Walker Anita Nyarkoa, Zhang Ting, Peng Xue-Qing, Ge Jin-Jin, Gu Hai, You Hua
School of Public Health, Nanjing Medical University, Nanjing 211166, China.
School of Public Administration, Zhejiang Gongshang University, Hangzhou 310018, China.
Vaccines (Basel). 2021 Jun 2;9(6):585. doi: 10.3390/vaccines9060585.
With the continuous large-scale development of the COVID-19 vaccine, the acceptance of vaccination and its influencing factors at the individual level have become crucial to stemming the pandemic. This study aims to explore the factors that influence the acceptance of the COVID-19 vaccine among international college students.
The target population constituted international students pursuing various degrees in Jiangsu Province through an online cross-sectional study. A cluster random sampling was performed using a self-administered questionnaire. The Health Belief Model and Knowledge, Attitude/Beliefs, and Practice Theory served as the underlying theories to understanding the factors that influence vaccine acceptance.
We received 330 responses. About 36.4% intended to accept the vaccine. The acceptance varied across respondents' place of residence, program of study, continent of origin, knowledge, susceptibility, severity, benefits, and cues to action ( < 0.05). A multivariable logistics regression revealed cues to action ( < 0.001), the perception of COVID-19 vaccination benefits ( = 0.002), and the perception of barriers ( < 0.001) that were associated with vaccine acceptance.
The acceptance of the COVID-19 vaccine was low among international students. The correct and comprehensive beliefs of the target groups regarding the benefits and barriers of the vaccination must be raised. Various effective social strategies must be adopted to trigger the intention of COVID-19 vaccination. The study findings will inform the decisions of public health campaigners, aimed at reducing vaccine hesitation when the COVID-19 vaccine is widely available.
随着新冠疫苗的持续大规模接种，个体层面的疫苗接种接受度及其影响因素对于遏制疫情至关重要。本研究旨在探讨影响国际大学生新冠疫苗接种接受度的因素。
通过在线横断面研究，将江苏省各类学位的国际学生作为目标人群。采用自填式问卷进行整群随机抽样。健康信念模型以及知识、态度/信念和实践理论作为理解影响疫苗接受度因素的基础理论。
共收到330份回复。约36.4%的人打算接种疫苗。接受度因受访者的居住地点、学习项目、原籍大陆、知识、易感性、严重性、益处以及行动线索而异（<0.05）。多变量逻辑回归显示，行动线索（<0.001）、对新冠疫苗接种益处的认知（=0.002）以及对障碍的认知（<0.001）与疫苗接受度相关。
国际学生对新冠疫苗的接受度较低。必须提高目标群体对疫苗接种益处和障碍的正确、全面认识。必须采取各种有效的社会策略来激发新冠疫苗接种意愿。研究结果将为公共卫生活动家的决策提供参考，旨在当新冠疫苗广泛可得时减少疫苗犹豫。
