Abstract

BackgroundThe US Centers for Disease Control and Prevention and the World Health Organization emphasized vaccination against COVID-19 because physical distancing proved inadequate to mitigate death, illness, and massive economic loss.ObjectiveThis study aimed to investigate Korean citizens’ perceptions of vaccines by examining their views on COVID-19 vaccines, their positive and negative perceptions of each vaccine, and ways to enhance policies to increase vaccine acceptance.MethodsThis cross-sectional study analyzed posts on NAVER and Instagram to examine Korean citizens’ perception of COVID-19 vaccines. The keywords searched were “vaccine,” “AstraZeneca,” and “Pfizer.” In total 8100 posts in NAVER and 5291 posts in Instagram were sampled through web crawling. Morphology analysis was performed, overlapping or meaningless words were removed, sentiment analysis was implemented, and 3 public health professionals reviewed the results.ResultsThe findings revealed a negative perception of COVID-19 vaccines; of the words crawled, the proportion of negative words for AstraZeneca was 71.0% (476/670) and for Pfizer was 56.3% (498/885). Among words crawled with “vaccine,” “good” ranked first, with a frequency of 13.43% (312/2323). Meanwhile, “side effect” ranked highest, with a frequency of 29.2% (163/559) for “AstraZeneca,” but 0.6% (4/673) for “Pfizer.” With “vaccine,” positive words were more frequently used, whereas with “AstraZeneca” and “Pfizer” negative words were prevalent.ConclusionsThere is a negative perception of AstraZeneca and Pfizer vaccines in Korea, with 1 in 4 people refusing vaccination. To address this, accurate information needs to be shared about vaccines including AstraZeneca, and the experiences of those vaccinated. Furthermore, government communication about risk management is required to increase the AstraZeneca vaccination rate for herd immunity before the vaccine expires.

Highlights

  • COVID-19 was first reported in Wuhan in December 2019, and on March 11, 2020, the World Health Organization (WHO) declared it a pandemic

  • The specific objectives were to (1) investigate their perception of COVID-19, (2) examine the positive and negative aspects of the perception of each type of vaccine, and (3) provide evidence needed to develop policies to increase vaccine acceptance by examining the current perception of COVID-19 vaccines. This cross-sectional study analyzed posts uploaded to NAVER and Instagram (2 social network sites [social network sites WHO (SNSs)] available in Korea) between December 1, 2020, and February 28, 2021, to examine Korean citizens’ perception of COVID-19 vaccines

  • Posts uploaded to NAVER blogs and news and Instagram feeds between December 1, 2020, and February 28, 2021, were collected

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Summary

Introduction

COVID-19 was first reported in Wuhan in December 2019, and on March 11, 2020, the World Health Organization (WHO) declared it a pandemic. One study [10] reported a variety of significant reasons for vaccine refusal, including lack of trust in the vaccines, deaths due to vaccination, negative rumors about the vaccines, religious beliefs, antigovernment sentiment, public health messaging failure, and a lack of understanding regarding the need for vaccination. The US Centers for Disease Control and Prevention and the World Health Organization emphasized vaccination against COVID-19 because physical distancing proved inadequate to mitigate death, illness, and massive economic loss. Methods: This cross-sectional study analyzed posts on NAVER and Instagram to examine Korean citizens’ perception of COVID-19 vaccines. Results: The findings revealed a negative perception of COVID-19 vaccines; of the words crawled, the proportion of negative words for AstraZeneca was 71.0% (476/670) and for Pfizer was 56.3% (498/885). Government communication about risk management is required to increase the AstraZeneca vaccination rate for herd immunity before the vaccine expires

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