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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BMC
2023-01-01
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Series: | BMC Public Health |
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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. |
first_indexed | 2024-04-10T20:59:01Z |
format | Article |
id | doaj.art-91bd5f6cb8fc4c9499329930941e8e4d |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-04-10T20:59:01Z |
publishDate | 2023-01-01 |
publisher | BMC |
record_format | Article |
series | BMC Public Health |
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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