Department of Social Work, School of Literature, Law and Economics, Wuhan University of Science and Technology, Wuhan, China.
Department of Health Administration, School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Public Health. 2022 Aug 12;10:932243. doi: 10.3389/fpubh.2022.932243. eCollection 2022.
During the pandemic, a third dose of the COVID-19 vaccine effectively reduces the proportion of severe cases in those infected, but vaccine hesitancy impedes this reasonable prevention method. Epidemic control in China is being tested due to the large population base, especially in crowded places like college campuses. This study aimed to explore the configuration paths of psychological antecedents for college students to receive a third COVID-19 vaccine.
An anonymous cross-sectional survey was carried out in five universities in Wuhan using convenience sampling. A long version of the 5C 7-point Likert scale was used to measure college students' intention and psychological antecedents on the third dose of the COVID-19 vaccine. A fuzzy-set Qualitative Comparative Analysis (QCA) approach was performed to explore the configuration of conditions to the vaccination willingness.
31.67% of respondents surveyed did not receive their third dose of the COVID-19 vaccine. The score of intention to get the vaccine for college students who did not receive the booster vaccine was 4.93 (±1.68). Average scores of 5.19 (±1.24), 4.35 (±1.75), 4.02 (±1.45), 5.84 (±1.23), and 4.61(±1.32) were reported for confidence, complacency, constraints, calculation, and collective responsibility in them. QCA showed high confidence and collective responsibility playing a central role in third dose vaccination intention. Meanwhile, low confidence and collective responsibility are the core conditions of low vaccination willingness.
Eliminating vaccine hesitancy necessitates focusing on the psychological antecedents of vaccination intentions to identify critical targets for policy and interventions. This study identified trust and collective responsibility are core elements of the psychological antecedents of college students' intention to receive the booster vaccine for COVID-19. To achieve herd immunity as soon as possible, health administration and campus can start with vaccine confidence-building and collective responsibility cultivation to take appropriate actions and measures to improve coverage of the booster vaccination.
在疫情期间，接种第三剂 COVID-19 疫苗可有效降低感染者中重症病例的比例，但疫苗犹豫阻碍了这种合理的预防措施。由于人口基数大，尤其是在大学校园等拥挤场所，中国的疫情防控受到了考验。本研究旨在探讨大学生接种第三剂 COVID-19 疫苗的心理前因配置路径。
采用便利抽样法，在武汉的五所大学进行了一项匿名横断面调查。使用 5C 七点李克特量表的长版测量大学生对第三剂 COVID-19 疫苗的意愿和心理前因。采用模糊集定性比较分析（QCA）方法探讨接种意愿的条件配置。
31.67%的受访者未接种第三剂 COVID-19 疫苗。未接种加强针的大学生接种疫苗意愿得分 4.93（±1.68）。报告的平均得分为 5.19（±1.24）、4.35（±1.75）、4.02（±1.45）、5.84（±1.23）和 4.61（±1.32），分别为信心、自满、约束、计算和集体责任感。QCA 显示，高信心和集体责任感在第三剂疫苗接种意愿中起着核心作用。同时，低信心和集体责任感是低接种意愿的核心条件。
消除疫苗犹豫需要关注疫苗接种意愿的心理前因，以确定政策和干预措施的关键目标。本研究确定信任和集体责任感是大学生接种 COVID-19 加强针意愿的心理前因的核心要素。为尽快实现群体免疫，卫生行政部门和校园可以从疫苗信心建设和集体责任感培养入手，采取适当的行动和措施，提高加强针接种率。
