The association between social media use and hesitancy toward COVID-19 vaccine booster shots in China: A web-based cross-sectional survey

Wang, Ruitong; Qin, Chenyuan; Du, Min; Li, Qiao; Tao, Liyuan; Liu, Jue

doi:10.1080/21645515.2022.2065167

Cited by 22 publications

(29 citation statements)

References 43 publications

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“…A large-scale nationwide survey conducted in China found that only 10.56% (30/284) of older adults (≥60 years old) were hesitant about receiving a booster shot ( 38 ), whereas in Jordan and Bangladesh (≥50 years old), the rates were 35.0 and 44.6%, respectively ( 20 , 41 ). In addition, time spent on social media tracking news about COVID-19 and vaccines was also associated with vaccination acceptance ( 42 ). Our study also reflected the positive effect of vaccination history on receiving the booster shots, which was consistent with previous studies ( 19 , 21 , 39 ).…”

Section: Discussionmentioning

confidence: 99%

“…Another surprising result was that, among older adults, the higher the knowledge scores on COVID-19 vaccines, the lower the willingness to take booster shots. More efforts are needed to regulate social media content and filter out misinformation ( 42 , 43 ). The role of official social media in disseminating health information should be strengthened ( 42 , 43 ).…”

Section: Discussionmentioning

confidence: 99%

“…More efforts are needed to regulate social media content and filter out misinformation ( 42 , 43 ). The role of official social media in disseminating health information should be strengthened ( 42 , 43 ).…”

Section: Discussionmentioning

confidence: 99%

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Acceptance of the COVID-19 vaccine booster dose and associated factors among the elderly in China based on the health belief model (HBM): A national cross-sectional study

Qin

Yan

et al. 2022

Front. Public Health

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BackgroundThe reluctance of individuals to obtain solid vaccine-induced immunity represents a fundamental challenge to containing the spread of SARS-CoV-2, including its highly mutated variants. We aimed to assess vaccination acceptance and associated factors for the COVID-19 vaccine booster dose among elderly people (≥60 years old) in China, providing a theoretical and practical reference for universal vaccination policy.MethodsA national anonymous survey was conducted in mainland China from May 25 to June 8, 2022, using a stratified random sampling method. Individuals 60 years of age and above were the target population. A chi-squared test and Cochran-Armitage test for trend were used to compare and examine vaccine acceptance rates by characteristics. Via a backward stepwise method, multivariable logistic regression models were established to assess factors associated with booster dose acceptance. Two-sided P < 0.05 was considered statistically significant.ResultsOf 3,321 eligible participants, 82.8% (95% CI: 81.5–84.1%) were willing to receive COVID-19 vaccine booster shots. Concerns about contraindications (38.3%), vaccine safety (32.0%), and limited movement (28.0%) were the main reasons for vaccine hesitancy. Nearly one-third still believed that the booster dose was unnecessary after receiving the initial vaccination. Older adults with a low level of perceived barriers (aOR = 1.86, 95% CI, 1.03–3.38), a high level of perceived benefit (aOR = 2.31, 95% CI, 1.38–3.87), and higher cues to action (moderate, aOR = 2.22, 95% CI, 1.39–3.56; high, aOR = 5.46, 95% CI: 3.44–8.67) were more likely to accept the booster dose. Other major factors affecting the booster dose acceptance rate were occupation, time spent on social media, vaccination history, and a high knowledge score for COVID-19 and vaccines. In addition, for those over 70 years of age, rising awareness of susceptibility could be a better gateway for improving their willingness to get vaccinated.ConclusionsA total of 82.8% of recruited older adults were willing to receive the booster dose. Acceptance behaviors were closely related to occupation, time spent on social media, vaccination history, knowledge factors, perception of barriers, and benefit, as well as action cues. Targeted public health measures are a priority for improving the vaccination coverage of valid immunity among the elderly population, not only to prevent infection and poor prognosis caused by emerging variants but also to reduce the huge disease and economic burden caused by the long-term sequelae after SARS-CoV-2 infection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Acceptance of the COVID-19 vaccine booster dose and associated factors among the elderly in China based on the health belief model (HBM): A national cross-sectional study

Qin

Yan

et al. 2022

Front. Public Health

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“…Knowledge about the COVID-19 and COVID-19 vaccines may also influence older adults’ attitudes toward the booster shots. 27 Therefore, a total of 10 items (23 points) were set to evaluate the knowledge level of participants. The sources of infection, transmission routes, high-risk groups, prevention and control measures, vaccine effectiveness, and other important precautions were all included in this section.…”

