Department of Nursing, Xiamen Medical College, Xiamen, Fujian, China.
Department of Preventive Health Care, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, China.
Ann Med. 2023 Dec;55(1):292-304. doi: 10.1080/07853890.2022.2162114.
Teachers with high educational levels significantly impact the health-related knowledge and attitudes of young students and their family members. This study aimed to investigate the coronavirus disease 2019 (COVID-19) vaccine hesitancy and associated factors, and compare the differences between decision-makers and non-decision-makers among college teachers.
A cross-sectional online survey was administered across mainland China from 4 to 7 August 2021. Overall, 251 college teachers were included using snowball sampling. A multivariable logistic regression model was applied to explore the association between decision-makers and hesitancy to receive a COVID-19 vaccine.
Overall, 42.2% of the teachers were hesitant to being vaccinated against COVID-19. The hesitancy rate was lower among primary decision-makers than that among non-decision-makers (34.8% vs. 60.3%, < .001). Primary decision-makers were less hesitant regarding COVID-19 vaccination than non-decision-makers (OR = 0.37, 95% CI 0.20-0.70); remarkably, whereas those engaged in nursing education versus non-medical related professional education (OR = 2.67, 95% CI 1.29-5.49), and partial versus full-course vaccination recipients (OR = 4.48, 95% CI: 1.76-11.42) were more likely to be hesitant regarding COVID-19 vaccination.
Our findings indicate that a high proportion of college teachers in China are hesitant to receiving COVID-19 vaccination, and that primary decision-makers are less likely to exhibit hesitancy to being vaccinated against COVID-19 than non-decision-makers in their family. Family decision-makers among teachers can be considered a priority for COVID-19 vaccine promotion, thereby enhancing vaccine acceptance among vulnerable populations-including older adults and children-and preventing adverse outcomes.KEY MESSAGES How prevalent is COVID-19 vaccine hesitancy among college teachers? Do differences exist between decision-makers and non-decision-makers? We found that a substantial proportion of college teachers are hesitant to being vaccinated against COVID-19, and that family decision-makers exhibited a lower hesitancy rate than non-decision-makers. Our findings indicate that distinguishing between family decision-makers and non-decision-makers is necessary to facilitate vaccination promotion interventions among college teachers.
教育程度较高的教师对年轻学生及其家庭成员的健康相关知识和态度有重大影响。本研究旨在调查新冠病毒病 2019（COVID-19）疫苗犹豫情况及其相关因素，并比较高校教师中决策者和非决策者之间的差异。
本研究于 2021 年 8 月 4 日至 7 日在中国大陆进行了一项横断面在线调查。共使用雪球抽样纳入 251 名高校教师。采用多变量逻辑回归模型探讨决策者和 COVID-19 疫苗接种犹豫之间的关联。
总体而言，42.2%的教师对接种 COVID-19 疫苗犹豫不决。主要决策者的犹豫率低于非决策者（34.8%比 60.3%，<.001）。主要决策者对 COVID-19 疫苗接种的犹豫程度低于非决策者（OR=0.37，95%CI 0.20-0.70）；值得注意的是，与非医学相关专业教育相比，从事护理教育的教师（OR=2.67，95%CI 1.29-5.49）和部分接种而非全程接种疫苗的教师（OR=4.48，95%CI：1.76-11.42）更有可能对 COVID-19 疫苗接种犹豫不决。
本研究发现，中国高校教师中有相当比例的人对接种 COVID-19 疫苗犹豫不决，家庭决策者作为主要决策者，其对 COVID-19 疫苗接种的犹豫程度低于家庭中的非决策者。可以将教师中的家庭决策者视为 COVID-19 疫苗推广的重点人群，从而提高包括老年人和儿童在内的弱势群体对疫苗的接受程度，并预防不良结局。
高校教师对 COVID-19 疫苗的犹豫程度有多高？决策者和非决策者之间是否存在差异？我们发现，相当一部分高校教师对接种 COVID-19 疫苗犹豫不决，家庭决策者的犹豫率低于非决策者。我们的研究结果表明，有必要区分家庭决策者和非决策者，以促进高校教师的疫苗接种推广干预。
