AUTHOR=Wu Jian , Ma Mingze , Miao Yudong , Ye Beizhu , Li Quanman , Tarimo Clifford Silver , Wang Meiyun , Gu Jianqin , Wei Wei , Zhao Lipei , Mu Zihan , Fu Xiaoli 

TITLE=COVID-19 Vaccination Acceptance Among Chinese Population and Its Implications for the Pandemic: A National Cross-Sectional Study

JOURNAL=Frontiers in Public Health

VOLUME=Volume 10 - 2022

YEAR=2022

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2022.796467

DOI=10.3389/fpubh.2022.796467

ISSN=2296-2565

ABSTRACT=Objective: To investigate the COVID-19 vaccination rate among a representative sample of adults from 31 provinces in mainland China and identify its influencing factors.
Methods: We collected sociodemographic data, information about people's awareness and behavior regarding COVID-19 and COVID-19 vaccine, the accessibility of COVID-19 vaccination services, community environmental factors influencing people's awareness and behavior regarding the vaccinations, information about people's skepticism on COVID-19 vaccine, and information about people's trust in doctors as well as vaccine developers through an online nationwide cross-sectional survey among Chinese adults (18 years and older). The odds ratios (OR) and 95% confidence intervals (CI) for the statistical associations were estimated using logistic regression models.
Results: A total of 29925 participants (51.4% females and 48.6% males) responded. Overall, 89.4% of participants had already received a COVID-19 vaccination. After adjusting for potential confounders(demographic characteristics, awareness of COVID-19 pandemic/ COVID-19 vaccine, community environmental factors, awareness and behavior of general vaccinations), we discovered that having no religious affiliation, having no change in occupational status as a result of coronavirus, being a non-smoker, always being engaged in physical activity, having a higher score of health condition, having a lower status in the community and society, having a high curability of COVID-19, and having a higher level of convenient vaccination are all associated with high vaccination rate (all P<0.05). 
Conclusions: 31 provinces in mainland China currently have a relatively high rate of COVID-19 vaccination. To further increase the rate of COVID-19 vaccination, we need to remove barriers associated with the community context and enhance the accessibility of COVID-19 vaccine services. In addition, taking active and effective measures for reasons of not vaccinating against COVID-19 will significantly facilitate the establishment of an epidemic prevention and control system.