Intention to Receive the COVID-19 Vaccination in China: Application of the Diffusion of Innovations Theory and the Moderating Role of Openness to Experience

Mo, Phoenix K. H.; Luo, Sitong; Wang, Suhua; Zhao, Junfeng; Zhang, Guohua; Li, Lijuan; Li, Liping; Xie, Luyao; Lau, Joseph T. F.

doi:10.3390/vaccines9020129

Cited by 92 publications

(90 citation statements)

References 54 publications

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“…More participants were willing to accept the COVID-19 vaccination at a higher level of effectiveness, with a significant difference of 12.4% between 90% and 95% effectiveness. Increased vaccine acceptance in relation to vaccine effectiveness was found in other studies [ 22 , 23 ], and was related to concerns over vaccine safety [ 24 , 25 ]. The overall acceptance rate of 76.4% and 88.8% for 90% and 95% effectiveness is comparable to the results of a systematic review, where the acceptance rates for most studies among the general population was ≥70% [ 26 ].…”

Section: Discussionmentioning

confidence: 60%

Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low- and Middle-Income Countries

et al. 2021

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Vaccination is fast becoming a key intervention against the ongoing COVID-19 pandemic. We conducted cross-sectional online surveys to investigate COVID-19 vaccine acceptance across nine Low- and Middle-Income Countries (LMICs; N = 10,183), assuming vaccine effectiveness at 90% and 95%. The prevalence of vaccine acceptance increased from 76.4% (90% effectiveness) to 88.8% (95% effectiveness). Considering a 90% effective vaccine, Malaysia, Thailand, Bangladesh, and five African countries (Democratic Republic of Congo, Benin, Uganda, Malawi, and Mali) had lower acceptance odds compared to Brazil. Individuals who perceived taking the vaccine as important to protect themselves had the highest acceptance odds (aOR 2.49) at 95% effectiveness. Vaccine acceptance was also positively associated with COVID-19 knowledge, worry/fear regarding COVID-19, higher income, younger age, and testing negative for COVID-19. However, chronic disease and female gender reduced the odds for vaccine acceptance. The main reasons underpinning vaccine refusal were fear of side effects (41.2%) and lack of confidence in vaccine effectiveness (15.1%). Further research is needed to identify country-specific reasons for vaccine hesitancy in order to develop mitigation strategies that would ensure high and equitable vaccination coverage across LMICs.

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Section: Discussionmentioning

confidence: 60%

Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low- and Middle-Income Countries

et al. 2021

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“… 3 Kuter et al 32 2021 12,034 Clinical and nonclinical staff CS United States 63.7% Gender (male), age(older), education (more educated), Asian or White, up-to-date on vaccinations, and tested for COVID-19 in the past. 4 Kwok et al 39 2021 1205 Nurses CS China 63% Younger age, more confidence, less complacency and more collective responsibility 5 Lin et al 40 2020 3541 Chinese citizens (≥18 years) CS China 28.7% Perceived benefit, and perceived barriers were found to have the highest significant odds of a definite intention 6 Malik et al 33 2020 672 Adult population CS United States 67% NA 7 Mo et al 41 2021 6922 University students CS China 78.9% Perceived efficacy of vaccination, and use of social media for COVID-19 vaccine-related information. 8 Reiter et al 34 2020 2006 Adults ≥18 years CS United States 69% Recommendation for va...…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, the study reported that factors such as perceived risk of COVID-19, 30 , 31 , 34 , 44 , 47 , 50 , 51 , 53 , 58 , 59 , 68–71 trust in healthcare system, 46 , 51 health insurance, 31 , 48 norms, 31 , 65 attitude towards a vaccine, 31 , 55 , 58 perceived benefit of vaccine, 31 , 40 , 46 , 65 , 70 perceived vaccine barriers, 31 , 40 , 70 self-efficacy, 31 up-to-date on vaccinations, 32 being tested for COVID-19 in the past, 32 , 72 responsibility, 39 perceived efficacy of the COVID-19 vaccination, 41 , 47 use of social media for COVID-19 vaccine-related information, 41 recommended for vaccination, 34 political leaning, 34 perceived severity of COVID-19, 34 , 44 , 46 , 70 , 74 perceived effectiveness of a COVID-19 vaccine, 34 , 43 , 59 , 61 belief that vaccination makes them feel less worried about COVID-19, 59 believing in mandatory COVID-19 vaccination, 50 perceived potential vaccine harms, 34 , 42 , 53 , 58 presence of chronic disease, 45 , 48 , 60 previously received an influenza vaccine, 43 , 45 , 47 <...>…”

