COVID-19 Vaccination Willingness and Reasons for Vaccine Refusal
Importance Hong Kong was held as an exemplar for pandemic response until it recorded the world’s highest daily COVID-19 mortality, which was likely due to vaccine refusal. To prevent this high mortality in future pandemics, information on underlying reasons for vaccine refusal is necessary. Objectiv...
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| Veröffentlicht in: | JAMA network open Jg. 6; H. 10; S. e2337909 |
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| Sprache: | Englisch |
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19.10.2023
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| Abstract | Importance Hong Kong was held as an exemplar for pandemic response until it recorded the world’s highest daily COVID-19 mortality, which was likely due to vaccine refusal. To prevent this high mortality in future pandemics, information on underlying reasons for vaccine refusal is necessary. Objectives To track the evolution of COVID-19 vaccination willingness and uptake from before vaccine rollout to mass vaccination, to examine factors associated with COVID-19 vaccine refusal and compare with data from Singapore, and to assess the population attributable fraction for vaccine refusal. Design, Setting, and Participants This cohort study used data from randomly sampled participants from 14 waves of population-based studies in Hong Kong (February 2020 to May 2022) and 2 waves of population-based studies in Singapore (May 2020 to June 2021 and October 2021 to January 2022), and a population-wide registry of COVID-19 vaccination appointments. Data were analyzed from February 23, 2021, to May 30, 2022. Exposures Trust in COVID-19 vaccine information sources (ie, health authorities, physicians, traditional media, and social media); COVID-19 vaccine confidence on effectiveness, safety, and importance; COVID-19 vaccine misconceptions on safety and high-risk groups; political views; and COVID-19 policies (ie, workplace vaccine mandates and vaccine pass). Main Outcomes and Measures Primary outcomes were the weighted prevalence of COVID-19 vaccination willingness over the pandemic, adjusted incidence rate ratios, and population attributable fractions of COVID-19 vaccine refusal. A secondary outcome was change in daily COVID-19 vaccination appointments. Results The study included 28 007 interviews from 20 waves of longitudinal data, with 1114 participants in the most recent wave (median [range] age, 54.2 years [20-92] years; 571 [51.3%] female). Four factors—mistrust in health authorities, low vaccine confidence, vaccine misconceptions, and political views—could jointly account for 82.2% (95% CI, 62.3%-100.0%) of vaccine refusal in adults aged 18 to 59 years and 69.3% (95% CI, 47.2%-91.4%) of vaccine refusal in adults aged 60 years and older. Workplace vaccine mandates were associated with 62.2% (95% CI, 9.9%-139.2%) increases in daily COVID-19 vaccination appointments, and the Hong Kong vaccine pass was associated with 124.8% (95% CI, 65.9%-204.6%) increases in daily COVID-19 vaccination appointments. Conclusions and Relevance These findings suggest that trust in health authorities was fundamental to overcoming vaccine hesitancy. As such, engendering trust in health care professionals, experts, and public health agencies should be incorporated into pandemic preparedness and response. |
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| AbstractList | This cohort study uses interview data from Hong Kong residents to assess COVID-19 vaccination willingness and uptake and assess factors associated with vaccine refusal. Importance Hong Kong was held as an exemplar for pandemic response until it recorded the world’s highest daily COVID-19 mortality, which was likely due to vaccine refusal. To prevent this high mortality in future pandemics, information on underlying reasons for vaccine refusal is necessary. Objectives To track the evolution of COVID-19 vaccination willingness and uptake from before vaccine rollout to mass vaccination, to examine factors associated with COVID-19 vaccine refusal and compare with data from Singapore, and to assess the population attributable fraction for vaccine