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Determinants of Vaccine Acceptance against COVID-19 in China: Perspectives on Knowledge and DrVac-COVID19S Scale

Author

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  • Chen Dong

    (Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, China
    Department of Nursing, Affiliated Hospital of Nantong University, Nantong 226001, China
    Chen Dong, Qian Liang and Tanao Ji contributed equally to this work contributed equally to this work.)

  • Qian Liang

    (Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, China
    Chen Dong, Qian Liang and Tanao Ji contributed equally to this work contributed equally to this work.)

  • Tanao Ji

    (Department of Respiratory, Affiliated Hospital of Nantong University, Nantong 226001, China
    Chen Dong, Qian Liang and Tanao Ji contributed equally to this work contributed equally to this work.)

  • Jun Gu

    (Department of Respiratory, Affiliated Hospital of Nantong University, Nantong 226001, China)

  • Jian Feng

    (Department of Respiratory, Affiliated Hospital of Nantong University, Nantong 226001, China)

  • Min Shuai

    (Department of Nursing, Affiliated Hospital of Nantong University, Nantong 226001, China)

  • Xiaoming Zhang

    (Key Laboratory of Molecular Virology & Immunology, Institut Pasteur of Shanghai, Chinese Academy of Sciences, Shanghai 200025, China)

  • Rui Zhao

    (Research Center of Clinical Medicine, Affiliated Hospital of Nantong University, Nantong 226001, China)

  • Zhifeng Gu

    (Department of Rheumatology, Affiliated Hospital of Nantong University, Nantong 226001, China)

Abstract

Background: This study determined the knowledge and attitudes regarding COVID-19 and assessed the acceptance of the COVID-19 vaccine among the Chinese population. Methods: An online and offline cross-sectional study was conducted from 1 to 18 June 2021 among the Chinese population. Demographic characteristics, attitudes, knowledge, values, impact, and autonomy regarding the COVID-19 vaccine were collected using questionnaire. The variables in our study were analyzed by Mann-Whitney test and chi-square test. Results: A total of 93.8% participants were willing to be vaccinated, 2.7% refused, and 3.5% hesitated. In regards to knowledge about the COVID-19 vaccine, 94.3% citizens surveyed knew about the spread of droplets and 65% had knowledge about surfaces touched by an infected person. In addition, 93.8% of participants had knowledge of the common symptoms related to COVID-19, such as fever and cough (93.8%), shortness of breath/anorexia/fatigue/nausea/vomiting/diarrhea (80.2%), and panic and chest tightness (69.4%). Most participants had a strong self-prevention awareness, such as washing hands regularly (92.1%) and wearing a facemask (94.1%). Besides, over ninety percent of respondents would report exposure to SARS-CoV-2 (96.6%) and exposure to symptoms possibility related to COVID-19 (92.9%). If necessary, most respondents would agree to isolate at home (93.5%) or an isolation in hospital (96.3%). Knowledge of COVID-19, including transmission, symptoms, protective measures, and vaccines itself, is associated with vaccination attitude. Values, perceived impacts, knowledge, and autonomy, assessed by the scale of DrVac-COVID19S, have also been revealed as important determinants to vaccine acceptance. Conclusions: Almost 93% of Chinese people surveyed in this study showed a willing attitude toward COVID-19 vaccination. Based on the above results, government and social workers can take measures from these perspectives to improve the vaccination attitude, so as to increase vaccine immunization rates.

Suggested Citation

  • Chen Dong & Qian Liang & Tanao Ji & Jun Gu & Jian Feng & Min Shuai & Xiaoming Zhang & Rui Zhao & Zhifeng Gu, 2021. "Determinants of Vaccine Acceptance against COVID-19 in China: Perspectives on Knowledge and DrVac-COVID19S Scale," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
  • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11192-:d:664327
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    Cited by:

    1. Zengwang Xu & Bin Jiang, 2022. "Effects of Social Vulnerability and Spatial Accessibility on COVID-19 Vaccination Coverage: A Census-Tract Level Study in Milwaukee County, USA," IJERPH, MDPI, vol. 19(19), pages 1-13, September.

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