Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences

This study aims to determine the intention of Chinese parents to vaccinate their children against SARS-CoV-2. Secondly, preferences for foreign- or domestically made COVID-19 vaccines were also explored. A nationwide, cross-sectional, self-administered online survey based on the Health Belief Model...

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Main Authors: Yulan Lin, Zhijian Hu, Qinjian Zhao, Haridah Alias, Mahmoud Danaee, Li Ping Wong
Format: Article
Language:English
Published: Taylor & Francis Group 2021-12-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.1999143
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author Yulan Lin
Zhijian Hu
Qinjian Zhao
Haridah Alias
Mahmoud Danaee
Li Ping Wong
author_facet Yulan Lin
Zhijian Hu
Qinjian Zhao
Haridah Alias
Mahmoud Danaee
Li Ping Wong
author_sort Yulan Lin
collection DOAJ
description This study aims to determine the intention of Chinese parents to vaccinate their children against SARS-CoV-2. Secondly, preferences for foreign- or domestically made COVID-19 vaccines were also explored. A nationwide, cross-sectional, self-administered online survey based on the Health Belief Model (HBM) and new vaccine concerns was used. Participants were eligible if they were residents of China with children aged 12 years old or younger. A total of 2,026 parents responded to the survey. Half reported a probable intent (50.7%) and 26.9% reported a definite intent. The results of the data analysis of partial least squares structural equation modeling (PLS-SEM) found that perceived cost barriers (B = −0.210, p < .001) and new vaccine concerns (B = −0.201, p < .001) had major effects in vaccination intent. Important constructs of vaccine concerns that predict vaccination intent were efficacy (B = 0.898, p < .001), followed by safety (B = 0.861, p < .001), side-effect (B = 0.806, p < .001) and faulty/fake vaccine (B = 0.579, p < .001). Perceived benefits (B = 1.81, p < .001), self-efficacy (B = 0.159, p < .001) and severity (B = 0.083, p < .01) were also significant predictors in vaccination intent. Almost two-thirds (62.0%; 95%CI 59.8 to 64.1) reported a preference for domestically made and 19.1% (95%CI 17.2 to 20.7) preferred foreign-made COVID-19 vaccines. Multivariable logistic regression analysis revealed that higher incomes and concern of side-effects of the new COVID-19 vaccine were two of the most important influencing factors of preference for a foreign-made vaccine. This study sheds light on the importance of addressing concerns of new vaccines and the helpfulness of HBM in understanding parental decisions toward their children being vaccinated against SARS-CoV-2.
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spelling doaj.art-f813274ae2a4482490e7ac657d1946062023-09-26T12:51:26ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2021-12-0117124806481510.1080/21645515.2021.19991431999143Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferencesYulan Lin0Zhijian Hu1Qinjian Zhao2Haridah Alias3Mahmoud Danaee4Li Ping Wong5Fujian Medical UniversityFujian Medical UniversityXiamen UniversityUniversity of MalayaUniversity of MalayaFujian Medical UniversityThis study aims to determine the intention of Chinese parents to vaccinate their children against SARS-CoV-2. Secondly, preferences for foreign- or domestically made COVID-19 vaccines were also explored. A nationwide, cross-sectional, self-administered online survey based on the Health Belief Model (HBM) and new vaccine concerns was used. Participants were eligible if they were residents of China with children aged 12 years old or younger. A total of 2,026 parents responded to the survey. Half reported a probable intent (50.7%) and 26.9% reported a definite intent. The results of the data analysis of partial least squares structural equation modeling (PLS-SEM) found that perceived cost barriers (B = −0.210, p < .001) and new vaccine concerns (B = −0.201, p < .001) had major effects in vaccination intent. Important constructs of vaccine concerns that predict vaccination intent were efficacy (B = 0.898, p < .001), followed by safety (B = 0.861, p < .001), side-effect (B = 0.806, p < .001) and faulty/fake vaccine (B = 0.579, p < .001). Perceived benefits (B = 1.81, p < .001), self-efficacy (B = 0.159, p < .001) and severity (B = 0.083, p < .01) were also significant predictors in vaccination intent. Almost two-thirds (62.0%; 95%CI 59.8 to 64.1) reported a preference for domestically made and 19.1% (95%CI 17.2 to 20.7) preferred foreign-made COVID-19 vaccines. Multivariable logistic regression analysis revealed that higher incomes and concern of side-effects of the new COVID-19 vaccine were two of the most important influencing factors of preference for a foreign-made vaccine. This study sheds light on the importance of addressing concerns of new vaccines and the helpfulness of HBM in understanding parental decisions toward their children being vaccinated against SARS-CoV-2.http://dx.doi.org/10.1080/21645515.2021.1999143parents’ intentions to vaccinatecoronavirus diseasechildren
spellingShingle Yulan Lin
Zhijian Hu
Qinjian Zhao
Haridah Alias
Mahmoud Danaee
Li Ping Wong
Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
Human Vaccines & Immunotherapeutics
parents’ intentions to vaccinate
coronavirus disease
children
title Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
title_full Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
title_fullStr Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
title_full_unstemmed Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
title_short Chinese parents’ intentions to vaccinate their children against SARS-CoV-2 infection and vaccine preferences
title_sort chinese parents intentions to vaccinate their children against sars cov 2 infection and vaccine preferences
topic parents’ intentions to vaccinate
coronavirus disease
children
url http://dx.doi.org/10.1080/21645515.2021.1999143
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