Section: Methodsmentioning

confidence: 99%

Neighborhood social cohesion is associated with the willingness toward the booster dose of COVID-19 vaccines among the Chinese older population

Qin

et al. 2022

Human Vaccines & Immunotherapeutics

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Neighborhood social cohesion is a prominent psychosocial factor during the pandemic, and trust in neighbors is critical for implementing health prevention-related behaviors with public health messages. We planned to specifically explore the association between neighborhood social cohesion and vaccine acceptability among older adults (≥60 years) in China. Using a random stratified sampling method, an anonymous cross-sectional online survey was conducted in mainland China via a professional scientific data platform from May 25 to June 8, 2022. A revised Social Cohesion Scale was applied to evaluate the level of neighborhood social cohesion. Of the 3,321 recruited respondents aged 60 and above, 82.8% (95% CI: 81.5–84.1) reported their willingness to be vaccinated. With all significant covariates adjusted, older adults with moderate (aOR = 1.77, 95% CI: 1.04–3.04) and high level of social cohesion (aOR = 2.21, 95% CI: 1.29–3.77) were more likely to receive the booster dose. Our findings remained robust in a series of models after controlling for different covariates. Uncertainty about contraindications (38.3%), underestimation of their vulnerability (33.1%), and concerns about vaccine safety (32.0%) were the three main reasons for vaccine hesitancy. Therefore, building a harmonious community environment, strengthening neighborhood communication and exchange, and making good use of peer education among neighbors may become a breakthrough to promote herd immunity, especially for vulnerable older adults with limited social networks.

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“…With the promotion of various media and government policies, the COVID-19 vaccination rate in China is impressive, but further efforts are still required. Current studies reported many factors that contributed to COVID-19 vaccine hesitancy, such as the concerns of effectiveness, safety and the vague side-effect about the existing vaccine (12)(13)(14)(15). COVID-19 vaccine hesitancy presented to be a noteworthy public health issue.…”

Section: Introductionmentioning

confidence: 99%

An online longitudinal study about search index reflexing public attention of vaccinate against COVID-19

Ma¹,

Luo²,

Xu³

2022

Ann Transl Med

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Background The coronavirus disease of 2019 (COVID-19) has had catastrophic effects worldwide. Mounting efforts for vaccination against COVID-19 have achieved tremendous progress. Online searching is a voluntary behavior of people might reflect the public attention and awareness.. Screening and analyzing the details of vaccine related searches may help the government to grasp the trend of public opinion and provide a reference for vaccination strategies and future efforts to protect public health. Methods Three terms related to COVID-19 and COVID-19 vaccine as well as daily relative search volumes (RSV) were retrieved in the Baidu Index (BDI) from 1 January 2020 to 1 July 2021 in China. Besides the national total data, those of the individual provinces/cities/region of Beijing, Shanghai, Guangdong, Heilongjiang, Sichuan, and Tibet were also included. Vaccine-related policies were also gathered during this period. The vaccination rates within China were derived from the National Health Commission of the People’s Republic of China, from 23 March 2021 to 1 July 2021. The searching index was calculated by the searching volume and curve graphs were used to demonstrate the variation and the related trend of the RSV and vaccination rates. Results A total of 548 days’ BDI data were retrieved. The national and provincial curves of the BDI exhibited similar fluctuating upward trends, with 5 obvious rises, especially in COVID-19 vaccine searching volume. The vaccination number was correlated with the searching volume growth of COVID-19 vaccine and vaccine uptake (r=0.382, P<0.001; r=0.256, P=0.010). Relevant vaccination events corresponded to the variation searching trend and were attributed to or were influenced by the searching variation. Conclusions Public awareness about vaccination against COVID-19 was related to the implementation of vaccine policies. Positive vaccine-related policy and high public awareness about vaccination could play a vital role in maximizing the vaccination uptake. Advanced internet data grabbing could consolidate public information in an efficient and timely manner. These findings would support efforts to utilize the big data monitoring of the public opinion to forecast and guide the public health policies. Dynamic monitoring as well as prevention and timely adjustment under this supervision could be expected.

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The association between social media use and hesitancy toward COVID-19 vaccine booster shots in China: A web-based cross-sectional survey

Cited by 22 publications

References 43 publications

Acceptance of the COVID-19 vaccine booster dose and associated factors among the elderly in China based on the health belief model (HBM): A national cross-sectional study

Acceptance of the COVID-19 vaccine booster dose and associated factors among the elderly in China based on the health belief model (HBM): A national cross-sectional study

Neighborhood social cohesion is associated with the willingness toward the booster dose of COVID-19 vaccines among the Chinese older population

An online longitudinal study about search index reflexing public attention of vaccinate against COVID-19

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