Department of Health management, College of Public Health, Zhengzhou University, Zhengzhou, China; Henan Province Engineering Research Center of Health Economy & Health Technology Assessment, Zhengzhou, China.
Department of Health management, College of Public Health, Zhengzhou University, Zhengzhou, China; Henan Province Engineering Research Center of Health Economy & Health Technology Assessment, Zhengzhou, China; Department of Science and Laboratory Technology, Dar es salaam Institute of Technology, Dar es Salaam, Tanzania.
J Affect Disord. 2022 Sep 15;313:92-99. doi: 10.1016/j.jad.2022.06.038. Epub 2022 Jun 23.
To assess the association between lifestyle and COVID-19 vaccine hesitancy among Chinese adults and provide recommendations for increasing vaccination rates.
From August 6, 2021 to August 9, 2021, we recruited 29,925 participants from 31 Chinese provinces via an online questionnaire. We designed a question to assess COVID-19 vaccine hesitancy and used 16 items to assess lifestyle by calculating lifestyle scores. Odds ratios (OR) with 95 % confidence intervals (CI) were used to estimate the association by using binary logistic regression models.
The overall prevalence of COVID-19 vaccine hesitancy was 8.40 % (95 % CI: 8.09-8.72), and the median lifestyle score was 65.00 (interquartile range: 59.00-71.00). After adjusting for potential confounders, the COVID-19 vaccine hesitancy rate decreased significantly with an increase in lifestyle score (P for Trend <0.001). Low COVID-19 vaccine hesitancy rate was associated with lifestyle factors including adequate sleep, never smoking, intermittent drinking, good relationships, working and studying, using hand sanitizer, wearing masks, less gathering activities, and keeping social distance (P < 0.05).
Our findings indicate that high lifestyle score is associated with low vaccine hesitancy rate among Chinese. The government should view the smokers (or the drinkers) as the key to further boosting the vaccination rate. In addition, the publicity and education about wearing masks and keeping social distance should be prioritized.
评估生活方式与中国成年人对 COVID-19 疫苗犹豫的关系，并为提高疫苗接种率提供建议。
我们于 2021 年 8 月 6 日至 8 月 9 日通过在线问卷从中国 31 个省份招募了 29925 名参与者。我们设计了一个问题来评估 COVID-19 疫苗犹豫，并通过计算生活方式评分来使用 16 个项目来评估生活方式。使用二元逻辑回归模型，使用比值比（OR）和 95%置信区间（CI）来估计关联。
COVID-19 疫苗犹豫的总体流行率为 8.40%（95%CI：8.09-8.72），中位数生活方式得分为 65.00（四分位距：59.00-71.00）。在调整了潜在混杂因素后，随着生活方式评分的增加，COVID-19 疫苗犹豫率显著下降（趋势 P<0.001）。低 COVID-19 疫苗犹豫率与生活方式因素相关，包括充足的睡眠、从不吸烟、间歇性饮酒、良好的人际关系、工作和学习、使用洗手液、戴口罩、减少聚集活动和保持社交距离（P<0.05）。
我们的研究结果表明，高生活方式评分与中国人群中低疫苗犹豫率相关。政府应将吸烟者（或饮酒者）视为进一步提高接种率的关键。此外，应优先考虑佩戴口罩和保持社交距离的宣传和教育。