refusal. Design, Setting, and Participants This cohort study used data from randomly sampled participants from 14 waves of population-based studies in Hong Kong (February 2020 to May 2022) and 2 waves of population-based studies in Singapore (May 2020 to June 2021 and October 2021 to January 2022), and a population-wide registry of COVID-19 vaccination appointments. Data were analyzed from February 23, 2021, to May 30, 2022. Exposures Trust in COVID-19 vaccine information sources (ie, health authorities, physicians, traditional media, and social media); COVID-19 vaccine confidence on effectiveness, safety, and importance; COVID-19 vaccine misconceptions on safety and high-risk groups; political views; and COVID-19 policies (ie, workplace vaccine mandates and vaccine pass). Main Outcomes and Measures Primary outcomes were the weighted prevalence of COVID-19 vaccination willingness over the pandemic, adjusted incidence rate ratios, and population attributable fractions of COVID-19 vaccine refusal. A secondary outcome was change in daily COVID-19 vaccination appointments. Results The study included 28 007 interviews from 20 waves of longitudinal data, with 1114 participants in the most recent wave (median [range] age, 54.2 years [20-92] years; 571 [51.3%] female). Four factors—mistrust in health authorities, low vaccine confidence, vaccine misconceptions, and political views—could jointly account for 82.2% (95% CI, 62.3%-100.0%) of vaccine refusal in adults aged 18 to 59 years and 69.3% (95% CI, 47.2%-91.4%) of vaccine refusal in adults aged 60 years and older. Workplace vaccine mandates were associated with 62.2% (95% CI, 9.9%-139.2%) increases in daily COVID-19 vaccination appointments, and the Hong Kong vaccine pass was associated with 124.8% (95% CI, 65.9%-204.6%) increases in daily COVID-19 vaccination appointments. Conclusions and Relevance These findings suggest that trust in health authorities was fundamental to overcoming vaccine hesitancy. As such, engendering trust in health care professionals, experts, and public health agencies should be incorporated into pandemic preparedness and response. Hong Kong was held as an exemplar for pandemic response until it recorded the world's highest daily COVID-19 mortality, which was likely due to vaccine refusal. To prevent this high mortality in future pandemics, information on underlying reasons for vaccine refusal is necessary.ImportanceHong Kong was held as an exemplar for pandemic response until it recorded the world's highest daily COVID-19 mortality, which was likely due to vaccine refusal. To prevent this high mortality in future pandemics, information on underlying reasons for vaccine refusal is necessary.To track the evolution of COVID-19 vaccination willingness and uptake from before vaccine rollout to mass vaccination, to examine factors associated with COVID-19 vaccine refusal and compare with data from Singapore, and to assess the population attributable fraction for vaccine refusal.ObjectivesTo track the evolution of COVID-19 vaccination willingness and uptake from before vaccine rollout to mass vaccination, to examine factors associated with COVID-19 vaccine refusal and compare with data from Singapore, and to assess the population attributable fraction for vaccine refusal.This cohort study used data from randomly sampled participants from 14 waves of population-based studies in Hong Kong (February 2020 to May 2022) and 2 waves of population-based studies in Singapore (May 2020 to June 2021 and October 2021 to January 2022), and a population-wide registry of COVID-19 vaccination appointments. Data were analyzed from February 23, 2021, to May 30, 2022.Design, Setting, and ParticipantsThis cohort study used data from randomly sampled participants from 14 waves of population-based studies in Hong Kong (February 2020 to May 2022) and 2 waves of population-based studies in Singapore (May 2020 to June 2021 and October 2021 to January 2022), and a population-wide registry of COVID-19 vaccination appointments. Data were analyzed from February 23, 2021, to May 30, 2022.Trust in COVID-19 vaccine information sources (ie, health authorities, physicians, traditional media, and social media); COVID-19 vaccine confidence on