Trust, Willingness, and Associated Factors towards COVID-19 Vaccine Uptake

A special issue of Vaccines (ISSN 2076-393X). This special issue belongs to the section "Human Vaccines and Public Health".

Deadline for manuscript submissions: 31 August 2024 | Viewed by 4955

Special Issue Editors

The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Interests: inter-disciplinary behavioral health research; mental health research
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Guest Editor
The Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Interests: inter-disciplinary behavioral health research; implementation science; health promotion

Special Issue Information

Dear Colleagues,

COVID-19 vaccination is one of the most successful and cost-effective health interventions to prevent and control SARS-CoV-2. It is important to understand trust, willingness, and other associated factors towards COVID-19 vaccines. This Special Issue will gather original reports, systematic reviews, and meta-analyses. Research areas may include, but are not limited to: (1) the levels and determinants of trust, hesitancy, willingness, and uptake of COVID-19 vaccination in the context where evidence is lacking, (2) the impacts of COVID-19 vaccination on SARS-CoV-2 infection, other health behaviors, and physical and mental health, (3) the facilitators and barriers to implementing COVID-19 vaccination programs, and (4) the evaluation of COVID-19 vaccination programs or interventions. 

We look forward to receiving your contributions.

Dr. Zixin Wang
Dr. Paul Shing-Fong Chan
Guest Editors

Manuscript Submission Information

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Keywords

  • trust
  • willingness
  • COVID-19
  • vaccination
  • associated factors

Published Papers (4 papers)

