 0.27, 95% CI: 0.11–0.63, P = 0.003) had lower odds of vaccination than those from G7 countries.ConclusionIt may be beneficial to promote vaccine uptake among migrants by ensuring effective community engagement, simplifying the appointment and uptake process, and advocating the benefits and target populations of the COVID-19 vaccine. |
| first_indexed | 2024-04-10T22:41:40Z |
| format | Article |
| id | doaj.art-660829b1b85d474096102d785142162e |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-10T22:41:40Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-660829b1b85d474096102d785142162e2023-01-16T04:32:46ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.10239001023900The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional studyHao Chen0Weitian Lei1Zhengyi Wei2Fan Wang3Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, ChinaSchool of Politics and International Relations, East China Normal University, Shanghai, ChinaSchool of Politics and International Relations, East China Normal University, Shanghai, ChinaFudan Development Institute, Fudan University, Shanghai, ChinaBackgroundThe present study aimed to investigate the prevalence of COVID-19 vaccine uptake among foreign migrants in China and to explore the determinants of their vaccine uptake behavior.MethodsFrom June to October 2021, we used convenience and snowball sampling to recruit a sample of 764 participants from five cities in which the overwhelming majority of foreign migrants in China live. The chi-square (χ2) tests were used to examine vaccination distribution according to demographic characteristics. Multivariate logistic regression models visualized by forest plot were used to investigate the associations between significant determinants and vaccine uptake.ResultsOverall, the prevalence of vaccination rate was 72.9% [95% confidence interval (CI): 69.9–76.0%]. Migrants whose social participation was very active [adjusted odds ratio (AOR): 2.95, 95% CI: 1.36–6.50, P = 0.007] or had perceived COVID-19 progression prevention by the vaccine (AOR: 1.74, 95% CI: 1.01–3.02, P = 0.012) had higher odds of vaccination compared to those whose social participation was inactive or who did not have this perception. Migrants who perceived the vaccine uptake process as complex (AOR: 0.47, 95% CI: 0.27–0.80, P = 0.016) or were unsure of their physical suitability for the vaccine (AOR: 0.40, 95% CI: 0.24–0.68, P < 0.001) had lower odds of vaccination compared to those who did not have these perceptions. Furthermore, migrants from emerging and developing Asian countries (AOR: 2.32, 95% CI: 1.07–5.21, P = 0.04) and the Middle East and Central Asia (AOR: 2.19, 95% CI: 1.07–4.50, P = 0.03) had higher odds of vaccination than those from major advanced economies (G7) countries, while migrants from other advanced economic countries (OR: 0.27, 95% CI: 0.11–0.63, P = 0.003) had lower odds of vaccination than those from G7 countries.ConclusionIt may be beneficial to promote vaccine uptake among migrants by ensuring effective community engagement, simplifying the appointment and uptake process, and advocating the benefits and target populations of the COVID-19 vaccine.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1023900/fullCOVID-19vaccine uptakeforeign migrantsvaccine hesitancyhealth equality |
| spellingShingle | Hao Chen Weitian Lei Zhengyi Wei Fan Wang The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study Frontiers in Public Health COVID-19 vaccine uptake foreign migrants vaccine hesitancy health equality |
| title | The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study |
| title_full | The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study |
| title_fullStr | The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study |
| title_full_unstemmed | The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study |
| title_short | The determinants of COVID-19 vaccine uptake among migrants from 109 countries residing in China: A cross-sectional study |
| title_sort | determinants of covid 19 vaccine uptake among migrants from 109 countries residing in china a cross sectional study |
| topic | COVID-19 vaccine uptake foreign migrants vaccine hesitancy health equality |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1023900/full |
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