Reasons of COVID-19 Vaccine Hesitancy among Chinese People Living with HIV/AIDS: A Structural Equation Modeling Analysis
Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) to receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. Objective: This study aims to investigate factors that contribut...
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Published in | JMIR public health and surveillance Vol. 8; no. 6; p. e33995 |
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Main Authors | , , , , , , , , , , |
Format | Journal Article |
Language | English |
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JMIR Publications
01.06.2022
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Abstract | Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) to receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA.
Objective: This study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA.
Methods: The study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years old from five metropolitan cities in China between January and February 2021. Participants completed an online survey through the Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy.
Results: Among 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. An older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, the self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family members support could have an impact on the COVID-19 vaccination decision-making.
Conclusions: COVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family members support for COVID-19 vaccination, and improve PLWHA's trust on medical professionals. |
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AbstractList | BackgroundMany countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. ObjectiveThis study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA. MethodsThe study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years from 5 metropolitan cities in China between January 2021 and February 2021. Participants completed an online survey through Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy. ResultsAmong 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. Older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family member support could have an impact on COVID-19 vaccination decision-making. ConclusionsCOVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family member support for COVID-19 vaccination, and improve PLWHA’s trust of medical professionals. Background Many countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. Objective This study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA. Methods The study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years from 5 metropolitan cities in China between January 2021 and February 2021. Participants completed an online survey through Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy. Results Among 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. Older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family member support could have an impact on COVID-19 vaccination decision-making. Conclusions COVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family member support for COVID-19 vaccination, and improve PLWHA’s trust of medical professionals. Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. Objective: This study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA. Methods: The study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years from 5 metropolitan cities in China between January 2021 and February 2021. Participants completed an online survey through Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy. Results: Among 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. Older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family member support could have an impact on COVID-19 vaccination decision-making. Conclusions: COVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family member support for COVID-19 vaccination, and improve PLWHA’s trust of medical professionals. Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) to receive the COVID-19 vaccine. However, vaccine hesitancy still exists and becomes a barrier for promoting COVID-19 vaccination among PLWHA. Objective: This study aims to investigate factors that contributed to COVID-19 vaccine hesitancy among PLWHA. Methods: The study used a multicenter cross-sectional design and an online survey mode. We recruited PLWHA aged 18-65 years old from five metropolitan cities in China between January and February 2021. Participants completed an online survey through the Golden Data, a widely used encrypted web-based survey platform. Multiple linear regression models were used to assess the background characteristics in relation to COVID-19 vaccine hesitancy, and structural equation modeling was performed to assess the relationships among perceived benefits, perceived risks, self-efficacy, subjective norms, and COVID-19 vaccine hesitancy. Results: Among 1735 participants, 41.61% (722/1735) reported COVID-19 vaccine hesitancy. An older age, no other vaccinations in the past 3 years, and having chronic disease history were positively associated with COVID-19 vaccine hesitancy. Structural equation modeling revealed a direct relationship of perceived benefits, perceived risks, and subjective norms with self-efficacy and vaccine hesitancy and an indirect relationship of perceived benefits, perceived risks, and subjective norms with vaccine hesitancy. Moreover, the self-efficacy toward COVID-19 vaccination was low. PLWHA had concerns of HIV disclosure during COVID-19 vaccination. Family members support could have an impact on the COVID-19 vaccination decision-making. Conclusions: COVID-19 vaccine hesitancy was high among PLWHA in China. To reduce COVID-19 vaccine hesitancy, programs and strategies should be adopted to eliminate the concerns for COVID-19 vaccination, disseminate accurate information on the safety and efficacy of the COVID-19 vaccine, encourage family members support for COVID-19 vaccination, and improve PLWHA's trust on medical professionals. |
