Department of Social Work, School of Sociology and Political Science, Shanghai University, Shanghai, China.
Department of Sociology, The Chinese University of Hong Kong, Hong Kong SAR, China.
Front Public Health. 2024 Mar 19;12:1355720. doi: 10.3389/fpubh.2024.1355720. eCollection 2024.
Vaccine hesitancy, amplified by the COVID-19 pandemic, is a pressing public health challenge. This study investigates the association between Traditional Chinese Medicine (TCM) preference and COVID-19 vaccine hesitancy within China.
The study uses data from the 2021 Chinese General Social Survey (CGSS) ( = 2,690). Logistic regressions and Karlson-Holm-Breen (KHB) method are employed to analyzed the relationship between TCM preference and vaccine hesitancy.
The study reaffirms prior findings by revealing a robust and stable association between TCM preference and vaccine hesitancy, which remains unaffected by socioeconomic and demographic confounders, as well as institutional trust dynamics of healthcare system. Contrary to expectations, TCM enthusiasts do not exhibit vaccine hesitancy based on divergent epistemological views concerning vaccine risks and immunity acquisition compared to biomedicine.
This research enriches understandings of the intricate relations between healthcare paradigms and vaccine attitudes, inviting further inquiry into the role of CAM in shaping vaccination behaviors across different cultures and contexts. The insights bear significant public health implications for enhancing vaccine acceptance and coverage, particularly among populations where CAM practices wield substantial influence.
由 COVID-19 大流行放大的疫苗犹豫，是一个紧迫的公共卫生挑战。本研究调查了在中国，对中医（TCM）的偏好与对 COVID-19 疫苗的犹豫之间的关联。
本研究使用了 2021 年中国综合社会调查（CGSS）的数据（n=2690）。使用逻辑回归和 Karlson-Holm-Breen（KHB）方法分析了对 TCM 的偏好与疫苗犹豫之间的关系。
该研究通过揭示 TCM 偏好与疫苗犹豫之间存在稳健且稳定的关联，证实了先前的发现，这种关联不受社会经济和人口统计学混杂因素以及医疗保健系统机构信任动态的影响。与预期相反的是，与基于对疫苗风险和免疫获取的生物医学的不同认识论观点相比，中医爱好者并没有表现出对疫苗的犹豫。
本研究丰富了对医疗保健模式与疫苗态度之间复杂关系的理解，邀请进一步探究 CAM 在不同文化和背景下塑造接种行为的作用。这些见解对提高疫苗接种率和覆盖率具有重要的公共卫生意义，特别是在 CAM 实践具有相当大影响的人群中。
