The association between lifestyle and COVID-19 vaccine hesitancy in China: A large-scale cross-sectional survey

Wu, Jian1,2; Xu, Dongyang1,2; Li, Quanman1,2; Tarimo, Clifford Silver1,2,7; Wang, Meiyun3; Gu, Jianqin4; Wei, Wei3; Zhang, Xinyu5; Huang, Yanli6; Ma, Mingze1,2; Zhao, Lipei1,2; Shen, Zhanlei1,2; Miao, Yudong1,2,8

2022-09-15

10.1016/j.jad.2022.06.038

JOURNAL OF AFFECTIVE DISORDERS   Impact Factor & Quartile

0165-0327

1573-2517

Objective: To assess the association between lifestyle and COVID-19 vaccine hesitancy among Chinese adults and provide recommendations for increasing vaccination rates. Methods: From August 6, 2021 to August 9, 2021, we recruited 29,925 participants from 31 Chinese provinces via an online questionnaire. We designed a question to assess COVID-19 vaccine hesitancy and used 16 items to assess lifestyle by calculating lifestyle scores. Odds ratios (OR) with 95 % confidence intervals (CI) were used to estimate the association by using binary logistic regression models. Results: The overall prevalence of COVID-19 vaccine hesitancy was 8.40 % (95 % CI: 8.09-8.72), and the median lifestyle score was 65.00 (interquartile range: 59.00-71.00). After adjusting for potential confounders, the COVID-19 vaccine hesitancy rate decreased significantly with an increase in lifestyle score (P for Trend <0.001). Low COVID-19 vaccine hesitancy rate was associated with lifestyle factors including adequate sleep, never smoking, intermittent drinking, good relationships, working and studying, using hand sanitizer, wearing masks, less gathering activities, and keeping social distance (P < 0.05). Conclusion: Our findings indicate that high lifestyle score is associated with low vaccine hesitancy rate among Chinese. The government should view the smokers (or the drinkers) as the key to further boosting the vaccination rate. In addition, the publicity and education about wearing masks and keeping social distance should be prioritized.

COVID-19 Vaccine hesitancy Lifestyle China

SCI ; SSCI

English

Others

National Social Science Fund of China[21BGL222] ; Collaborative Innovation Key Project of Zhengzhou[20XTZX05015] ; Zhengzhou University[20211207] ; Postgraduate Education Re-form and Quality Improvement Project of Henan Province[YJS2021KC07] ; Zhengzhou University 2020 Key Project of Discipline Construction[XKZDQY202007]

Neurosciences & Neurology ; Psychiatry

Clinical Neurology ; Psychiatry

WOS:000823032700014

ELSEVIER

PSYCHIATRY/PSYCHOLOGY

Web of Science

1.Zhengzhou Univ, Coll Publ Hlth, Dept Hlth management, Zhengzhou, Peoples R China
2.Henan Prov Engn Res Ctr Hlth Econ & Hlth Technol A, Zhengzhou, Peoples R China
3.Zhengzhou Univ, Peoples Hosp, Henan Prov Peoples Hosp, Zhengzhou, Peoples R China
4.Southern Univ Sci & Technol, Sch Med, Shenzhen, Peoples R China
5.Tianjin Med Univ, Sch Publ Hlth, Tianjin, Peoples R China
6.Wuhou Med Inst, Manage & Serv Ctr, Chengdu, Peoples R China
7.Dar es salaam Inst Technol, Dept Sci & Lab Technol, Dar Es Salaam, Tanzania
8.Zhengzhou Univ, Coll Publ Hlth, 100 Sci Ave, Zhengzhou 450001, Peoples R China

Wu, Jian,Xu, Dongyang,Li, Quanman,et al. The association between lifestyle and COVID-19 vaccine hesitancy in China: A large-scale cross-sectional survey[J]. JOURNAL OF AFFECTIVE DISORDERS,2022,313.

Wu, Jian.,Xu, Dongyang.,Li, Quanman.,Tarimo, Clifford Silver.,Wang, Meiyun.,...&Miao, Yudong.(2022).The association between lifestyle and COVID-19 vaccine hesitancy in China: A large-scale cross-sectional survey.JOURNAL OF AFFECTIVE DISORDERS,313.

Wu, Jian,et al."The association between lifestyle and COVID-19 vaccine hesitancy in China: A large-scale cross-sectional survey".JOURNAL OF AFFECTIVE DISORDERS 313(2022).