Author | Chai, Ruiyu Yao, Yan Yu, Maohe Qiao, Ying Li, Shuyue Zhang, Xiangjun Yang, Jianzhou Fu, Gengfeng Lan, Guanghua Huang, Xiaojie Xu, Junjie |
AuthorAffiliation | 2 Department of Preventive Medicine Changzhi Medical College Changzhi China 7 Guangxi Center for Disease Prevention and Control Nanning China 10 Changchun Maternity Hospital Changchun China 9 Department of Emergency Medicine Shenzhen Hospital Peking University Shenzhen China 11 Clinical Research Academy Peking University Shenzhen Hospital Peking University Shenzhen China 3 Department of Public Health University of Tennessee Knoxville, TN United States 5 Tianjin Centers for Disease Control and Prevention Tianjin China 6 Jiangsu Provincial Center for Disease Control and Prevention Nanjing China 8 The Second Hospital of Huhhot Huhhot China 4 Beijing Youan Hospital Capital Medical University Beijing China 1 Department of Epidemiology and Biostatistics School of Public Health Jilin University Changchun China |
AuthorAffiliation_xml | – name: 8 The Second Hospital of Huhhot Huhhot China – name: 1 Department of Epidemiology and Biostatistics School of Public Health Jilin University Changchun China – name: 4 Beijing Youan Hospital Capital Medical University Beijing China – name: 11 Clinical Research Academy Peking University Shenzhen Hospital Peking University Shenzhen China – name: 3 Department of Public Health University of Tennessee Knoxville, TN United States – name: 5 Tianjin Centers for Disease Control and Prevention Tianjin China – name: 7 Guangxi Center for Disease Prevention and Control Nanning China – name: 9 Department of Emergency Medicine Shenzhen Hospital Peking University Shenzhen China – name: 6 Jiangsu Provincial Center for Disease Control and Prevention Nanjing China – name: 10 Changchun Maternity Hospital Changchun China – name: 2 Department of Preventive Medicine Changzhi Medical College Changzhi China |
Author_xml | – sequence: 1 givenname: Ruiyu surname: Chai fullname: Chai, Ruiyu organization: Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, CN – sequence: 2 givenname: Jianzhou surname: Yang fullname: Yang, Jianzhou organization: Department of Preventive Medicine, Changzhi Medical College, Changzhi, CN – sequence: 3 givenname: Xiangjun surname: Zhang fullname: Zhang, Xiangjun organization: Department of Public Health, University of Tennessee, Knoxville, US – sequence: 4 givenname: Xiaojie surname: Huang fullname: Huang, Xiaojie organization: Beijing Youan Hospital, Capital Medical University, Beijing, CN – sequence: 5 givenname: Maohe surname: Yu fullname: Yu, Maohe organization: Tianjin Centers for Disease Control and Prevention, Tianjin, CN – sequence: 6 givenname: Gengfeng surname: Fu fullname: Fu, Gengfeng organization: Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, CN – sequence: 7 givenname: Guanghua surname: Lan fullname: Lan, Guanghua organization: Guangxi Center for Disease Prevention and Control, Nanning, CN – sequence: 8 givenname: Ying surname: Qiao fullname: Qiao, Ying organization: The Second Hospital of Huhhot, Huhhot, CN – sequence: 9 givenname: Shuyue surname: Li fullname: Li, Shuyue organization: Changchun Maternity Hospital, Changchun, CN – sequence: 10 givenname: Yan surname: Yao fullname: Yao, Yan organization: Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, No.1163 Xinmin Street, Changchun, CN – sequence: 11 givenname: Junjie surname: Xu fullname: Xu, Junjie organization: Clinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, CN |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35486810$$D View this record in MEDLINE/PubMed |
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Copyright | 2022. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Yan Yao, Ruiyu Chai, Jianzhou Yang, Xiangjun Zhang, Xiaojie Huang, Maohe Yu, Geng-feng Fu, Guanghua Lan, Ying Qiao, Qidi Zhou, Shuyue Li, Junjie Xu. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org), 30.06.2022. 2022 |
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Snippet | Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) to receive the COVID-19 vaccine. However, vaccine hesitancy still... Background Many countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still... Background: Many countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still... BACKGROUNDMany countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still... BackgroundMany countries and organizations recommended people living with HIV/AIDS (PLWHA) receive the COVID-19 vaccine. However, vaccine hesitancy still... |
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SubjectTerms | Acquired immune deficiency syndrome AIDS COVID-19 COVID-19 vaccines Health surveillance HIV Human immunodeficiency virus Immunization Original Paper Public health Structural equation modeling Vaccines |
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Title | Reasons of COVID-19 Vaccine Hesitancy among Chinese People Living with HIV/AIDS: A Structural Equation Modeling Analysis |
URI | https://www.ncbi.nlm.nih.gov/pubmed/35486810 https://www.proquest.com/docview/2682558687/abstract/ https://search.proquest.com/docview/2658232891 https://pubmed.ncbi.nlm.nih.gov/PMC9255267 https://doaj.org/article/ff05b526ceda4db39ad504b50b6dafcb |
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