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Research

16 pages, 455 KiB  
Article
The Prevalence and Determinants of Hesitancy for Regular COVID-19 Vaccination among Primary Healthcare Patients with Asthma or COPD in Greece: A Cross-Sectional Study
by Izolde Bouloukaki, Antonios Christodoulakis, Stavroula Papageorgakopoulou and Ioanna Tsiligianni
Vaccines 2024, 12(4), 414; https://doi.org/10.3390/vaccines12040414 - 14 Apr 2024
Viewed by 774
Abstract
The emergence of novel coronavirus mutations and signs of the waning immunity provided by COVID-19 vaccines underscore the importance of regular vaccination. This study aimed to investigate the prevalence of regular COVID-19 vaccination hesitancy and the factors that influence it among patients with [...] Read more.
The emergence of novel coronavirus mutations and signs of the waning immunity provided by COVID-19 vaccines underscore the importance of regular vaccination. This study aimed to investigate the prevalence of regular COVID-19 vaccination hesitancy and the factors that influence it among patients with asthma or chronic obstructive pulmonary disease (COPD) who visited primary care centers. The cross-sectional study was conducted in six primary healthcare centers in Crete, Greece (October–December 2023). Participants completed a questionnaire, which included questions about socio-demographic characteristics, health status, previous COVID-19 booster vaccination, attitudes, and beliefs about COVID-19 vaccination. Multivariate logistic regression was used to identify the factors that influenced vaccine hesitancy. Of the 264 participants, 65% exhibited hesitancy towards COVID-19 booster vaccination. Female gender, middle age, lower educational attainment, depression diagnosis, concerns about vaccine side effects, lack of confidence in vaccine efficacy, and reliance on media information were positively associated to vaccine hesitancy. Conversely, those having a cardiovascular disease or type 2 diabetes, those generally adhering to the recommendations of the treating physician, and those having previously received the flu vaccine or more than three COVID-19 vaccine doses were positively associated with regular COVID-19 vaccinations. Consequently, our findings could help develop strategies that could potentially reduce regular vaccination hesitancy among patients with asthma or COPD. Full article
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15 pages, 283 KiB  
Article
COVID-19 Vaccine for Children: Determinants and Beliefs Contributing to Vaccination Decision of Parents in Germany 2021/2022
by Laura Purrmann, Leoni-Johanna Speichert, Alexander Bäuerle, Martin Teufel, Julia Barbara Krakowczyk, Jil Beckord, Ursula Felderhoff-Müser, Eva-Maria Skoda and Hannah Dinse
Vaccines 2024, 12(1), 20; https://doi.org/10.3390/vaccines12010020 - 23 Dec 2023
Viewed by 1025
Abstract
To reduce the number of COVID-19 cases, vaccines were rapidly made available worldwide. For a strategically targeted response to the COVID-19 pandemic, population vaccination coverage was to be maximized. The target groups also included healthy children. In this context, it is important to [...] Read more.
To reduce the number of COVID-19 cases, vaccines were rapidly made available worldwide. For a strategically targeted response to the COVID-19 pandemic, population vaccination coverage was to be maximized. The target groups also included healthy children. In this context, it is important to understand the determinants and beliefs that lead parents to favor or oppose COVID-19 immunization in children. This study aimed to investigate parents’ COVID-19 vaccination willingness in Germany for children aged 5–11 years in 2021/2022. For this purpose, the determinants and beliefs behind parents’ vaccination decisions were examined. Descriptive analysis and bivariate correlations were performed on COVID-19 vaccination willingness and parents’ mental health status, general vaccination attitudes, and SARS-CoV-2 politics perceptions. In total, 2401 participants fully participated in this cross-sectional study. The COVID-19 vaccination uptake (71.4%) outweighed the vaccination refusal (19.4%). Correlations revealed higher vaccine acceptance in parents presenting full vaccination certificates (90.9%), COVID-19 immunizations (99.9%), or increased COVID-19 fear (93.6%). Vaccination-refusal was associated with higher perceived pressure by COVID-19 vaccination campaigns (87.7%), higher experienced restrictions due to COVID-19 protective measures in parents’ social environment (83.6%), and engagement against COVID-19 protective measures (51.6%). Besides general anxiety, no significant correlations were observed between parents’ mental health variables and vaccination willingness. Although several factors are ultimately associated with vaccination willingness, future vaccination campaigns should prioritize reducing pressure, increasing trust, and considering parents’ differentiation between familiar and unfamiliar pathogens during their vaccination decision-making process. Full article
10 pages, 1334 KiB  
Article
Sources of COVID-19 Vaccine Promotion for Pregnant and Lactating Women in Bangladesh
by Berhaun Fesshaye, Sydney A. Wade, Clarice Lee, Prachi Singh, Eleonor Zavala, Hasmot Ali, Hafizur Rahman, Towfida Jahan Siddiqua, Shirina Atker, Ruth A. Karron and Rupali J. Limaye
Vaccines 2023, 11(8), 1387; https://doi.org/10.3390/vaccines11081387 - 20 Aug 2023
Viewed by 1133
Abstract
COVID-19 vaccines are an effective public health intervention to reduce COVID-19-related morbidity and mortality. Given that pregnant and lactating women have a higher risk of severe COVID-19 complications, it is paramount to understand the factors that inform vaccine decision-making among this population. In [...] Read more.
COVID-19 vaccines are an effective public health intervention to reduce COVID-19-related morbidity and mortality. Given that pregnant and lactating women have a higher risk of severe COVID-19 complications, it is paramount to understand the factors that inform vaccine decision-making among this population. In this study, we sought to identify facilitators and barriers to COVID-19 vaccine acceptance and vaccine promotion in pregnant and lactating women in Bangladesh. We conducted 40 in-depth interviews with 12 pregnant women, 12 lactating women, and 16 health workers from one urban and four rural communities in Bangladesh. We used a grounded theory approach to identify emerging themes. Our results suggest that health workers and religious leaders played key roles in promoting COVID-19 vaccines in this population. Further, we found that the culture of trust in public health authorities and the existing vaccine infrastructure facilitated vaccine promotion. However, changes in vaccine eligibility and myths and rumors acted as both facilitators and barriers to vaccine promotion within our study. It is crucial that maternal immunization vaccine promotion efforts push pregnant and lactating women toward vaccine acceptance to protect the health of mothers and their babies. Additionally, as new maternal vaccines are developed and licensed, understanding how to best promote vaccines within this group is paramount. Full article
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15 pages, 499 KiB  
Article
Associations between COVID-19 Vaccination and Behavioural Intention to Receive Seasonal Influenza Vaccination among Chinese Older Adults: A Population-Based Random Telephone Survey
by Xue Liang, Jiming Li, Yuan Fang, Qingpeng Zhang, Martin C. S. Wong, Fuk-yuen Yu, Danhua Ye, Paul Shing-fong Chan, Joseph Kawuki, Siyu Chen, Phoenix K. H. Mo and Zixin Wang
Vaccines 2023, 11(7), 1213; https://doi.org/10.3390/vaccines11071213 - 06 Jul 2023
Cited by 3 | Viewed by 1410
Abstract
During the Coronavirus Disease 2019 (COVID-19) pandemic, seasonal influenza remained a significant health threat for older adults. Seasonal influenza vaccination (SIV) is highly effective and safe for older adults. This study investigated the associations of COVID-19 vaccination, perceptions related to COVID-19 and SIV, [...] Read more.
During the Coronavirus Disease 2019 (COVID-19) pandemic, seasonal influenza remained a significant health threat for older adults. Seasonal influenza vaccination (SIV) is highly effective and safe for older adults. This study investigated the associations of COVID-19 vaccination, perceptions related to COVID-19 and SIV, with the behavioural intention to receive SIV among older adults in Hong Kong, China. A random telephone survey was conducted among 440 community-dwelling Hong Kong residents aged 65 years or above, between November 2021 and January 2022. Among the participants, 55.7% intended to receive SIV in the next year. After adjustment for significant background characteristics, concern about whether SIV and COVID-19 vaccination would negatively affect each other was associated with a lower intention to receive SIV, while a perceived higher risk of co-infection with COVID-19 and seasonal influenza was positively associated with the dependent variable. In addition, the perceived severe consequences of seasonal influenza, perceived benefits of SIV, received cues to action from doctors and participants’ family members or friends, and the perception that more older people would receive SIV was associated with a higher behavioural intention. Future programmes promoting SIV among older adults should modify perceptions related to COVID-19 vaccination and SIV at the same time. Full article
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