Department of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, China.
Department of Science and Laboratory Technology, Dar es Salaam Institute of Technology, Dar es Salaam, Tanzania.
Front Public Health. 2022 Feb 8;10:796467. doi: 10.3389/fpubh.2022.796467. eCollection 2022.
To examine the COVID-19 vaccination rate among a representative sample of adults from 31 provinces on the Chinese mainland and identify its influencing factors.
We gathered sociodemographic information, data on people's awareness and behavior regarding COVID-19 and the COVID-19 vaccine, the accessibility of COVID-19 vaccination services, community environmental factors influencing people's awareness and behavior regarding the vaccination, information about people's skepticism on COVID-19 vaccine, and information about people's trust in doctors as well as vaccine developers through an online nationwide cross-sectional survey among Chinese adults (18 years and older). The odds ratios (OR) and 95% confidence intervals (CI) for the statistical associations were estimated using logistic regression models.
A total of 29,925 participants (51.4% females and 48.6% males) responded. 89.4% of the participants had already received a COVID-19 vaccination. After adjusting for demographic characteristics, awareness of COVID-19 pandemic/ COVID-19 vaccine, community environmental factors, awareness and behavior of general vaccinations, we discovered that having no religious affiliation, having the same occupational status as a result of coronavirus epidemic, being a non-smoker, always engaging in physical activity, having a lower social status, perceiving COVID-19 to be easily curable, and having easier access to vaccination are all associated with high vaccination rate (all <0.05).
31 provinces in mainland China currently have a relatively high rate of COVID-19 vaccination. To further increase the rate of COVID-19 vaccination, we must remove barriers associated with the community context and improve access to COVID-19 vaccine services. In addition, taking proactive and effective measures to address the reasons for non-vaccination with COVID-19 will aid in epidemic prevention and control.
调查中国大陆 31 个省份成年人的 COVID-19 疫苗接种率，并确定其影响因素。
我们通过在线全国性横断面调查收集了成年人（18 岁及以上）的社会人口统计学信息、对 COVID-19 和 COVID-19 疫苗的认知和行为数据、COVID-19 疫苗接种服务的可及性、影响人们对疫苗接种认知和行为的社区环境因素、对 COVID-19 疫苗的怀疑信息，以及对医生和疫苗开发商的信任信息。使用逻辑回归模型估计了统计学关联的比值比（OR）和 95%置信区间（CI）。
共 29925 名参与者（51.4%女性和 48.6%男性）做出了回应。89.4%的参与者已经接种了 COVID-19 疫苗。在调整了人口统计学特征、对 COVID-19 大流行/COVID-19 疫苗的认知、社区环境因素、一般疫苗接种的认知和行为后，我们发现没有宗教信仰、因冠状病毒疫情而职业状况相同、不吸烟、经常进行体育锻炼、社会地位较低、认为 COVID-19 容易治愈以及更容易获得疫苗接种都与高疫苗接种率相关（均<0.05）。
中国大陆 31 个省份目前 COVID-19 疫苗接种率相对较高。为了进一步提高 COVID-19 疫苗接种率，我们必须消除与社区环境相关的障碍，并改善 COVID-19 疫苗接种服务的可及性。此外，采取积极有效的措施解决 COVID-19 未接种的原因，将有助于疫情防控。
