Akintunde Tosin Yinka, Chen Ji-Kang, Ibrahim Elhakim, Isangha Stanley Oloji, Sayibu Muhideen, Musa Taha Hussein
Department of Sociology, School of Public Administration, Hohai University, China.
Department of Social Work, Chinese University of Hong Kong, Hong Kong.
Heliyon. 2023 Jun 26;9(7):e17567. doi: 10.1016/j.heliyon.2023.e17567. eCollection 2023 Jul.
BACKGROUND/PURPOSE: The COVID-19 outbreak created unique policy challenges for vaccinating special groups like migrants. As part of sustainable development goals, the equitable distribution of the COVID-19 vaccine can contribute to ensuring health for all. This study examined COVID-19 vaccine uptake among foreign migrants in China based on sociodemographics, cultural beliefs, past vaccine behaviors, and psychosocial factors.
An online cross-sectional survey was conducted among foreign migrants in mainland China via social media platforms from 21 November through 20 December 2021. Bivariate (unadjusted odd-ratio) and multivariate logistic regression analyses were performed to establish the correlates of COVID-19 vaccine uptake.
Surveyed foreign migrants that are culture neutral (AOR: 2.5, CI: 95%, 1.02-5.90, p = 0.044), willing to pay for vaccination (AOR: 2.27, CI: 95%, 1.18-3.98, p = 0.012), believe in vaccine efficacy (AOR: 3.00, CI: 95%, 1.75-5.16, p < 0.000), have poor psychological health (AOR: 1.96, CI: 95%, 1.14-3.38, p = 0 0.014), and have higher perceived seriousness of COVID-19 (AOR: 2.12, CI: 95%, 1.26-3.57, p = 0.005) are more likely to receive COVID-19 vaccine. Those migrants with a history of declining vaccination (AOR: 0.34, CI: 95%, 0.18-0.65, p = 0.000) and middle-income earners $1701-3500 (AOR: 0.43, CI: 95%, 0.23-0.82, p = 0.010) are less likely to receive the COVID-19 vaccine.
This study brings a unique perspective to understanding vaccine behavior among international migrants in China. There is an urgent call from the World Health Organization and countries for complete vaccination and efforts to improve vaccine coverage. However, fewer studies have been conducted globally on the vaccination of migrant populations. The current study provides empirical information to increase the knowledge of the correlates of vaccine behavior among immigrants in countries around the globe. Future studies should conduct cross-country comparisons to understand the factors associated with increasing vaccination rates among immigrant populations to formulate a strong policy to increase vaccine coverage among immigrant populations across countries.
背景/目的：新冠疫情给为移民等特殊群体接种疫苗带来了独特的政策挑战。作为可持续发展目标的一部分，新冠疫苗的公平分配有助于确保全民健康。本研究基于社会人口统计学、文化信仰、既往疫苗接种行为和心理社会因素，调查了在中国的外国移民的新冠疫苗接种情况。
于2021年11月21日至12月20日通过社交媒体平台对中国大陆的外国移民进行了一项在线横断面调查。进行了双变量（未调整比值比）和多变量逻辑回归分析，以确定新冠疫苗接种的相关因素。
文化中立的受访外国移民（调整后比值比：2.5，置信区间：95%，1.02 - 5.90，p = 0.044）、愿意自费接种疫苗的移民（调整后比值比：2.27，置信区间：95%，1.18 - 3.98，p = 0.012）、相信疫苗效力的移民（调整后比值比：3.00，置信区间：95%，1.75 - 5.16，p < 0.000）、心理健康状况较差的移民（调整后比值比：1.96，置信区间：95%，1.14 - 3.38，p = 0.014）以及认为新冠疫情严重性较高的移民（调整后比值比：2.12，置信区间：95%，1.26 - 3.57，p = 0.005）更有可能接种新冠疫苗。有拒绝接种疫苗历史的移民（调整后比值比：0.34，置信区间：95%，0.18 - 0.65，p = 0.000）和中等收入者（1701 - 3500美元）（调整后比值比：0.43，置信区间：95%，0.23 - 0.82，p = 0.010）接种新冠疫苗的可能性较小。
本研究为理解中国国际移民的疫苗接种行为带来了独特视角。世界卫生组织和各国迫切呼吁实现全面接种并努力提高疫苗接种覆盖率。然而，全球针对移民群体接种疫苗的研究较少。本研究提供了实证信息，以增加对全球各国移民疫苗接种行为相关因素的了解。未来的研究应进行跨国比较，以了解与提高移民群体疫苗接种率相关的因素，从而制定强有力的政策，提高各国移民群体的疫苗接种覆盖率。