effectiveness, safety, and importance; COVID-19 vaccine misconceptions on safety and high-risk groups; political views; and COVID-19 policies (ie, workplace vaccine mandates and vaccine pass).ExposuresTrust in COVID-19 vaccine information sources (ie, health authorities, physicians, traditional media, and social media); COVID-19 vaccine confidence on effectiveness, safety, and importance; COVID-19 vaccine misconceptions on safety and high-risk groups; political views; and COVID-19 policies (ie, workplace vaccine mandates and vaccine pass).Primary outcomes were the weighted prevalence of COVID-19 vaccination willingness over the pandemic, adjusted incidence rate ratios, and population attributable fractions of COVID-19 vaccine refusal. A secondary outcome was change in daily COVID-19 vaccination appointments.Main Outcomes and MeasuresPrimary outcomes were the weighted prevalence of COVID-19 vaccination willingness over the pandemic, adjusted incidence rate ratios, and population attributable fractions of COVID-19 vaccine refusal. A secondary outcome was change in daily COVID-19 vaccination appointments.The study included 28 007 interviews from 20 waves of longitudinal data, with 1114 participants in the most recent wave (median [range] age, 54.2 years [20-92] years; 571 [51.3%] female). Four factors-mistrust in health authorities, low vaccine confidence, vaccine misconceptions, and political views-could jointly account for 82.2% (95% CI, 62.3%-100.0%) of vaccine refusal in adults aged 18 to 59 years and 69.3% (95% CI, 47.2%-91.4%) of vaccine refusal in adults aged 60 years and older. Workplace vaccine mandates were associated with 62.2% (95% CI, 9.9%-139.2%) increases in daily COVID-19 vaccination appointments, and the Hong Kong vaccine pass was associated with 124.8% (95% CI, 65.9%-204.6%) increases in daily COVID-19 vaccination appointments.ResultsThe study included 28 007 interviews from 20 waves of longitudinal data, with 1114 participants in the most recent wave (median [range] age, 54.2 years [20-92] years; 571 [51.3%] female). Four factors-mistrust in health authorities, low vaccine confidence, vaccine misconceptions, and political views-could jointly account for 82.2% (95% CI, 62.3%-100.0%) of vaccine refusal in adults aged 18 to 59 years and 69.3% (95% CI, 47.2%-91.4%) of vaccine refusal in adults aged 60 years and older. Workplace vaccine mandates were associated with 62.2% (95% CI, 9.9%-139.2%) increases in daily COVID-19 vaccination appointments, and the Hong Kong vaccine pass was associated with 124.8% (95% CI, 65.9%-204.6%) increases in daily COVID-19 vaccination appointments.These findings suggest that trust in health authorities was fundamental to overcoming vaccine hesitancy. As such, engendering trust in health care professionals, experts, and public health agencies should be incorporated into pandemic preparedness and response.Conclusions and RelevanceThese findings suggest that trust in health authorities was fundamental to overcoming vaccine hesitancy. As such, engendering trust in health care professionals, experts, and public health agencies should be incorporated into pandemic preparedness and response. |
| Author | Flores, Francis P. Leung, Kathy Subramaniam, Mythily Xiao, Xiao Ma, Tiffany S. W. Wu, Joseph T. Ni, Michael Y. Tsang, Tim K. Cowling, Benjamin J. Lun, Phyllis Tian, Linwei Leung, Gabriel M. Ning, Ke Abdin, Edimansyah Wang, Yishan |
| AuthorAffiliation | 1 School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China 5 Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China 7 Urban System Institute, The University of Hong Kong, Hong Kong Special Administrative Region, China 6 State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong Special Administrative Region, China 4 World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China 2 Research Division, Institute of Mental Health, Singapore 3 Saw Swee Hock School of Public Health, National University of Singapore, Singapore |
