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COVID-19 Vaccine Hesitancy Among Medical Students: The Next COVID-19 Challenge in Wuhan, China

Published online by Cambridge University Press:  09 September 2021

Xudong Gao Open the ORCID record for Xudong Gao [Opens in a new window] ,
Haiyan Li ,
Wenjie He  and
Wen Zeng
Xudong Gao
Affiliation:
College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, China
Haiyan Li
Affiliation:
Emergency Room, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Wenjie He
Affiliation:
Gastrointestinal Department, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Wen Zeng*
Affiliation:
Department of Scientific research and Teaching, The Central Hospital of Shaoyang, Shaoyang, China
*
Corresponding author: Wen Zeng, Email: [email protected].
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Abstract

Objective:

The purpose of this study was to explore the level of coronavirus disease 2019 (COVID-19) vaccine hesitancy among medical students in Wuhan, China, and to identify the factors and barriers associated with their vaccination decision.

Methods:

A cross-sectional survey was launched with 612 medical students recruited by convenience sampling from 6 universities. Data collection measures mainly included a demographic questionnaire, COVID-19 vaccine knowledge questionnaire, and the vaccine hesitancy scale.

Results:

A total of 58.2% of medical students reported vaccine hesitancy. The most common reasons for this were worrying about the side effects of vaccines (44.4%), uncertainty about vaccine safety (40.4%), and underestimating the risk of exposure to COVID-19 (27.9%). The main factors associated with COVID-19 vaccine hesitancy among participants were their knowledge about COVID-19 vaccine, training related to COVID-19 vaccines, family address, and education level (P < 0.05).

Conclusions:

The government, health department and universities in China need to work together and actively communicate with vaccine-hesitant students, establish a standardized COVID-19 vaccine course, and provide on-campus vaccination services.

