Willingness and uptake of the COVID-19 testing and vaccination in urban China during the low-risk period: a cross-sectional study

Song, Suhang; Zang, Shujie; Gong, Liubing; Xu, Cuilin; Lin, Leesa; Francis, Mark R.; Hou, Zhiyuan

doi:10.1186/s12889-022-12969-5

Cited by 18 publications

(13 citation statements)

References 62 publications

(23 reference statements)

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“…This finding aligns closely with findings from studies conducted in the USA, where the willingness rate was 69%, 40 in China with a willingness rate of 63.28% 41 and in Japan, where the corresponding figure was 65.7%. 42 …”

Section: Discussionsupporting

confidence: 90%

Assessment of willingness and determinants to receive the COVID-19 vaccine among the general population of the Somali region, Eastern Ethiopia: a 2021 cross-sectional study

Wolde,

Wasihun,

Melesse

et al. 2023

BMJ Open

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ObjectiveThis research aimed to assess COVID-19 vaccine acceptance and the factors influencing it among the population of the Somali region in Ethiopia through a cross-sectional COVID-19 survey.DesignCommunity-based cross-sectional study.SettingThe survey was conducted in eight selected districts of the Somali region in Ethiopia from 20 October 2021 to 30 October 2021.ParticipantsParticipants were chosen using simple random sampling and data analysis used Stata V.14. Both bivariable and multivariable binary logistic regression methods were applied, with variables having a p value below 0.2 considered for inclusion in the final model, where statistically significant factors were identified at p<0.5.Primary outcome measureWillingness to take the vaccine.ResultsA total of 1010 respondents participated in this study. The proportion of people’s willingness to take the vaccine was 65% (95% CI 62 to 68). When you believe moderately or highly that getting a COVID-19 vaccine will protect others (AOR=6.2, 95% CI 1.43 to 26.6) and (AOR=7.2, 95% CI 1.7 to 29.7), then you will protect others as well. Whereas, a desire to get vaccinated little, moderately and highly (AOR=4.3, 95% CI 1.77 to 10.4), (AOR=20, 95% CI 8.5 to 47) and (AOR=147, 95% CI 55 to 392), respectively, was significantly associated with willingness to take the vaccine. Moreover having close family and friends who want them to get a COVID-19 vaccine (AOR=2, 95% CI 1.2 to 3.57) and religious leaders or community leaders (AOR=1.8, 95% CI 1 to 3.1) were significant factors in the multivariable logistic regression model.ConclusionThis study found that COVID-19 vaccine acceptance was low in the Somali region. Factors positively linked to one’s willingness to get vaccinated included the belief that it protects others, personal desire for vaccination and support from family, friends, community and religious leaders.

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Section: Discussionsupporting

confidence: 90%

Assessment of willingness and determinants to receive the COVID-19 vaccine among the general population of the Somali region, Eastern Ethiopia: a 2021 cross-sectional study

Wolde,

Wasihun,

Melesse

et al. 2023

BMJ Open

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“…These disparities in testing could lead to underreporting and undetected community transmission of the SARS-CoV2 virus. 67 , 68 Some challenges in scaling the testing and diagnostic facilities for COVID-19 in SSA include gaps in service delivery and health systems, unskilled staffing, poor healthcare financing, sociocultural values, and the absence of infrastructure and technology to initiate and maintain diagnostic services. 69 – 71 This finding indicates the need for reform programs for strengthening and sustaining healthcare systems through appropriate health policy, adequate governmental focus and investment, and capacity-building in human resources, governance, and financing.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey

Assefa

Abdullahi

Hemler

et al. 2023

The American Journal of Tropical Medicine and Hygiene

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The COVID-19 pandemic has had serious negative health and economic impacts in sub-Saharan Africa. Continuous monitoring of these impacts is crucial to formulate interventions to minimize the consequences of COVID-19. This study surveyed 2,829 adults in urban and rural sites among five sub-Saharan African countries: Burkina Faso, Ethiopia, Nigeria, Tanzania, and Ghana. Participants completed a mobile phone survey that assessed self-reported sociodemographics, COVID-19 preventive practices, psychological distress, and barriers to healthcare access. A modified Poisson regression model was used to estimate adjusted prevalence ratios (aPRs) and 95% CIs to investigate potential factors related to psychological distress and barriers to reduced healthcare access. At least 15.6% of adults reported experiencing any psychological distress in the previous 2 weeks, and 10.5% reported that at least one essential healthcare service was difficult to access 2 years into the pandemic. The majority of participants reported using several COVID-19 preventive methods, with varying proportions across the sites. Participants in the urban site of Ouagadougou, Burkina Faso (aPR: 2.29; 95% CI: 1.74–3.03) and in the rural site of Kintampo, Ghana (aPR: 1.68; 95% CI: 1.21–2.34) had a higher likelihood of experiencing any psychological distress compared with those in the rural area of Nouna, Burkina Faso. Loss of employment due to COVID-19 (aPR: 1.77; 95% CI: 1.47–2.11) was also associated with an increased prevalence of psychological distress. The number of children under 5 years in the household (aPR: 1.23; 95% CI: 1.14–1.33) and participant self-reported psychological distress (aPR: 1.83; 95% CI: 1.48–2.27) were associated with an increased prevalence of reporting barriers to accessing health services, whereas wage employment (aPR: 0.67; 95% CI: 0.49–0.90) was associated with decreased prevalence of reporting barriers to accessing health services. Overall, we found a high prevalence of psychological distress and interruptions in access to healthcare services 2 years into the pandemic across five sub-Saharan African countries. Increased effort and attention should be given to addressing the negative impacts of COVID-19 on psychological distress. An equitable and collaborative approach to new and existing preventive measures for COVID-19 is crucial to limit the consequences of COVID-19 on the health of adults in sub-Saharan Africa.

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“…Due to different vaccination policies in different regions, the COVID-19 vaccination situation varies from region to region. An increasing number of studies have shown that there is a correlation between the prevalence of COVID-19 vaccination in different provinces in China and people's willingness to be vaccinated (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15), but the willingness of residents to be vaccinated is not consistent across regions, which may be due to complex sociodemographics. Based on this, this study mainly conducted a meta-analysis on the associated factors of willingness to get COVID-19 vaccination in available studies, in order to evaluate the associated factors affecting people's willingness to vaccinate against COVID-19.…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta-analysis of the factors associating the willingness of Chinese community residents to receive COVID-19 vaccine

Xu¹,

Zhu²

2022

Ann Palliat Med

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Background: Amid the coronavirus disease of 2019 (COVID-19) pandemic, China's vaccination campaign is progressing in an orderly manner. In the process of vaccination, the vaccination rates in different parts of China are different, and the factors affecting people's vaccination are also different, which may be caused by some reasons affecting people's willingness to vaccinate or complex sociodemographic characteristics factors.We found that inconsistent findings on factors associated with willingness to get COVID-19 vaccination in available studies. Therefore, we conducted a meta-analysis of current factors influencing people's willingness to receive COVID-19 vaccination to assess the associated factors influencing people's COVID-19 vaccination. Methods: The databases of CNKI, Chinese Biomedical Literature (CBM), Wanfang, VIP, PubMed, Web of Science, and Cochrane Library were searched by computer to collect the relevant literature on the factors affecting the willingness of Chinese community residents to undergo COVID-19 vaccination. After extracting the data, RevMan 5.3 and R software were used for statistical analysis. Population included in the study were Chinese community residents; outcome indicators were associated factors of willingness to get COVID-19 vaccination; COVID-19, odds ratio (OR), confidence interval (CI). Study designs were Crosssectional study. Egger's tests was used to check potential publication bias. Results:The willingness to get COVID-19 vaccination of community residents who think COVID-19 vaccine is effective is 4.10 times that of community residents who think COVID-19 vaccine is ineffective (OR =4.10, 95% CI: 3.08-5.46), and community residents who think COVID-19 vaccine is safe are 1.82 times more willing to receive COVID-19 vaccine than those who think COVID-19 vaccine is unsafe (OR =1.82, 95% CI:1.42-2.33); the willingness to get COVID-19 vaccination of community residents who think COVID-19 infection risk is high was 1.53 times that of community residents who think COVID-19 infection risk is low (OR =1.53, 95% CI: 1.43-1.64); the willingness of male community residents to vaccinate COVID-19 is 1.48 times higher than that of female community residents (OR =1.48, 95% CI: 1.23-1.76). Conclusions:The finding means that vaccination strategies need to be formulated according to the gender of community residents, propaganda of vaccination information, and dissemination of epidemic information to achieve higher levels of COVID-19 vaccination.

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Willingness and uptake of the COVID-19 testing and vaccination in urban China during the low-risk period: a cross-sectional study

Cited by 18 publications

References 62 publications

Assessment of willingness and determinants to receive the COVID-19 vaccine among the general population of the Somali region, Eastern Ethiopia: a 2021 cross-sectional study

Assessment of willingness and determinants to receive the COVID-19 vaccine among the general population of the Somali region, Eastern Ethiopia: a 2021 cross-sectional study

COVID-19 Preventive Practices, Psychological Distress, and Reported Barriers to Healthcare Access during the Pandemic among Adult Community Members in Sub-Saharan Africa: A Phone Survey

A systematic review and meta-analysis of the factors associating the willingness of Chinese community residents to receive COVID-19 vaccine

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