| AuthorAffiliation_xml | – name: 6 State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong Special Administrative Region, China – name: 1 School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – name: 4 World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China – name: 5 Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – name: 7 Urban System Institute, The University of Hong Kong, Hong Kong Special Administrative Region, China – name: 2 Research Division, Institute of Mental Health, Singapore – name: 3 Saw Swee Hock School of Public Health, National University of Singapore, Singapore |
| Author_xml | – sequence: 1 givenname: Phyllis surname: Lun fullname: Lun, Phyllis organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 2 givenname: Ke surname: Ning fullname: Ning, Ke organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 3 givenname: Yishan surname: Wang fullname: Wang, Yishan organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 4 givenname: Tiffany S. W. surname: Ma fullname: Ma, Tiffany S. W. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 5 givenname: Francis P. surname: Flores fullname: Flores, Francis P. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 6 givenname: Xiao surname: Xiao fullname: Xiao, Xiao organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 7 givenname: Mythily surname: Subramaniam fullname: Subramaniam, Mythily organization: Research Division, Institute of Mental Health, Singapore, Saw Swee Hock School of Public Health, National University of Singapore, Singapore – sequence: 8 givenname: Edimansyah surname: Abdin fullname: Abdin, Edimansyah organization: Research Division, Institute of Mental Health, Singapore – sequence: 9 givenname: Linwei surname: Tian fullname: Tian, Linwei organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China – sequence: 10 givenname: Tim K. surname: Tsang fullname: Tsang, Tim K. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China, Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – sequence: 11 givenname: Kathy surname: Leung fullname: Leung, Kathy organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China, Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – sequence: 12 givenname: Joseph T. surname: Wu fullname: Wu, Joseph T. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China, Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – sequence: 13 givenname: Benjamin J. surname: Cowling fullname: Cowling, Benjamin J. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China, Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – sequence: 14 givenname: Gabriel M. surname: Leung fullname: Leung, Gabriel M. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, World Health Organization Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, The University of Hong Kong, Hong Kong Special Administrative Region, China, Laboratory of Data Discovery for Health, Hong Kong Science Park, Hong Kong Special Administrative Region, China – sequence: 15 givenname: Michael Y. surname: Ni fullname: Ni, Michael Y. organization: School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region, China, State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong Special Administrative Region, China, Urban System Institute, The University of Hong Kong, Hong Kong Special Administrative Region, China |
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| Cites_doi | 10.1038/s41591-022-01728-z 10.1001/jama.2021.15072 10.1038/d41586-022-00495-8 10.1016/j.lanepe.2021.100289 10.1016/j.vaccine.2016.01.023 10.1016/S1473-3099(22)00167-0 10.1177/0962280216655374 10.1002/9781119513469 10.1016/j.vaccine.2017.12.016 10.1056/NEJMp2213814 10.1056/NEJMra2106441 10.1093/ije/dyu257 10.1016/S0140-6736(19)33160-5 10.1016/j.vaccine.2019.11.056 10.1136/bmjgh-2022-009972 10.1038/s41562-021-01056-1 10.1093/aje/kww103 10.1097/EDE.0000000000000409 10.1126/science.abi6488 10.15585/mmwr.mm7115e1 10.1016/S0140-6736(22)00150-7 10.1038/d41586-020-01248-1 10.1002/sim.v30.4 10.1093/geronb/gbac184 10.1186/s12874-018-0519-5 10.1038/s41467-022-28068-3 10.1037/a0031034 10.1080/10410236.2021.1994910 10.1080/21645515.2018.1459252 10.1038/s41591-020-1124-9 10.1017/S2045796019000179 10.1016/S0140-6736(20)31558-0 10.1377/hlthaff.2020.02254 10.1038/s41586-022-04805-y 10.1038/s41591-021-01661-7 10.1016/j.ebiom.2016.08.042 10.1016/S0140-6736(15)00946-0 10.1001/jama.2020.8711 10.1038/s41562-021-01115-7 10.1146/publhealth.2021.42.issue-1 10.1177/0962280219848471 10.1038/d41586-022-00554-0 10.1038/s41562-020-0884-z 10.1016/j.vaccine.2015.04.040 |
