Department of Health management, College of Public Health, Zhengzhou University, Science Avenue, Gaoxin District, Zhengzhou, Henan 450001, People's Republic of China.
Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Henan, People's Republic of China.
J Affect Disord. 2022 Feb 15;299:196-204. doi: 10.1016/j.jad.2021.12.002. Epub 2021 Dec 4.
To investigate Chinese guardians' willingness to vaccinate teenagers (WVT) against COVID-19, we conducted a national wide survey in 31 provinces in mainland China.
We involved 16133 guardians from 31 provinces in Chinese Mainland from August 6th to 9th, 2021. The question "Are you willing to vaccinate teenagers of COVID-19 vaccine?" was designed to capture WVT. Odds ratios (OR) with 95% Confidence Intervals (CI) for potential factors of WVT were estimated using multiple logistic regression models.
In total, 13327 (82.61%) of the respondents expressed positive WVT, 12.90% of the respondents were uncertain but inclined to vaccinate their teenagers. Meanwhile, 3.89% of the respondents were uncertain and inclined to reject, and 0.60% of the respondents rejected the vaccines. After adjusting for potential confounders, the married, total family income last year, reject to Categoly1 vaccines, access information about the COVID-19 vaccines from community workers, low COVID-19 vaccine conspiracy, guardian's vaccination behavior, and the importance of vaccinating teenagers were all independent factors that affected the guardians' likely to accept. Further, the current study found that lower trust in doctors and vaccine developers was associated with negative WVT. The reasons for negative WVT included teenagers' young age and guardians' worries on the safety and effectiveness of COVID-19 vaccines.
This large-scale study assessed Chinese guardians' WVT against COVID-19, as well as its potential influencing factors, which is useful for international and national decision-makers.
为了调查中国监护人对青少年接种 COVID-19 疫苗的意愿（WVT），我们在中国大陆 31 个省进行了一项全国范围的调查。
我们于 2021 年 8 月 6 日至 9 日在中国大陆 31 个省招募了 16133 名监护人。设计了一个问题“你是否愿意为青少年接种 COVID-19 疫苗？”来捕捉 WVT。使用多因素逻辑回归模型估计潜在因素对 WVT 的比值比（OR）及其 95%置信区间（CI）。
在总共 13327 名（82.61%）的受访者中，有 12.90%的受访者表示不确定但倾向于为青少年接种疫苗。同时，有 3.89%的受访者表示不确定且倾向于拒绝，0.60%的受访者拒绝接种疫苗。在调整了潜在混杂因素后，已婚、去年家庭总收入、拒绝接种 Category1 疫苗、从社区工作人员获取 COVID-19 疫苗信息、低 COVID-19 疫苗阴谋论、监护人的接种行为以及为青少年接种疫苗的重要性都是影响监护人可能接受的独立因素。此外，本研究还发现，对医生和疫苗开发商的信任度较低与 WVT 呈负相关。对 WVT 呈负向的原因包括青少年年龄较小和监护人对 COVID-19 疫苗的安全性和有效性的担忧。
这项大规模研究评估了中国监护人对 COVID-19 疫苗的 WVT 及其潜在影响因素，这对国际和国家决策者具有重要意义。