Section: Discussionmentioning

confidence: 99%

The Willingness to Receive COVID-19 Vaccine and Its Associated Factors: “Vaccination Refusal Could Prolong the War of This Pandemic” – A Systematic Review

Wake¹

2021

RMHP

175

221

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Background The outbreak of coronavirus disease 2019 (COVID-19) in Wuhan, China, spreads globally, since its declaration by the World Health Organization (WHO) as a COVID-19 pandemic on March 11, 2020. COVID-19 vaccine is a crucial preventive approach that can halt this pandemic. The present systematic review was aimed to assess the level of willingness to receive COVID-19 vaccine and its associated factors. Methods A comprehensive literature search was conducted by using various online databases such as PubMed/MEDLINE, HINARI, EMBASE, Google Scholar, Web of Science, Scopus, African journals, and Google for grey literature which were used to search the related articles up to the period of May 08, 2021. Results The overall rate of participants’ willingness to receive the COVID-19 vaccine was ranged from 27.7% to 91.3%, which was from Congo and China, respectively. Factors such as age, educational status, gender, income, residency, occupation, marital status, race/ethnicity, perceived risk of COVID-19, trust in healthcare system, health insurance, norms, attitude towards vaccine, perceived benefit of vaccine, perceived vaccine barriers, self-efficacy, up-to-date on vaccinations, tested for COVID-19 in the past, perceived efficacy of the COVID-19 vaccination, recommended for vaccination, political leaning, perceived severity of COVID-19, perceived effectiveness of COVID-19 vaccine, belief that vaccination makes them feel less worried about COVID-19, believing in mandatory COVID-19 vaccination, perceived potential vaccine harms, presence of chronic disease, confidence, COVID-19 vaccine safety concern, working in healthcare field, believing vaccines can stop the pandemic, fear about COVID-19, cues to action, COVID-19 vaccine hesitancy, complacency, and receiving any vaccine in the past 5 years were associated with the willingness of receive COVID-19 vaccine. Conclusion There were insufficient levels of willingness to receive COVID-19 vaccine, and several factors were associated with it. Health education should be provided concerning this vaccine to improve the willingness of the community.

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“…6 It is important to note that vaccine hesitancy for newly launched vaccines reduced over time in our study, which has also been observed earlier. 21,22 COVID-19 vaccine uptake, especially among young college students has been explained through diffusion of innovation theory through openness to experience and adoption of descriptive norm. 21 Innovators and early adopters of COVID-19 vaccination could play a role in facilitating its wider acceptance in the medical student community.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine hesitancy among undergraduate medical students: results from a nationwide survey in India

Jain

Saurabh

Goel

et al. 2021

Preprint

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COVID-19 vaccine was launched in India on 16 January 2021, prioritizing health care workers which included medical students. We aimed to assess vaccine hesitancy and factors related to it among undergraduate medical students in India. An online questionnaire was filled by 1068 medical students across 22 states and union territories of India from 2 February to 7 March 2021. Vaccine hesitancy was found among 10.6%. Concern regarding vaccine safety and efficacy, hurried testing of vaccines prior to launch and lack of trust in government agencies predicted COVID-19 vaccine hesitancy. Risk perception regarding contracting COVID-19 vaccine reduced COVID-19 vaccine hesitancy as well as hesitation in participating in COVID-19 vaccine trials. Choosing between the two available vaccines (Covishield and Covaxin) was considered important by medical students both for themselves and their future patients. Covishield was preferred to Covaxin by students. Majority of those willing to take the COVID-19 vaccine felt that it was important for them to resume their clinical posting, face-to-face classes and get their personal life back on track. Around three-fourths medical students viewed that COVID-19 vaccine should be made mandatory for both health care workers and international travellers. Prior adult vaccination did not have an effect upon COVID-19 vaccine hesitancy. Targeted awareness campaigns, regulatory oversight of vaccine trials and public release of safety and efficacy data and trust building activities could further reduce COVID-19 vaccine hesitancy among medical students.

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Intention to Receive the COVID-19 Vaccination in China: Application of the Diffusion of Innovations Theory and the Moderating Role of Openness to Experience

Cited by 92 publications

References 54 publications

Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low- and Middle-Income Countries

Factors Affecting COVID-19 Vaccine Acceptance: An International Survey among Low- and Middle-Income Countries

The Willingness to Receive COVID-19 Vaccine and Its Associated Factors: “Vaccination Refusal Could Prolong the War of This Pandemic” – A Systematic Review

COVID-19 vaccine hesitancy among undergraduate medical students: results from a nationwide survey in India

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