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| References | Dudley (zoi231108r12) 2020; 38 Attwell (zoi231108r25) 2022; 602 Fitzmaurice (zoi231108r52) 2011 zoi231108r48 Lu (zoi231108r43) 2018; 36 Moon (zoi231108r59) 2015; 386 Ni (zoi231108r6) 2020; 395 zoi231108r49 Larson (zoi231108r41) 2021; 371 Howe (zoi231108r51) 2016; 27 Larson (zoi231108r14) 2016; 12 Lazarus (zoi231108r30) 2021; 27 Fauci (zoi231108r57) 2022; 387 zoi231108r9 Ferguson (zoi231108r56) 2018; 27 zoi231108r7 zoi231108r50 de Figueiredo (zoi231108r15) 2020; 396 zoi231108r55 Larson (zoi231108r24) 2018; 14 Valeri (zoi231108r17) 2013; 18 Gibney (zoi231108r1) 2020; 581 Bavel (zoi231108r27) 2020; 4 World Health Organization (zoi231108r34) 2021; 96 Heyerdahl (zoi231108r47) 2022; 12 Klein (zoi231108r37) 2021; 326 Yuan (zoi231108r46) 2023; 78 Jarrett (zoi231108r35) 2015; 33 Burki (zoi231108r4) 2022; 22 Schaffer DeRoo (zoi231108r44) 2020; 323 Ni (zoi231108r13) 2016; 184 Lai (zoi231108r38) 2022; 13 Nan (zoi231108r40) 2022; 37 Loomba (zoi231108r29) 2021; 5 Sturgis (zoi231108r32) 2021; 5 Leung (zoi231108r8) 2017; 46 Di Maso (zoi231108r18) 2020; 29 Pertwee (zoi231108r28) 2022; 28 zoi231108r20 zoi231108r22 zoi231108r23 Cohen (zoi231108r16) 1988 zoi231108r2 Salmon (zoi231108r26) 2021; 40 Bartoš (zoi231108r45) 2022; 606 Silver (zoi231108r5) Chen (zoi231108r19) 2018; 18 zoi231108r36 zoi231108r39 Larson (zoi231108r33) 2022; 387 White (zoi231108r21) 2011; 30 Ortenzi (zoi231108r58) 2022; 7 zoi231108r31 Smith (zoi231108r3) 2022; 71 Gilkey (zoi231108r42) 2016; 34 Karafillakis (zoi231108r54) 2022; 399 Dubé (zoi231108r11) 2021; 42 Subramaniam (zoi231108r10) 2019; 29 Ward (zoi231108r53) 2022; 28 |
| References_xml | – volume: 28 start-page: 456 issue: 3 year: 2022 ident: zoi231108r28 article-title: An epidemic of uncertainty: rumors, conspiracy theories and vaccine hesitancy. publication-title: Nat Med doi: 10.1038/s41591-022-01728-z – volume: 326 start-page: 1390 issue: 14 year: 2021 ident: zoi231108r37 article-title: Surveillance for adverse events after COVID-19 mRNA vaccination. publication-title: JAMA doi: 10.1001/jama.2021.15072 – volume: 602 start-page: 574 issue: 7898 year: 2022 ident: zoi231108r25 article-title: COVID-19: talk of ‘vaccine hesitancy’ lets governments off the hook. publication-title: Nature doi: 10.1038/d41586-022-00495-8 – volume: 12 year: 2022 ident: zoi231108r47 article-title: Doubt at the core: unspoken vaccine hesitancy among healthcare workers. publication-title: Lancet Reg Health Eur doi: 10.1016/j.lanepe.2021.100289 – volume: 34 start-page: 1187 issue: 9 year: 2016 ident: zoi231108r42 article-title: Provider communication and HPV vaccination: the impact of recommendation quality. publication-title: Vaccine doi: 10.1016/j.vaccine.2016.01.023 – ident: zoi231108r23 – volume: 22 start-page: 455 issue: 4 year: 2022 ident: zoi231108r4 article-title: Hong Kong’s fifth COVID-19 wave—the worst yet. publication-title: Lancet Infect Dis doi: 10.1016/S1473-3099(22)00167-0 – volume: 27 start-page: 1141 issue: 4 year: 2018 ident: zoi231108r56 article-title: Estimating average attributable fractions with confidence intervals for cohort and case-control studies. publication-title: Stat Methods Med Res doi: 10.1177/0962280216655374 – volume-title: Applied Longitudinal Analysis year: 2011 ident: zoi231108r52 doi: 10.1002/9781119513469 – volume: 36 start-page: 890 issue: 6 year: 2018 ident: zoi231108r43 article-title: Association of provider recommendation and offer and influenza vaccination among adults aged =18 years—United States. publication-title: Vaccine doi: 10.1016/j.vaccine.2017.12.016 – volume: 387 start-page: 2009 issue: 22 year: 2022 ident: zoi231108r57 article-title: It ain’t over till it’s over... but it’s never over—emerging and reemerging infectious diseases. publication-title: N Engl J Med doi: 10.1056/NEJMp2213814 – ident: zoi231108r55 – ident: zoi231108r36 – ident: zoi231108r7 – volume: 387 start-page: 58 issue: 1 year: 2022 ident: zoi231108r33 article-title: The vaccine-hesitant moment. publication-title: N Engl J Med doi: 10.1056/NEJMra2106441 – ident: zoi231108r22 – volume: 46 issue: 2 year: 2017 ident: zoi231108r8 