Do Attitudes, Mental Health Status, and Interpersonal Factors Predict COVID-19 Vaccine Hesitancy at the Early Phase of the Pandemic? A Longitudinal Study in Chinese College Students

Zhi-peng, WU; Wang, Xin; Zhang, Sha; Ding, Nani; Zhang, Guohua; Zhao, Chengjia; Xu, Huihui; Lai, Xinyi; Tu, Xiaolian; Yang, Xue

doi:10.3389/fpsyg.2022.876116

Cited by 4 publications

(4 citation statements)

References 65 publications

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“…We found that social support contributes to increased vaccination intention. This mirrors findings from studies of younger adult populations where online social support increases COVID-19 vaccination intention [ 30 ], and loneliness decreases the likelihood of engaging in preventative behaviours for COVID-19 [ 31 ]. Our measure of social support was collected approximately 7 months prior to all other measures in our study which gives more ground for a causal relationship with vaccination intention.…”

Section: Discussionsupporting

confidence: 77%

The experience of traumatic events, psychological distress, and social support: links to COVID-19 vaccine hesitancy and trends with age in a group of older Australians

Christou-Ergos,

Wiley,

Leask

2024

BMC Geriatr

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Background Vaccination is important to reduce disease-associated morbidity and mortality in an ageing global population. While older adults are more likely than younger adults to accept vaccines, some remain hesitant. We sought to understand how traumatic events, psychological distress and social support contribute to older adults’ intention to receive a COVID-19 vaccine and whether these experiences change with age. Methods We analysed survey data collected as part of the Sax Institute’s 45 and Up Study in a population of Australian adults aged 60 years and over. Data were derived from the COVID Insights study; a series of supplementary surveys about how participants experienced the COVID-19 pandemic. Results Higher intention to receive a COVID-19 vaccine was associated with greater social support (adjusted odds ratio (aOR):1.08; 95%CI:1.06–1.11; p <.001) while lower intention was associated with personally experiencing a serious illness, injury or assault in the last 12 months (aOR:0.79; 95% CI:0.64–0.98; p =.03). Social support and the experience of traumatic events increased significantly with age, while psychological distress decreased. Conclusions There may be factors beyond disease-associated risks that play a role in vaccine acceptance with age. Older Australians on the younger end of the age spectrum may have specific needs to address their hesitancy that may be overlooked.

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Section: Discussionsupporting

confidence: 77%

The experience of traumatic events, psychological distress, and social support: links to COVID-19 vaccine hesitancy and trends with age in a group of older Australians

Christou-Ergos,

Wiley,

Leask

2024

BMC Geriatr

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“… 42 , 43 It seems that stress can prompt negative cognitive responses, such as negative behavioural ones. 41 The non-significance of our results could be attributed to the period when the survey was performed. Indeed, prior studies have demonstrated that vaccine intent changes over time.…”

Section: Discussionmentioning

confidence: 73%

“…Students with high stress levels, and who reported more severe depressive symptoms, were more susceptible to have a negative perception of the SARS-CoV-2 vaccines. 41 Further studies indicated that individuals with poor mental health had decreased intentions to adopt health-related behaviours. 42 , 43 It seems that stress can prompt negative cognitive responses, such as negative behavioural ones.…”

Section: Discussionmentioning

confidence: 99%

A psychological insight of Moroccan adults’ immunisation behaviour towards emergency vaccines

