COVID-19 Vaccination Willingness among Chinese Adults under the Free Vaccination Policy.
COVID-19 Vaccination Willingness among Chinese Adults under the Free Vaccination Policy.
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免费疫苗接种政策下中国成年人的COVID-19疫苗接种意愿
DOI：
10.3390/vaccines9030292
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发表时间：
2021-03-21
期刊：
影响因子：
7.8
通讯作者：
Wang J
中科院分区：
文献类型：
--
作者：
Liu R;Zhang Y;Nicholas S;Leng A;Maitland E;Wang J
(1)背景：中国将为全民提供2019冠状病毒病（COVID-19）疫苗接种。本研究分析了中国免费接种政策与付费接种政策下的COVID-19疫苗接种意愿率（VWR）及其决定因素。(2)方法：采用问卷调查的方法，对2377名被调查者进行调查。多变量有序逻辑回归模型被指定来探索VWR及其决定因素之间的相关性。(3)结果：中国的COVID-19免费疫苗接种政策将受访者的VWR从73.62%提高到82.25%。对安全性和副作用的担忧是参与者不愿意接种COVID-19疫苗的主要原因。年龄、医疗保险和疫苗安全性是决定付费和免费疫苗的COVID-19 VWR的重要因素。收入、职业和疫苗有效性是免费疫苗的COVID-19 VWR的重要决定因素。(4)结论：免费疫苗接种显著增加了COVID-19 VWR。58岁以上且没有医疗保险的人应被视为改善COVID-19 VWR的目标干预人群。与以往的研究相反，高收入群体和专业工作者应该成为改善COVID-19 VWR的干预目标。加强全国范围内关于COVID-19疫苗安全性和有效性的宣传和教育是建议决策者采取的政策。
(1) Background: China will provide free coronavirus disease 2019 (COVID-19) vaccinations for the entire population. This study analyzed the COVID-19 vaccination willingness rate (VWR) and its determinants under China’s free vaccination policy compared to a paid vaccine. (2) Methods: Data on 2377 respondents were collected through a nationwide questionnaire survey. Multivariate ordered logistic regression models were specified to explore the correlation between the VWR and its determinants. (3) Results: China’s free vaccination policy for COVID-19 increased the VWR from 73.62% to 82.25% of the respondents. Concerns about the safety and side-effects were the primary reason for participants’ unwillingness to be vaccinated against COVID-19. Age, medical insurance and vaccine safety were significant determinants of the COVID-19 VWR for both the paid and free vaccine. Income, occupation and vaccine effectiveness were significant determinants of the COVID-19 VWR for the free vaccine. (4) Conclusions: Free vaccinations increased the COVID-19 VWR significantly. People over the age of 58 and without medical insurance should be treated as the target intervention population for improving the COVID-19 VWR. Contrary to previous research, high-income groups and professional workers should be intervention targets to improve the COVID-19 VWR. Strengthening nationwide publicity and education on COVID-19 vaccine safety and effectiveness are recommended policies for decision-makers.
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通讯作者：
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