article-title: Cohort profile: FAMILY cohort. publication-title: Int J Epidemiol doi: 10.1093/ije/dyu257 – volume-title: Statistical Power Analysis for the Behavioral Sciences year: 1988 ident: zoi231108r16 – volume: 395 start-page: 273 issue: 10220 year: 2020 ident: zoi231108r6 article-title: Depression and post-traumatic stress during major social unrest in Hong Kong: a 10-year prospective cohort study. publication-title: Lancet doi: 10.1016/S0140-6736(19)33160-5 – volume: 38 start-page: 709 issue: 4 year: 2020 ident: zoi231108r12 article-title: Words matter: vaccine hesitancy, vaccine demand, vaccine confidence, herd immunity and mandatory vaccination. publication-title: Vaccine doi: 10.1016/j.vaccine.2019.11.056 – volume: 7 issue: 7 year: 2022 ident: zoi231108r58 article-title: Whole of government and whole of society approaches: call for further research to improve population health and health equity. publication-title: BMJ Glob Health doi: 10.1136/bmjgh-2022-009972 – volume: 5 start-page: 337 issue: 3 year: 2021 ident: zoi231108r29 article-title: Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. publication-title: Nat Hum Behav doi: 10.1038/s41562-021-01056-1 – volume: 184 start-page: 636 issue: 9 year: 2016 ident: zoi231108r13 article-title: Direct participation in and indirect exposure to the Occupy Central Movement and depressive symptoms: a longitudinal study of Hong Kong adults. publication-title: Am J Epidemiol doi: 10.1093/aje/kww103 – ident: zoi231108r50 – volume: 27 start-page: 91 issue: 1 year: 2016 ident: zoi231108r51 article-title: Selection bias due to loss to follow up in cohort studies. publication-title: Epidemiology doi: 10.1097/EDE.0000000000000409 – volume: 371 start-page: 1289 issue: 6536 year: 2021 ident: zoi231108r41 article-title: Volatility of vaccine confidence. publication-title: Science doi: 10.1126/science.abi6488 – volume: 71 start-page: 545 issue: 15 year: 2022 ident: zoi231108r3 article-title: COVID-19 mortality and vaccine coverage—Hong Kong Special Administrative Region, China, January 6, 2022-March 21, 2022. publication-title: MMWR Morb Mortal Wkly Rep doi: 10.15585/mmwr.mm7115e1 – volume: 399 start-page: 699 issue: 10326 year: 2022 ident: zoi231108r54 article-title: COVID-19 in Europe: new challenges for addressing vaccine hesitancy. publication-title: Lancet doi: 10.1016/S0140-6736(22)00150-7 – volume: 581 start-page: 15 issue: 7806 year: 2020 ident: zoi231108r1 article-title: Whose coronavirus strategy worked best: scientists hunt most effective policies. publication-title: Nature doi: 10.1038/d41586-020-01248-1 – volume: 30 start-page: 377 issue: 4 year: 2011 ident: zoi231108r21 article-title: Multiple imputation using chained equations: issues and guidance for practice. publication-title: Stat Med doi: 10.1002/sim.v30.4 – volume: 78 start-page: 736 issue: 4 year: 2023 ident: zoi231108r46 article-title: Why do Chinese older adults in Hong Kong delay or refuse COVID-19 vaccination: a qualitative study based on grounded theory. publication-title: J Gerontol B Psychol Sci Soc Sci doi: 10.1093/geronb/gbac184 – volume: 18 start-page: 63 issue: 1 year: 2018 ident: zoi231108r19 article-title: Comparing performance between log-binomial and robust Poisson regression models for estimating risk ratios under model misspecification. publication-title: BMC Med Res Methodol doi: 10.1186/s12874-018-0519-5 – ident: zoi231108r2 – ident: zoi231108r48 – volume: 13 start-page: 411 issue: 1 year: 2022 ident: zoi231108r38 article-title: Multimorbidity and adverse events of special interest associated with COVID-19 vaccines in Hong Kong. publication-title: Nat Commun doi: 10.1038/s41467-022-28068-3 – volume: 18 start-page: 137 issue: 2 year: 2013 ident: zoi231108r17 article-title: Mediation analysis allowing for exposure-mediator interactions and causal interpretation: theoretical assumptions and implementation with SAS and SPSS macros. publication-title: Psychol Methods doi: 10.1037/a0031034 – volume: 37 start-page: 1 issue: 1 year: 2022 ident: zoi231108r40 article-title: Public health messaging during the COVID-19 pandemic and beyond: lessons from communication science. publication-title: Health Commun doi: 10.1080/10410236.2021.1994910 – volume: 