Benkaddour,

Khalil,

Lekfif

et al. 2024

African Journal of Primary Health Care & Family Medicine

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Background: The psychology of vaccination behaviour explains how thoughts and feelings influence people’s willingness to receive vaccines. Understanding vaccination behaviour is crucial to successfully managing vaccination campaigns.Aim: Investigating factors associated with immunisation stress among students at Mohammed First University.Setting: This study was conducted on students at Mohammed First University institutions.Methods: This study is a descriptive and analytical cross-sectional study. It was conducted on 305 students at Mohammed First University institutions using a 90-item questionnaire.Results: Three hundred and five participants have been included in this survey. Overall, 65.5% of the students in our sample had a positive perception towards COVID-19 vaccines. Nevertheless, 34.5% had a negative opinion regarding immunisation. According to the analysis of perceived stress scale, 40% (n = 122) of students expressed moderate to high stress regarding vaccination. Students with a negative perception of vaccine showed a higher level of stress than those with a positive one. Stressed students tended to be older than others, coming from other institutions, other than the medical faculty, and were renting alone. Vaccine accessibility was the less significant reason associated with stress regarding vaccination. Moreover, participants with high levels of confidence in social media, exhibited higher stress. Nevertheless, those who believed in scientific journals were significantly less stressed.Conclusion: These results reflect a positive perception and acceptance of vaccines, with a considerable level of stress regarding vaccination.Contribution: This study suggests emphasising the mental health of Moroccan young adults, to better sensitise and inform them about immunisation.

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“…Our participants were university students, for whom living in shared student accommodation is the most important way of living, followed by living at home, and classmates and family members are the main sources of social support. A study has found that social support was a significant facilitator of vaccine acceptance (Wu, Wang, et al, 2022 ), so it is not difficult to understand that not living alone students with more support had better vaccine acceptance. Fourth, students with chronic disease had lower vaccination attitude scores than those without chronic disease.…”

Section: Discussionmentioning

confidence: 99%

Attitude and influencing factors to receive the COVID‐19 vaccine among university students in Sichuan Province, China: A cross‐sectional study

et al. 2023

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Aims To explore the university students' attitude and the potential influencing factors to receive the coronavirus disease 2019 (COVID‐19) vaccine in Sichuan Province, China. Design A cross‐sectional study. Methods The self‐designed questionnaire was distributed among university students online in June 2021. SPSS software was used for statistical analysis of the data. Descriptive statistics, Chi‐square, two independent samples t‐tests, one‐way analysis of variance (ANOVA), multivariate linear regression, and content analysis were performed. Results A total of 397 questionnaires were analysed, involving 316 (79.6%) respondents have received at least one dose of a COVID‐19 vaccine and 81 (20.4%) have not taken the vaccine. The total mean score of university students' vaccination attitude was 25.97 (standard deviation [SD] = 3.720), and the total scoring rate was 74.2%. Main factors influencing students' attitude included education level, major, living style, with chronic disease or not, self‐reported vaccination status, and number of medical units that can provide vaccination within 3 km of residence. Students were more willing to choose Chinese‐manufactured vaccines (66.8%) and participate in collective vaccination programs organized by the school (71.3%). The desired vaccine protection period was 5–10 years (42.1%). The top three reasons for refusing the vaccine or vaccine hesitancy were as follows: concern about the side effects of vaccine (44.8%), lack of information about vaccine (31.0%), and concern about the efficacy of vaccine (29.3%). Conclusion In general, most of the participants had relatively high level of positive attitude to receive the COVID‐19 vaccine. Nevertheless, more attention should be paid to postgraduate students, non‐medical students, those living alone, those with chronic disease, those have not received the COVID‐19 vaccine, and those living far away from the vaccination medical units. Findings of this study can help educational institutions in developing effective interventions to improve the vaccination rate in the university student population.

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Do Attitudes, Mental Health Status, and Interpersonal Factors Predict COVID-19 Vaccine Hesitancy at the Early Phase of the Pandemic? A Longitudinal Study in Chinese College Students

Cited by 4 publications

References 65 publications

The experience of traumatic events, psychological distress, and social support: links to COVID-19 vaccine hesitancy and trends with age in a group of older Australians

The experience of traumatic events, psychological distress, and social support: links to COVID-19 vaccine hesitancy and trends with age in a group of older Australians

A psychological insight of Moroccan adults’ immunisation behaviour towards emergency vaccines

Attitude and influencing factors to receive the COVID‐19 vaccine among university students in Sichuan Province, China: A cross‐sectional study

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