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Determinants of COVID-19 Vaccine Uptake among Female Foreign Domestic Workers in Hong Kong: A Cross-Sectional Quantitative Survey

Author

Listed:
  • Timothy S. Sumerlin

    (School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Jean H. Kim

    (School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Zixin Wang

    (School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Alvin Yik-Kiu Hui

    (School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China)

  • Roger Y. Chung

    (School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong 999077, China
    Institute of Health Equity, The Chinese University of Hong Kong, Hong Kong 999077, China
    Centre for Bioethics, The Chinese University of Hong Kong, Hong Kong 999077, China)

Abstract

Globally, minority groups and non-citizens may not be sufficiently included in the COVID-19 vaccine coverage. This study seeks to understand determinants of vaccine uptake among female foreign domestic workers (FDWs) in Hong Kong. We conducted a cross-sectional study of female FDWs ( n = 581) from June to August 2021. Respondents completed an online survey obtaining sociodemographic, employment, and health status information. Based upon the socio-ecological model, we obtained individual, interpersonal, and socio-structural factors that may be associated with COVID-19 vaccine uptake. Multivariable logistic regression analysis was used to examine factors associated with having received at least one dose of a COVID-19 vaccine. At the individual level, agreeing that taking COVID-19 vaccines can contribute to COVID-19 control in Hong Kong (OR 6.11, 95% CI 2.27–16.43) was associated with increased vaccine uptake, while being worried of severe side-effects from vaccination (OR 0.29, 95% CI 0.16–0.55) was associated with decreased uptake. At the interpersonal level, those being encouraged by their employer (OR 2.05, 95% CI 1.06–3.95) and family members (OR 2.27, 95% CI 1.17–4.38) were more likely to be vaccinated, while at the socio-structural level, believing vaccination would violate religious beliefs (OR 0.19, 95% CI 0.06–0.65) was associated with decreased uptake. The government can formulate a multi-level approach according to our findings to target the remaining unvaccinated FDW population.

Suggested Citation

  • Timothy S. Sumerlin & Jean H. Kim & Zixin Wang & Alvin Yik-Kiu Hui & Roger Y. Chung, 2022. "Determinants of COVID-19 Vaccine Uptake among Female Foreign Domestic Workers in Hong Kong: A Cross-Sectional Quantitative Survey," IJERPH, MDPI, vol. 19(10), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:10:p:5945-:d:815066
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    References listed on IDEAS

    as
    1. Carlos, Jessica Krystle & Wilson, Kathi, 2018. "Migration among temporary foreign workers: Examining health and access to health care among Filipina live-in caregivers," Social Science & Medicine, Elsevier, vol. 209(C), pages 117-124.
    2. Nelson C. Y. Yeung & Bishan Huang & Christine Y. K. Lau & Joseph T. F. Lau, 2020. "Feeling Anxious amid the COVID-19 Pandemic: Psychosocial Correlates of Anxiety Symptoms among Filipina Domestic Helpers in Hong Kong," IJERPH, MDPI, vol. 17(21), pages 1-15, November.
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