Keywords

COVID-19medical studentsvaccine hesitancy
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e46
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Edwards, B, Biddle, N, Gray, M, Sollis, K. COVID-19 vaccine hesitancy and resistance: Correlates in a nationally representative longitudinal survey of the Australian population. PLoS One. 2021;16(3):e0248892.CrossRefGoogle Scholar
Gao, X, Wang, Z, Kong, C, et al. Cross-sectional survey to assess health-care workers’ grief counseling for bereaved families of covid-19 victims in Wuhan, China [published online ahead of print, 2021 Apr 30]. Disaster Med Public Health Prep. 2021;1-6.CrossRefGoogle Scholar
Kong, C, Tan, L, Gao, X, et al. Nurses’ grief counseling for bereaved family members of covid-19 patients in Wuhan, China: A cross-sectional survey [published online ahead of print, 2021 Jul 1]. J Psychosoc Nurs Ment Health Serv. 2021;1-7.CrossRefGoogle Scholar
Luo, C. Management of a nursing unit in a temporary covid-19 specialized hospital in Wuhan, China [published online ahead of print, 2020 Oct 12]. Disaster Med Public Health Prep. 2020;1-7.Google Scholar
World Health Organization. WHO Coronavirus (COVID-19) Dashboard. https://covid19.who.int/. Accessed August 7, 2021.Google Scholar
Zhang, XM. Research and development of COVID-19 vaccines in China. Bull Chin Acad Sci. 2021;36(06):709-715.Google Scholar
Hyder, AA, Hyder, MA, Nasir, K, Ndebele, P. Inequitable COVID-19 vaccine distribution and its effects. Bull World Health Organ. 2021;99(6):406-406A.CrossRefGoogle ScholarPubMed
Nhamo, G, Chikodzi, D, Kunene, HP, Mashula, N. COVID-19 vaccines and treatments nationalism: Challenges for low-income countries and the attainment of the SDGs. Glob Public Health. 2021;16(3):319-339.CrossRefGoogle ScholarPubMed
Choi, EM. COVID-19 vaccines for low- and middle-income countries. Trans R Soc Trop Med Hyg. 2021;115(5):447-456.Google ScholarPubMed
Bhopal, S, Nielsen, M. Vaccine hesitancy in low- and middle-income countries: Potential implications for the COVID-19 response. Arch Dis Child. 2021;106(2):113-114.CrossRefGoogle ScholarPubMed
Gao, K. Production capacity of COVID-19 vaccine in China. Chin Inform. 2021;6: 22-25.Google Scholar
Lin, Y, Hu, Z, Zhao, Q, Alias, H, Danaee, M, Wong, LP. Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China. PLoS Negl Trop Dis. 2020;14(12):e0008961.CrossRefGoogle ScholarPubMed
Li, L. Analysis of China’s COVID-19 twitter data. Fujian Comput. 2021;37(07):68-70.Google Scholar
Zhang, M. Survey on knowledge and attitude of COVID-19 vaccine among residents in East China[J]. J Jinzhou Med Univ. 2021;19(04):15-19.Google Scholar
Tencent. Real-time big data reporting on COVID-19. https://news.qq.com/zt2020/page/feiyan.htm#/?ADTAG=quanqiuyimiao. Accessed August 7, 2021.Google Scholar
Trogen, B, Pirofski, LA. Understanding vaccine hesitancy in COVID-19. Med (N Y). 2021;2(5):498-501.Google ScholarPubMed
Guidry, JPD, Laestadius, LI, Vraga, EK, et al. Willingness to get the COVID-19 vaccine with and without emergency use authorization. Am J Infect Control. 2021;49(2):137-142.CrossRefGoogle ScholarPubMed
Ogilvie, GS, Gordon, S, Smith, LW, et al. Intention to receive a COVID-19 vaccine: Results from a population-based survey in Canada. BMC Public Health. 2021;21(1):1017.CrossRefGoogle ScholarPubMed
Cordina, M, Lauri, MA, Lauri, J. Attitudes towards COVID-19 vaccination, vaccine hesitancy and intention to take the vaccine. Pharm Pract (Granada). 2021;19(1):2317.CrossRefGoogle ScholarPubMed
Pullan, S, Dey, M. Vaccine hesitancy and anti-vaccination in the time of COVID-19: A Google trends analysis. Vaccine. 2021;39(14):1877-1881.CrossRefGoogle ScholarPubMed
Sallam, M, Dababseh, D, Eid, H, et al. High rates of COVID-19 vaccine hesitancy and its association with conspiracy beliefs: A study in Jordan and Kuwait among other Arab countries. Vaccines (Basel). 2021;9(1):42.CrossRefGoogle ScholarPubMed
Larson, HJ, Jarrett, C, Schulz, WS, et al. Measuring vaccine hesitancy: The development of a survey tool. Vaccine. 2015;33(34):4165-4175.CrossRefGoogle ScholarPubMed
Murphy, J, Valli165-4175.tancy: The et al. Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nat Commun. 2021;12(1):29.CrossRefGoogle ScholarPubMed
Lazarus, JV, Ratzan, SC, Palayew, A, et al. A global survey of potential acceptance of a COVID-19 vaccine [published correction appears in Nat Med. 2021 Jan 11;:]. Nat Med. 2021;27(2):225-228.CrossRefGoogle ScholarPubMed
Dub021;27(2):225-228.potential acceptance of a COVID-19 vaccine [published Expert Rev Vaccines. 2020;19(10):899-901.Google Scholar
