Vaccination against COVID-19: A systematic review and meta-analysis of acceptability and its predictors

PREVENTIVE MEDICINE

卷:150

Review

Wang, Qiang^1,2  Yang, Liuqing^1,2  Jin, Hui^1,2  Lin, Leesa^3,4 

[1] Southeast Univ, Sch Publ Hlth, Dept Epidemiol & Hlth Stat, Nanjing 210009, Peoples R China

[2] Southeast Univ, Sch Publ Hlth, Minist Educ, Key Lab Environm Med Engn, Nanjing 210009, Peoples R China

[3] London Sch Hyg & Trop Med, Dept Infect Dis Epidemiol, London, England

[4] Hong Kong Sci Pk, Lab Data Discovery Hlth D24H, Hong Kong, Peoples R China

关键词: COVID-19;    Vaccine;    Acceptance;    Predictors;    Systematic review;   

DOI  :  10.1016/j.ypmed.2021.106694

来源: Elsevier

【 摘 要 】

We aimed to estimate the coronavirus disease 2019 (COVID-19) vaccine acceptance rate and identify predictors associated with acceptance. To this end, we searched PubMed, Web of Science, Cochrane Library, and Embase databases until November 4, 2020. Meta-analyses were performed to estimate the rate with 95% confidence intervals (CI). Predictors were identified to be associated with vaccination intention based on the health belief model framework. Thirty-eight articles, with 81,173 individuals, were included. The pooled COVID-19 vaccine acceptance rate was 73.31% (95%CI: 70.52, 76.01). Studies using representative samples reported a rate of 73.16%. The pooled acceptance rate among the general population (81.65%) was higher than that among healthcare workers (65.65%). Gender, educational level, influenza vaccination history, and trust in the government were strong predictors of COVID-19 vaccination willingness. People who received an influenza vaccination in the last year were more likely to accept COVID-19 vaccination (odds ratio: 3.165; 95%CI: 1.842, 5.464). Protecting oneself or others was the main reason for willingness, and concerns about side effects and safety were the main reasons for unwillingness. National- and individual-level interventions can be implemented to improve COVID-19 vaccine acceptance before large-scale vaccine rollout. Greater efforts could be put into addressing negative predictors associated with willingness.

【 授权许可】

Free