Changes of COVID-19 Knowledge, Attitudes, Practices and Vaccination Willingness Among Residents in Jinan, China

Frontiers in Public Health

article

Ning Jiang¹  Cheng Yang²  Wenjing Yu²  Liyan Luo¹  Xin Tan³  Liping Yang¹ 

[1] Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University;Department of Project Office, Shandong Anke Blockchain Industrial Development Institute;Leshan Community

关键词: COVID-19;    vaccination willingness;    vaccination hesitancy;    KAP;    change;    China;   

DOI  :  10.3389/fpubh.2022.917364

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Background Vaccine hesitancy is responsible for low vaccine coverage and increased risk of epidemics. The purpose of this study was to assess whether public knowledge, attitudes, practices, and willingness to vaccinate against COVID-19 have changed over time and at different stages of vaccination. Methods Two consecutive surveys were conducted among residents of the Leshan Community in Jinan from May to June, 2021 ( n = 423) (basic dose vaccination phase) and from December, 2021 to January, 2022 ( n = 470) (booster vaccination phase). Randomly sampling was used in residents to complete an anonymous questionnaire. Chi-square test was used to compare the changes in knowledge, attitudes and practices of the subjects in different survey stages. Multivariable logistic regression analysis was used to explore factors related to vaccination hesitancy. Results In the booster vaccination phase, protective behaviors (89.9%) of residents increased significantly compared with the basic vaccination phase (74.5%). Residents were more hesitant to receive booster doses than basal doses of COVID-19 vaccine (OR: 18.334, 95% CI: 9.021–37.262). Residents with other marital statuses (OR: 2.719, 95% CI: 1.632–4.528), negative attitudes toward government measures were more hesitant to get vaccinated (OR: 2.576, 95% CI: 1.612–4.118). People who thought their physical condition was very good or good were more likely to be vaccinated than those who thought they were in fair or poor health (OR: 0.516, 95% CI: 0.288–0.925; OR: 0.513, 95% CI: 0.295–0.893). Young people inclined to use new media (such as WeChat and microblog) to obtain information, while the elderly inclined to use traditional methods (such as television). Government propaganda, residents' perception of the importance of vaccines and the risk of disease were the main reasons for accelerating residents to vaccinate. The main reasons affecting residents' lack of vaccination were contraindications to the vaccine or inconvenient time for vaccination. Conclusions Vaccine hesitancy increased significantly with change in vaccination stage. Strategies should be adopted to increase vaccination coverage such as improving the convenience of vaccination, promoting through multiple channels.

【 授权许可】

CC BY