Vaccination burnout impedes the compliance with multiple-dose administration of vaccines

Abstract Timely and complete administration of multiple-dose vaccines is essential to guarantee the efficacy. Our study aimed to investigate how people’s vaccination attitudes changed over the course of the multi-dose vaccination schedule and comprehensively reported a phenomenon of vaccination burn...

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Main Authors: Xueying Fan, Yangguo Zhao, Xinyu Zhang, Shunran Li, Fan Wu, Mingting Cui, Ying Ye, Wangmu Duoji, Shiqiang Jiang, Jianhui Yuan, Caijun Sun
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-97959-4
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author Xueying Fan
Yangguo Zhao
Xinyu Zhang
Shunran Li
Fan Wu
Mingting Cui
Ying Ye
Wangmu Duoji
Shiqiang Jiang
Jianhui Yuan
Caijun Sun
author_facet Xueying Fan
Yangguo Zhao
Xinyu Zhang
Shunran Li
Fan Wu
Mingting Cui
Ying Ye
Wangmu Duoji
Shiqiang Jiang
Jianhui Yuan
Caijun Sun
author_sort Xueying Fan
collection DOAJ
description Abstract Timely and complete administration of multiple-dose vaccines is essential to guarantee the efficacy. Our study aimed to investigate how people’s vaccination attitudes changed over the course of the multi-dose vaccination schedule and comprehensively reported a phenomenon of vaccination burnout. The participants’ vaccination burnout levels were quantified by our designed vaccination burnout scale. This study is a retrospective cross-sectional study. Among 3068 valid participants, 2991 had finished the routine two shots of COVID-19 vaccine, and 2367 had a positive attitude towards the primary doses of vaccination. Notably, 232 participants who previously had a positive attitude towards primary doses of vaccination refused to take additional multiple shots, and another 83 had changed their positive attitudes to negative, despite having taken the third shot. Participants whose attitudes or behaviors had changed had higher scores of vaccination burnout than those who still maintained a positive attitude (Z=−8.491, P < .001). The frequency of actively paying attention to the related disease news, occupation, monthly income, and residence of the participants were key factors associated with the vaccination burnout. Interventions should be implemented to alleviate the exhausted attitudes and improve people’s compliance with vaccination schedules against the future pandemic.
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spelling doaj-art-c9aa2a013b864d23a27f0ac665be93b52025-08-20T03:18:30ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-97959-4Vaccination burnout impedes the compliance with multiple-dose administration of vaccinesXueying Fan0Yangguo Zhao1Xinyu Zhang2Shunran Li3Fan Wu4Mingting Cui5Ying Ye6Wangmu Duoji7Shiqiang Jiang8Jianhui Yuan9Caijun Sun10Shenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityTibet Center for Disease Control and PreventionNanshan District Center for Disease Control and PreventionNanshan District Center for Disease Control and PreventionShenzhen Key Laboratory of Pathogenic Microbes and Biosafety, Shenzhen Campus of Sun Yat-sen UniversityAbstract Timely and complete administration of multiple-dose vaccines is essential to guarantee the efficacy. Our study aimed to investigate how people’s vaccination attitudes changed over the course of the multi-dose vaccination schedule and comprehensively reported a phenomenon of vaccination burnout. The participants’ vaccination burnout levels were quantified by our designed vaccination burnout scale. This study is a retrospective cross-sectional study. Among 3068 valid participants, 2991 had finished the routine two shots of COVID-19 vaccine, and 2367 had a positive attitude towards the primary doses of vaccination. Notably, 232 participants who previously had a positive attitude towards primary doses of vaccination refused to take additional multiple shots, and another 83 had changed their positive attitudes to negative, despite having taken the third shot. Participants whose attitudes or behaviors had changed had higher scores of vaccination burnout than those who still maintained a positive attitude (Z=−8.491, P < .001). The frequency of actively paying attention to the related disease news, occupation, monthly income, and residence of the participants were key factors associated with the vaccination burnout. Interventions should be implemented to alleviate the exhausted attitudes and improve people’s compliance with vaccination schedules against the future pandemic.https://doi.org/10.1038/s41598-025-97959-4Vaccination burnoutCOVID-19 vaccinePublic healthMultiple-dose vaccinationCase study
spellingShingle Xueying Fan
Yangguo Zhao
Xinyu Zhang
Shunran Li
Fan Wu
Mingting Cui
Ying Ye
Wangmu Duoji
Shiqiang Jiang
Jianhui Yuan
Caijun Sun
Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
Scientific Reports
Vaccination burnout
COVID-19 vaccine
Public health
Multiple-dose vaccination
Case study
title Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
title_full Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
title_fullStr Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
title_full_unstemmed Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
title_short Vaccination burnout impedes the compliance with multiple-dose administration of vaccines
title_sort vaccination burnout impedes the compliance with multiple dose administration of vaccines
topic Vaccination burnout
COVID-19 vaccine
Public health
Multiple-dose vaccination
Case study
url https://doi.org/10.1038/s41598-025-97959-4
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