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Article

Change of Willingness to Accept COVID-19 Vaccine and Reasons of Vaccine Hesitancy of Working People at Different Waves of Local Epidemic in Hong Kong, China: Repeated Cross-Sectional Surveys

Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China
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Author to whom correspondence should be addressed.
Vaccines 2021, 9(1), 62; https://doi.org/10.3390/vaccines9010062
Received: 2 December 2020 / Revised: 12 January 2021 / Accepted: 14 January 2021 / Published: 18 January 2021
Vaccine hesitancy is among the major threats to the effectiveness of vaccination programmes. This study aimed to report the trend in response to willingness to accept the COVID-19 vaccine between two waves of the local epidemic and examine differences among occupations. Two cross-sectional surveys were conducted online during the first wave (February) and third wave (August to September) of the local epidemic in 2020. Acceptance of the COVID-19 vaccine was measured along with personal protection behaviours and occupations. A total of 2047 participants provided valid responses. The willingness to accept the COVID-19 vaccine among the participants was lower in the third wave (34.8%) than the first wave (44.2%). There were more concerns over vaccine safety in the third wave. Clerical/service/sales workers were less likely to accept the vaccine (adjusted odds ratio: 0.62, 95% confidence interval: 0.43–0.91). A high-level compliance of facemask wearing was found, and more people maintained social distancing and used alcohol hand rub in the third wave. Decreasing willingness to accept the COVID-19 vaccine may be associated with increasing concerns about vaccine safety and growing compliance of personal protection behaviours. The rush of vaccine development with higher risks of safety issues may jeopardize the public’s trust and lower uptake rates. Education and favourable policy should be provided to the general working population for the vaccination, especially for those who are not professional and are frequently exposed to crowds. View Full-Text
Keywords: COVID-19 vaccine; vaccine acceptance; vaccine hesitancy; vaccine safety; health behaviour; occupation COVID-19 vaccine; vaccine acceptance; vaccine hesitancy; vaccine safety; health behaviour; occupation
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MDPI and ACS Style

Wang, K.; Wong, E.L.-Y.; Ho, K.-F.; Cheung, A.W.-L.; Yau, P.S.-Y.; Dong, D.; Wong, S.Y.-S.; Yeoh, E.-K. Change of Willingness to Accept COVID-19 Vaccine and Reasons of Vaccine Hesitancy of Working People at Different Waves of Local Epidemic in Hong Kong, China: Repeated Cross-Sectional Surveys. Vaccines 2021, 9, 62. https://doi.org/10.3390/vaccines9010062

AMA Style

Wang K, Wong EL-Y, Ho K-F, Cheung AW-L, Yau PS-Y, Dong D, Wong SY-S, Yeoh E-K. Change of Willingness to Accept COVID-19 Vaccine and Reasons of Vaccine Hesitancy of Working People at Different Waves of Local Epidemic in Hong Kong, China: Repeated Cross-Sectional Surveys. Vaccines. 2021; 9(1):62. https://doi.org/10.3390/vaccines9010062

Chicago/Turabian Style

Wang, Kailu, Eliza Lai-Yi Wong, Kin-Fai Ho, Annie Wai-Ling Cheung, Peter Sen-Yung Yau, Dong Dong, Samuel Yeung-Shan Wong, and Eng-Kiong Yeoh. 2021. "Change of Willingness to Accept COVID-19 Vaccine and Reasons of Vaccine Hesitancy of Working People at Different Waves of Local Epidemic in Hong Kong, China: Repeated Cross-Sectional Surveys" Vaccines 9, no. 1: 62. https://doi.org/10.3390/vaccines9010062

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