Abstract

Many studies have shown that urban workers may have a higher acceptance rate of coronavirus disease (COVID-19) vaccine uptake compared to their rural counterparts. As Omicron spreads globally, the COVID-19 booster vaccination has been acknowledged as the primary strategy against this variant. In this study, we identify factors related to the willingness of workers in megacities to take the vaccine booster shots and their main reasons accounting for their booster willingness. This research survey was conducted in megacity H in eastern China, and a total of 1227 employees from different industries were interviewed. The study at hand examines the relationship between various characteristics (including both economic and non-economic factors) of urban employees and their intention/desire to accept the COVID-19 booster shoots. The survey results show that some characteristics, namely work organization, vaccine knowledge, and social network, affect their intention to take COVID-19 vaccine booster shots. Urban employees with a strong work organization, a high degree of vaccine knowledge, and a dense social capital are more likely to receive booster injections than other employees. Therefore, work organization, vaccine knowledge, and social networks provide fundamental entry points for designing enhanced injection strategies to increase the acceptance of COVID-19 vaccines among employees in megacities.

Highlights

  • Within two years from 2019 to 2021, the coronavirus disease (COVID-19) pandemic swept through the entire world, evolving into one of the global public health emergencies with the most severe influence [1,2,3]

  • Some groups have never been vaccinated against COVID-19, which provides a favorable control for the follow-up to ensure that the sample is sufficiently representative

  • 628 are males who count for 51.2%, and 599 are females that count for 48.8%

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Summary

Introduction

Within two years from 2019 to 2021, the coronavirus disease (COVID-19) pandemic swept through the entire world, evolving into one of the global public health emergencies with the most severe influence [1,2,3]. Despite the Omicron variant’s lightning speed of infection, the spread of the vaccine has reduced deaths from COVID-19 in many countries [5,6]. It is widely acknowledged by academia that enhancing vaccination of booster doses constitutes a core strategy to contain the continuous spread of the COVID-19 pandemic [7]. In terms of fighting the Omicron variant, most of the high-income countries recommend their citizens to receive booster shots. Most states initiated public vaccination at the beginning of 2021, acceptance rates vary drastically following regional economic development (i.e., urban and rural areas; low-income and high-income countries).

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