Abstract

ObjectiveTo examine the COVID-19 vaccination rate among a representative sample of adults from 31 provinces on the Chinese mainland and identify its influencing factors.MethodsWe gathered sociodemographic information, data on people's awareness and behavior regarding COVID-19 and the COVID-19 vaccine, the accessibility of COVID-19 vaccination services, community environmental factors influencing people's awareness and behavior regarding the vaccination, information about people's skepticism on COVID-19 vaccine, and information about people's trust in doctors as well as vaccine developers through an online nationwide cross-sectional survey among Chinese adults (18 years and older). The odds ratios (OR) and 95% confidence intervals (CI) for the statistical associations were estimated using logistic regression models.ResultsA total of 29,925 participants (51.4% females and 48.6% males) responded. 89.4% of the participants had already received a COVID-19 vaccination. After adjusting for demographic characteristics, awareness of COVID-19 pandemic/ COVID-19 vaccine, community environmental factors, awareness and behavior of general vaccinations, we discovered that having no religious affiliation, having the same occupational status as a result of coronavirus epidemic, being a non-smoker, always engaging in physical activity, having a lower social status, perceiving COVID-19 to be easily curable, and having easier access to vaccination are all associated with high vaccination rate (all P <0.05).Conclusions31 provinces in mainland China currently have a relatively high rate of COVID-19 vaccination. To further increase the rate of COVID-19 vaccination, we must remove barriers associated with the community context and improve access to COVID-19 vaccine services. In addition, taking proactive and effective measures to address the reasons for non-vaccination with COVID-19 will aid in epidemic prevention and control.

Highlights

  • Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, emerged as a serious threat to human life at the end of 2019 and quickly spread to become a global pandemic, resulting in over 100 million illnesses and approximately one million deaths [1]

  • This was likewise predicated on an 83.43% COVID-19 vaccination rate in the preliminary online survey, with a 1 percent acceptable error and taking into account the missing 20% sample size

  • The COVID-19 vaccine hesitancy rate was 8.4%, with the majority of participants believing that their risk of novel coronavirus infection was either very low (65.6%) or moderate (15.5%), and 15.7% believing that they were at high risk of infection

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Summary

Introduction

Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2, emerged as a serious threat to human life at the end of 2019 and quickly spread to become a global pandemic, resulting in over 100 million illnesses and approximately one million deaths [1]. As of August 4, 2021, there had been 93,374 confirmed cases and 4,636 deaths in mainland China [3]. This epidemic has had a significant impact on social development and economic activity throughout the world, straining medical systems in numerous countries [1, 4]. Scientific research and experimental institutes worldwide are rapidly designing, producing, and testing vaccines in response to the global consequences of COVID-19

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