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Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China

School of Public Health, Peking University, Beijing 100083, China
China Center for Health Development Studies, Peking University, Beijing 100083, China
International Vaccine Access Center, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA
Peking University Health Science Center-Chinese Center for Disease Control and Prevention Joint Center for Vaccine Economics, Beijing 100083, China
Key Laboratory of Reproductive Health, National Health Commission of the People’s Republic of China, Beijing 100083, China
Author to whom correspondence should be addressed.
Vaccines 2020, 8(3), 482;
Received: 28 July 2020 / Revised: 19 August 2020 / Accepted: 26 August 2020 / Published: 27 August 2020
Background: Faced with the coronavirus disease 2019 (COVID-19) pandemic, the development of COVID-19 vaccines has been progressing at an unprecedented rate. This study aimed to evaluate the acceptance of COVID-19 vaccination in China and give suggestions for vaccination strategies and immunization programs accordingly. Methods: In March 2020, an anonymous cross-sectional survey was conducted online among Chinese adults. The questionnaire collected socio-demographic characteristics, risk perception, the impact of COVID-19, attitudes, acceptance and attribute preferences of vaccines against COVID-19 during the pandemic. Multivariate logistic regression was performed to identify the influencing factors of vaccination acceptance. Results: Of the 2058 participants surveyed, 1879 (91.3%) stated that they would accept COVID-19 vaccination after the vaccine becomes available, among whom 980 (52.2%) wanted to get vaccinated as soon as possible, while others (47.8%) would delay the vaccination until the vaccine’s safety was confirmed. Participants preferred a routine immunization schedule (49.4%) to emergency vaccination (9.0%) or either of them (41.6%). Logistic regression showed that being male, being married, perceiving a high risk of infection, being vaccinated against influenza in the past season, believing in the efficacy of COVID-19 vaccination or valuing doctor’s recommendations could increase the probability of accepting COVID-19 vaccination as soon as possible, while having confirmed or suspected cases in local areas, valuing vaccination convenience or vaccine price in decision-making could hinder participants from immediate vaccination. Conclusion: During the pandemic period, a strong demand for and high acceptance of COVID-19 vaccination has been shown among the Chinese population, while concerns about vaccine safety may hinder the promotion of vaccine uptake. To expand vaccination coverage, immunization programs should be designed to remove barriers in terms of vaccine price and vaccination convenience, and health education and communication from authoritative sources are important ways to alleviate public concerns about vaccine safety. View Full-Text
Keywords: SARS-CoV-2; COVID-19; immunization; vaccine acceptance; vaccine preference SARS-CoV-2; COVID-19; immunization; vaccine acceptance; vaccine preference
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MDPI and ACS Style

Wang, J.; Jing, R.; Lai, X.; Zhang, H.; Lyu, Y.; Knoll, M.D.; Fang, H. Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines 2020, 8, 482.

AMA Style

Wang J, Jing R, Lai X, Zhang H, Lyu Y, Knoll MD, Fang H. Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China. Vaccines. 2020; 8(3):482.

Chicago/Turabian Style

Wang, Jiahao, Rize Jing, Xiaozhen Lai, Haijun Zhang, Yun Lyu, Maria D. Knoll, and Hai Fang. 2020. "Acceptance of COVID-19 Vaccination during the COVID-19 Pandemic in China" Vaccines 8, no. 3: 482.

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