Han, JR. Prevention and control of COVID-19 epidemic risk at border ports in China. Chin Guizhou Univ J. 2021;42(02):70-76.Google Scholar
Wu, GW. A survey on the attitudes towards COVID-19 vaccination and its’ sociological and psychological influencing factors. Chin Clin Psycho J. 2021;8(3):622-625.Google Scholar
Gan, L, Chen, Y, Hu, P, et al. Willingness to receive SARS-CoV-2 vaccination and associated factors among Chinese adults: A cross sectional survey. Int J Environ Res Public Health. 2021;18(4):1993.CrossRefGoogle ScholarPubMed
Gagneux-Brunon, A, Detoc, M, Bruel, S, et al. Intention to get vaccinations against COVID-19 in French healthcare workers during the first pandemic wave: A cross-sectional survey. J Hosp Infect. 2021;108:168-173.CrossRefGoogle ScholarPubMed
Kwok, KO, Li, KK, Wei, WI, Tang, A, Wong, SYS, Lee, SS. Editor’s Choice: Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: A survey. Int J Nurs Stud. 2021;114:103854.CrossRefGoogle ScholarPubMed
Qunaibi, E, Basheti, I, Soudy, M, Sultan, I. Hesitancy of Arab healthcare workers towards COVID-19 vaccination: A large-scale multinational study. Vaccines (Basel). 2021;9(5):446.CrossRefGoogle ScholarPubMed
Mosby, I, Swidrovich, J. Medical experimentation and the roots of COVID-19 vaccine hesitancy among indigenous peoples in Canada. CMAJ. 2021;193(11):E381-E383.CrossRefGoogle ScholarPubMed
Hildreth, JEK, Alcendor, DJ. Targeting COVID-19 vaccine hesitancy in minority populations in the US: Implications for herd immunity. Vaccines. 2021; 9(5):489.CrossRefGoogle ScholarPubMed
Kasstan, B. Vaccines and vitriol: An anthropological commentary on vaccine hesitancy, decision-making and interventionism among religious minorities [published online ahead of print, 2020 Nov 13]. Anthropol Med. 2020;1-9.CrossRefGoogle Scholar
Bogart, LM, Ojikutu, BO, Tyagi, K, et al. COVID-19 related medical mistrust, health impacts, and potential vaccine hesitancy among black Americans living with HIV. J Acquir Immune Defic Syndr. 2021;86(2):200-207.CrossRefGoogle ScholarPubMed
Laurencin, CT. Addressing justified vaccine hesitancy in the black community. J Racial Ethn Health Disparities. 2021;8(3):543-546.CrossRefGoogle ScholarPubMed
Bogart, LM, Dong, L, Gandhi, P, et al. COVID-19 vaccine intentions and mistrust in a national sample of black Americans [published online ahead of print, 2021 Jun 19]. J Natl Med Assoc. 2021;S0027-9684(21)00082-1.Google Scholar
Zhang, Y. Development and application of the vaccine hesitancy scale. Jinan: Jinan University, 2020.Google Scholar
Su, Y. Application of normal distribution in daily life. China Sci Econ. 2020;28(15):157.Google Scholar
Li, JC. Common test methods of normal distribution. China Stat. 2020;9(09):28-30.Google Scholar
Liu, NN, Tan, JC, Li, J, Li, S, Cai, Y, Wang, H. COVID-19 pandemic: Experiences in China and implications for its prevention and treatment worldwide. Curr Cancer Drug Targets. 2020;20(6):410-416.Google ScholarPubMed
Gao, XD, Zhang, HL, Kong, C. Analysis of public health emergencies based on network public opinion: Taking Changsheng vaccine incident as an example. J Wuhan Polytech Univ. 2019;38(06):91-95.Google Scholar
Zhu, YX. Analysis on the role of information system of illegal vaccine accidents in Shandong province. Chin Sci Inform Res. 2020;2(02):76-85.Google Scholar
Chen, J. COVID-19 vaccine produced by Wuhan institute of biological products is expected to be available in next year. CHDJ. 2020;6(12):2.Google Scholar
Hu, Y, Chen, Y, Wang, Y, Liang, H, Lv, H. Age-appropriate vaccination coverage and its determinants for the polio containing vaccine 1-3 and measles-containing vaccine doses in Zhejiang province, China: A community-based cross-sectional study. Hum Vaccin Immunother. 2020;16(9):2257-2264.CrossRefGoogle ScholarPubMed
Thaker, J. The persistence of vaccine hesitancy: COVID-19 vaccination intention in New Zealand. J Health Commun. 2021;26(2):104-111.CrossRefGoogle ScholarPubMed
Barello, S, Nania, T, Dellafiore, F, Graffigna, G, Caruso, R. 'Vaccine hesitancy’ among university students in Italy during the COVID-19 pandemic. Eur J Epidemiol. 2020;35(8):781-783.CrossRefGoogle ScholarPubMed
Afonso, N, Kavanagh, M, Swanberg, S. Improvement in attitudes toward influenza vaccination in medical students following an integrated curricular intervention. Vaccine. 2014;32(4):502-506.CrossRefGoogle ScholarPubMed
Marotta, C, Raia, DD, Ventura, G, et al. Improvement in vaccination knowledge among health students following an integrated extra curricular intervention, an explorative study in the University of Palermo. J Prev Med Hyg. 2017;58(2):E93-E98.Google ScholarPubMed