An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study

ObjectivesChaxugeju is a very special Chinese culture following a self-centered and outward expanding social network, which might be a significant culture factor for vaccination behavior. This study aimed to identify the motivation pattern in China, and paid special focus on socio-economic status (S...

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Main Authors: Jiaoling Huang, Zhiyun Jiang, Jie Gu, Yuqi Yang, Yuge Yan, Xiaoqing Gu, Yundan Bai, Yan Liang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.1065043/full
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author Jiaoling Huang
Zhiyun Jiang
Jie Gu
Jie Gu
Yuqi Yang
Yuge Yan
Xiaoqing Gu
Yundan Bai
Yan Liang
author_facet Jiaoling Huang
Zhiyun Jiang
Jie Gu
Jie Gu
Yuqi Yang
Yuge Yan
Xiaoqing Gu
Yundan Bai
Yan Liang
author_sort Jiaoling Huang
collection DOAJ
description ObjectivesChaxugeju is a very special Chinese culture following a self-centered and outward expanding social network, which might be a significant culture factor for vaccination behavior. This study aimed to identify the motivation pattern in China, and paid special focus on socio-economic status (SES), region, and migration.MethodsWe used a latent class analysis, with a sample of 12,432 participants collected in China from April to June, to identify the COVID-19 vaccination motivation patterns. Multinomial logistic regression models were utilized to separately explore associations between SES, migration, region, and COVID-19 vaccination motivation patterns.ResultsThree COVID-19 vaccination motivation patterns were identified: Self-protection (41.9%), Trust and Self-protection (38.5%), and Trust and Differential Protection (19.6%). Participants with higher income were more likely to be Trust and Self-protection, and when income is more than 50,000 CNY per month, they are more likely to be self-protection. Professional/white collar were more likely to be Self-protection. Participants from Shenzhen were more likely to be Trust and Differential protection. The moderating effects of gender were found for income and region. Gender does not moderate the associations of occupation or migration and COVID-19 vaccination motivation patterns.ConclusionThree motivational patterns were identified in which the Trust & Differential Pattern followed the traditional self-family-community Chaxu circle. However, the Chaxu motivation pattern was not the dominant one which might be weakened by SES. Migration and Shenzhen preserved the traditional social network, keeping in the trust and differential pattern. All of these factors in various cultural contexts should be considered when promoting vaccines.
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spelling doaj.art-dd17dc4da28f4094bfa173abdd60826d2022-12-22T13:43:06ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10650431065043An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center studyJiaoling Huang0Zhiyun Jiang1Jie Gu2Jie Gu3Yuqi Yang4Yuge Yan5Xiaoqing Gu6Yundan Bai7Yan Liang8School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPudong Institute for Health Development, Shanghai, ChinaDepartment of General Practition, Zhongshan Hospital Fudan University, Shanghai, ChinaZhongshan Hospital International Medical Center, Shanghai, ChinaCollege of Global Public Health, New York University, New York, NY, United StatesSchool of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaXidu Community Health Service Center of Fengxian District, Shanghai, ChinaHealth Management Medical Center, Chengdu First People's Hospital, Chengdu, Sichuan Province, ChinaSchool of Nursing, Fudan University, Shanghai, ChinaObjectivesChaxugeju is a very special Chinese culture following a self-centered and outward expanding social network, which might be a significant culture factor for vaccination behavior. This study aimed to identify the motivation pattern in China, and paid special focus on socio-economic status (SES), region, and migration.MethodsWe used a latent class analysis, with a sample of 12,432 participants collected in China from April to June, to identify the COVID-19 vaccination motivation patterns. Multinomial logistic regression models were utilized to separately explore associations between SES, migration, region, and COVID-19 vaccination motivation patterns.ResultsThree COVID-19 vaccination motivation patterns were identified: Self-protection (41.9%), Trust and Self-protection (38.5%), and Trust and Differential Protection (19.6%). Participants with higher income were more likely to be Trust and Self-protection, and when income is more than 50,000 CNY per month, they are more likely to be self-protection. Professional/white collar were more likely to be Self-protection. Participants from Shenzhen were more likely to be Trust and Differential protection. The moderating effects of gender were found for income and region. Gender does not moderate the associations of occupation or migration and COVID-19 vaccination motivation patterns.ConclusionThree motivational patterns were identified in which the Trust & Differential Pattern followed the traditional self-family-community Chaxu circle. However, the Chaxu motivation pattern was not the dominant one which might be weakened by SES. Migration and Shenzhen preserved the traditional social network, keeping in the trust and differential pattern. All of these factors in various cultural contexts should be considered when promoting vaccines.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1065043/fullCOVID-19 vaccinationmotivationChaxu cultureSESChinese
spellingShingle Jiaoling Huang
Zhiyun Jiang
Jie Gu
Jie Gu
Yuqi Yang
Yuge Yan
Xiaoqing Gu
Yundan Bai
Yan Liang
An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
Frontiers in Public Health
COVID-19 vaccination
motivation
Chaxu culture
SES
Chinese
title An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
title_full An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
title_fullStr An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
title_full_unstemmed An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
title_short An exploration on COVID-19 vaccination motivation patterns from the perspective of the Chaxu culture in metropolis of China: A multi-center study
title_sort exploration on covid 19 vaccination motivation patterns from the perspective of the chaxu culture in metropolis of china a multi center study
topic COVID-19 vaccination
motivation
Chaxu culture
SES
Chinese
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.1065043/full
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