文献类型：期刊文献

英文题名：Determinants of COVID-19 Vaccine Acceptance and Hesitancy: A Health Care Student-Based Online Survey in Northwest China

作者：Zhang, Juxia[1];Dean, Judith[2];Yin, Yuhuan[3];Wang, Dongping[1];Sun, Yanqing[1];Zhao, Zhenhua[4];Wang, Jiancheng[5]

第一作者：Zhang, Juxia

通信作者：Zhao, ZH[1];Wang, JC[2]

机构：[1]Gansu Prov Hosp, Clin Educ Dept, Lanzhou, Peoples R China;[2]Univ Queensland, Sch Publ Hlth, Herston, Qld, Australia;[3]Gansu Univ Chinese Med, Sch Nursing, Lanzhou, Peoples R China;[4]Gansu Prov Hosp, Dept Human Resource, Lanzhou, Peoples R China;[5]Gansu Prov Hosp, Geriatr Dept, Lanzhou, Peoples R China

第一机构：Gansu Prov Hosp, Clin Educ Dept, Lanzhou, Peoples R China

通信机构：[1]corresponding author), Gansu Prov Hosp, Dept Human Resource, Lanzhou, Peoples R China;[2]corresponding author), Gansu Prov Hosp, Geriatr Dept, Lanzhou, Peoples R China.

年份：2022

卷号：9

外文期刊名：FRONTIERS IN PUBLIC HEALTH

收录：;Scopus(收录号：2-s2.0-85123673025);WOS:【SSCI(收录号:WOS:000745183300001)，SCI-EXPANDED(收录号:WOS:000745183300001)】；

基金：This research was funded by Natural Science Foundation of Gansu Province (Grant number 21JR7RA613), Lanzhou Chengguan District Science and Technology plan project (Grant number 2019RCCX0011), Horizontal project of Lanzhou Hand-foot Surgery Hospital (Grant number 071100278), and Natural Science Foundation of Gansu Province (Grant number 21JR7RA607).

语种：英文

外文关键词：COVID-19 vaccine; healthcare students; vaccine hesitant; vaccine acceptance; China

摘要：Background: With the spread of COVID-19 around the world, herd immunity through vaccination became a key measure to control the pandemic, but high uptake of vaccine is not guaranteed. Moreover, the actual acceptance of COVID-19 vaccination and associated factors remain uncertain among health care students in Northwest China.Methods: A cross-sectional survey of a sample of 631 health care students was performed using a questionnaire developed through Wen Juan Xing survey platform to collect information regarding their attitudes, beliefs, and acceptance of COVID-19 vaccination. Binary logistic regression analyses were performed to identify the association between vaccination willingness and demographics, attitudes, and beliefs to determine the factors that actually effect acceptance and hesitancy of COVID-19 vaccine among health care students.Results: Overall, 491 (77.81%) students actually received the COVID-19 vaccine, and of the 140 unvaccinated, 69 were hesitant and 71 rejected. Binary logistic regression analysis showed that the actually vaccinated individuals were those who mostly believed in the effectiveness of the COVID-19 vaccine (OR = 2.94, 95%CI: 1.37, 6.29), those who mostly felt it is their responsibility to receive the vaccine to protect others from infection (OR = 2.75, 95%CI: 1.45, 5.23), with less previous experience about other vaccines (OR = 1.70, 95%CI: 1.06, 2.72), students who mostly thought COVID-19 to be very severe (OR = 1.77, 95%CI: 1.07, 2.93), and students who mostly thought the COVID-19 vaccine was one of the best protection measures (OR = 1.68, 95%CI: 1.03, 2.76). Concerns about side effects of vaccines (OR = 0.30, 95%CI: 0.18, 0.51) and the use of personal protective behavior as an alternative to the COVID-19 vaccination (OR = 0.16, 95%CI: 0.06, 0.39) hindered the vaccine acceptance.Conclusions: Our study showed higher COVID-19 vaccine acceptance among healthcare students. However, the individuals with vaccine hesitancy and rejection were still worrying. Vaccine safety and effectiveness issues continue to be a major factor affecting students' acceptance. To expand vaccine coverage in response to the COVID-19 pandemic, appropriate vaccination strategies and immunization programs are essential, especially for those with negative attitudes and beliefs.