COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China

Abstract Background Migration can be linked to the transmission of COVID-19. COVID-19 vaccine uptake and hesitancy among rural-to-urban migrant workers in China, the largest group of internal migrants in the world, has not been characterized. Objective To investigate COVID-19 vaccine uptake and iden...

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Main Authors: Liuzhi Hong, Zhou Jin, Kewei Xu, Guanghui Shen, Yang Zou, Ran Li, Lu Xu, Dexuan Wang, Li Chen, Yili Wu, Weihong Song
Format: Article
Language:English
Published: BMC 2023-01-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15068-1
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author Liuzhi Hong
Zhou Jin
Kewei Xu
Guanghui Shen
Yang Zou
Ran Li
Lu Xu
Dexuan Wang
Li Chen
Yili Wu
Weihong Song
author_facet Liuzhi Hong
Zhou Jin
Kewei Xu
Guanghui Shen
Yang Zou
Ran Li
Lu Xu
Dexuan Wang
Li Chen
Yili Wu
Weihong Song
author_sort Liuzhi Hong
collection DOAJ
description Abstract Background Migration can be linked to the transmission of COVID-19. COVID-19 vaccine uptake and hesitancy among rural-to-urban migrant workers in China, the largest group of internal migrants in the world, has not been characterized. Objective To investigate COVID-19 vaccine uptake and identify vaccine hesitancy-associated factors among rural-to-urban migrant workers in the first round of COVID-19 vaccination in China. Methods A cross-sectional questionnaire-based survey was conducted, including 14,917 participants. Socio-demographics, COVID-19 vaccine uptake, vaccine hesitancy and its associated factors based on Vaccine Hesitancy Determinants Matrix (VHDM) were applied for the survey. Data were principally analyzed by logistic regression analysis. Results The COVID-19 vaccine uptake and vaccine hesitancy rates were 7.1% and 57.7%, respectively. Vaccine hesitancy was strongly associated with VHDM, including individual factors (female, higher annual income and fewer medical knowledge), group factors (less family support, friend support and public opinion support), COVID-19 epidemic factors (lower fatality, infection and emotional distress) and vaccine factors (less vaccine necessity, vaccine safety, vaccine efficacy, vaccine importance and vaccine reliability). Conclusion The VHDM model has the potential utility in efforts to reduce COVID-19 vaccine hesitancy. Greater efforts should be put into addressing positive predictors associated with vaccine hesitancy.
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spelling doaj.art-91bd5f6cb8fc4c9499329930941e8e4d2023-01-22T12:27:14ZengBMCBMC Public Health1471-24582023-01-0123111310.1186/s12889-023-15068-1COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in ChinaLiuzhi Hong0Zhou Jin1Kewei Xu2Guanghui Shen3Yang Zou4Ran Li5Lu Xu6Dexuan Wang7Li Chen8Yili Wu9Weihong Song10School of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversityInstitute of Aging, Key Laboratory of Alzheimer’s Disease of Zhejiang Province, Zhejiang Provincial Clinical Research Center for Mental Disorders, School of Mental Health and The Affiliated Kangning Hospital, Wenzhou Medical University, Oujiang Laboratory (Zhejiang Lab for Regenerative Medicine, Vision and Brain Health)School of Mental Health, Wenzhou Medical UniversityThe Second Affiliated Hospital and Yuying Children’s Hospital, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversitySchool of Mental Health, Wenzhou Medical UniversityAbstract Background Migration can be linked to the transmission of COVID-19. COVID-19 vaccine uptake and hesitancy among rural-to-urban migrant workers in China, the largest group of internal migrants in the world, has not been characterized. Objective To investigate COVID-19 vaccine uptake and identify vaccine hesitancy-associated factors among rural-to-urban migrant workers in the first round of COVID-19 vaccination in China. Methods A cross-sectional questionnaire-based survey was conducted, including 14,917 participants. Socio-demographics, COVID-19 vaccine uptake, vaccine hesitancy and its associated factors based on Vaccine Hesitancy Determinants Matrix (VHDM) were applied for the survey. Data were principally analyzed by logistic regression analysis. Results The COVID-19 vaccine uptake and vaccine hesitancy rates were 7.1% and 57.7%, respectively. Vaccine hesitancy was strongly associated with VHDM, including individual factors (female, higher annual income and fewer medical knowledge), group factors (less family support, friend support and public opinion support), COVID-19 epidemic factors (lower fatality, infection and emotional distress) and vaccine factors (less vaccine necessity, vaccine safety, vaccine efficacy, vaccine importance and vaccine reliability). Conclusion The VHDM model has the potential utility in efforts to reduce COVID-19 vaccine hesitancy. Greater efforts should be put into addressing positive predictors associated with vaccine hesitancy.https://doi.org/10.1186/s12889-023-15068-1COVID-19 vaccineVaccine uptakeVaccine hesitancyRural-to-urban migrant workersVHDM
spellingShingle Liuzhi Hong
Zhou Jin
Kewei Xu
Guanghui Shen
Yang Zou
Ran Li
Lu Xu
Dexuan Wang
Li Chen
Yili Wu
Weihong Song
COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
BMC Public Health
COVID-19 vaccine
Vaccine uptake
Vaccine hesitancy
Rural-to-urban migrant workers
VHDM
title COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
title_full COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
title_fullStr COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
title_full_unstemmed COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
title_short COVID-19 vaccine uptake and vaccine hesitancy in rural-to-urban migrant workers at the first round of COVID-19 vaccination in China
title_sort covid 19 vaccine uptake and vaccine hesitancy in rural to urban migrant workers at the first round of covid 19 vaccination in china
topic COVID-19 vaccine
Vaccine uptake
Vaccine hesitancy
Rural-to-urban migrant workers
VHDM
url https://doi.org/10.1186/s12889-023-15068-1
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