COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study

The United Nations reported that the mortality risk of Corona Virus Disease 2019 (COVID-19) is five times higher in the elderly than the global average. Although the COVID-19 vaccine effectively prevents infections and reduce mortality among the elderly, vaccine hesitancy among the Chinese elderly p...

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Main Authors: Xiaoyu Li, Yanping Bai, Lijun Weng, Yunshan Bai, Wenjie Gong
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Human Vaccines & Immunotherapeutics
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Online Access:https://www.tandfonline.com/doi/10.1080/21645515.2024.2315663
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author Xiaoyu Li
Yanping Bai
Lijun Weng
Yunshan Bai
Wenjie Gong
author_facet Xiaoyu Li
Yanping Bai
Lijun Weng
Yunshan Bai
Wenjie Gong
author_sort Xiaoyu Li
collection DOAJ
description The United Nations reported that the mortality risk of Corona Virus Disease 2019 (COVID-19) is five times higher in the elderly than the global average. Although the COVID-19 vaccine effectively prevents infections and reduce mortality among the elderly, vaccine hesitancy among the Chinese elderly poses a significant threat. This study, utilizing the “Confidence, Convenience and Complacency (3 Cs)” vaccine hesitancy model, aimed to explore factors contributing to vaccine hesitancy among the Chinese elderly and assess national countermeasures and potential improvement approaches. Thirteen elderly with vaccine hesitancy and eleven vaccine-related staff participated in semi-structured interviews. Thematic analysis revealed three key determinants of vaccine hesitancy among the elderly: perceived low threat of COVID-19, lack of confidence in COVID-19 vaccine, and poor accessibility to vaccination. China has implemented strategies, including advocacy through diverse channels, joint multi-sectoral promotion vaccination, and enhancing ongoing vaccination services. Recommendations from the vaccine-related staff emphasize improving vaccine awareness among the elderly, and prioritizing the vaccination environment and process. The study underscores the importance of targeted vaccination promotion programs addressing hesitation reasons to improve vaccination rates. Furthermore, existing countermeasures can serve as a foundation for enhancing vaccination strategies, including improved publicity, administration, and management approaches.
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publishDate 2024-12-01
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series Human Vaccines & Immunotherapeutics
spelling doaj-art-abda6da41d764cd5b16db0db043fa8542025-08-20T02:01:20ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2024-12-0120110.1080/21645515.2024.2315663COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative studyXiaoyu Li0Yanping Bai1Lijun Weng2Yunshan Bai3Wenjie Gong4HER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaHER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaHER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaXiangya School of Public Health, Central South University, Changsha, Hunan, ChinaHER Team and Department of Maternal and Child Health, Xiangya School of Public Health, Central South University, Changsha, Hunan, ChinaThe United Nations reported that the mortality risk of Corona Virus Disease 2019 (COVID-19) is five times higher in the elderly than the global average. Although the COVID-19 vaccine effectively prevents infections and reduce mortality among the elderly, vaccine hesitancy among the Chinese elderly poses a significant threat. This study, utilizing the “Confidence, Convenience and Complacency (3 Cs)” vaccine hesitancy model, aimed to explore factors contributing to vaccine hesitancy among the Chinese elderly and assess national countermeasures and potential improvement approaches. Thirteen elderly with vaccine hesitancy and eleven vaccine-related staff participated in semi-structured interviews. Thematic analysis revealed three key determinants of vaccine hesitancy among the elderly: perceived low threat of COVID-19, lack of confidence in COVID-19 vaccine, and poor accessibility to vaccination. China has implemented strategies, including advocacy through diverse channels, joint multi-sectoral promotion vaccination, and enhancing ongoing vaccination services. Recommendations from the vaccine-related staff emphasize improving vaccine awareness among the elderly, and prioritizing the vaccination environment and process. The study underscores the importance of targeted vaccination promotion programs addressing hesitation reasons to improve vaccination rates. Furthermore, existing countermeasures can serve as a foundation for enhancing vaccination strategies, including improved publicity, administration, and management approaches.https://www.tandfonline.com/doi/10.1080/21645515.2024.2315663Vaccine hesitancyCorona Virus Disease 2019factorscountermeasures and approachesthe elderlyqualitative study
spellingShingle Xiaoyu Li
Yanping Bai
Lijun Weng
Yunshan Bai
Wenjie Gong
COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
Human Vaccines & Immunotherapeutics
Vaccine hesitancy
Corona Virus Disease 2019
factors
countermeasures and approaches
the elderly
qualitative study
title COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
title_full COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
title_fullStr COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
title_full_unstemmed COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
title_short COVID-19 vaccine hesitancy among the Chinese elderly: A multi-stakeholder qualitative study
title_sort covid 19 vaccine hesitancy among the chinese elderly a multi stakeholder qualitative study
topic Vaccine hesitancy
Corona Virus Disease 2019
factors
countermeasures and approaches
the elderly
qualitative study
url https://www.tandfonline.com/doi/10.1080/21645515.2024.2315663
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