14 start-page: 1599 issue: 7 year: 2018 ident: zoi231108r24 article-title: Measuring trust in vaccination: a systematic review. publication-title: Hum Vaccin Immunother doi: 10.1080/21645515.2018.1459252 – volume: 27 start-page: 225 issue: 2 year: 2021 ident: zoi231108r30 article-title: A global survey of potential acceptance of a COVID-19 vaccine. publication-title: Nat Med doi: 10.1038/s41591-020-1124-9 – volume: 29 year: 2019 ident: zoi231108r10 article-title: Tracking the mental health of a nation: prevalence and correlates of mental disorders in the second Singapore mental health study. publication-title: Epidemiol Psychiatr Sci doi: 10.1017/S2045796019000179 – volume: 396 start-page: 898 issue: 10255 year: 2020 ident: zoi231108r15 article-title: Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: a large-scale retrospective temporal modelling study. publication-title: Lancet doi: 10.1016/S0140-6736(20)31558-0 – volume: 40 start-page: 419 issue: 3 year: 2021 ident: zoi231108r26 article-title: Reflections on governance, communication, and equity: challenges and opportunities In COVID-19 vaccination. publication-title: Health Aff (Millwood) doi: 10.1377/hlthaff.2020.02254 – volume: 606 start-page: 542 issue: 7914 year: 2022 ident: zoi231108r45 article-title: Communicating doctors’ consensus persistently increases COVID-19 vaccinations. publication-title: Nature doi: 10.1038/s41586-022-04805-y – volume: 28 start-page: 232 issue: 2 year: 2022 ident: zoi231108r53 article-title: The French health pass holds lessons for mandatory COVID-19 vaccination. publication-title: Nat Med doi: 10.1038/s41591-021-01661-7 – ident: zoi231108r20 – volume: 12 start-page: 295 year: 2016 ident: zoi231108r14 article-title: The state of vaccine confidence 2016: global insights through a 67-country survey. publication-title: EBioMedicine doi: 10.1016/j.ebiom.2016.08.042 – volume: 386 start-page: 2204 issue: 10009 year: 2015 ident: zoi231108r59 article-title: Will ebola change the game: ten essential reforms before the next pandemic—the report of the Harvard-LSHTM Independent Panel on the Global Response to Ebola. publication-title: Lancet doi: 10.1016/S0140-6736(15)00946-0 – volume: 323 start-page: 2458 issue: 24 year: 2020 ident: zoi231108r44 article-title: Planning for a COVID-19 vaccination program. publication-title: JAMA doi: 10.1001/jama.2020.8711 – ident: zoi231108r9 – volume: 5 start-page: 1528 issue: 11 year: 2021 ident: zoi231108r32 article-title: Trust in science, social consensus and vaccine confidence. publication-title: Nat Hum Behav doi: 10.1038/s41562-021-01115-7 – ident: zoi231108r49 – volume: 42 start-page: 175 issue: 1 year: 2021 ident: zoi231108r11 article-title: Vaccine hesitancy, acceptance, and anti-vaccination: trends and future prospects for public health. publication-title: Annu Rev Public Health doi: 10.1146/publhealth.2021.42.issue-1 – volume: 29 start-page: 854 issue: 3 year: 2020 ident: zoi231108r18 article-title: Attributable fraction for multiple risk factors: methods, interpretations, and examples. publication-title: Stat Methods Med Res doi: 10.1177/0962280219848471 – ident: zoi231108r5 article-title: ‘COVID zero’ regions struggle with vaccine complacency. publication-title: Nature doi: 10.1038/d41586-022-00554-0 – ident: zoi231108r31 – volume: 96 start-page: 613 issue: 50 year: 2021 ident: zoi231108r34 article-title: Meeting of strategic advisory group of experts on immunization, October 2021: conclusions and recommendations. publication-title: Wkly Epidemiol Rec – volume: 4 start-page: 460 issue: 5 year: 2020 ident: zoi231108r27 article-title: Using social and behavioural science to support COVID-19 pandemic response. publication-title: Nat Hum Behav doi: 10.1038/s41562-020-0884-z – ident: zoi231108r39 – volume: 33 start-page: 4180 issue: 34 year: 2015 ident: zoi231108r35 article-title: Strategies for addressing vaccine hesitancy—a systematic review. publication-title: Vaccine doi: 10.1016/j.vaccine.2015.04.040 |
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| Snippet | Importance Hong Kong was held as an exemplar for pandemic response until it recorded the world’s highest daily COVID-19 mortality, which was likely due to... Hong Kong was held as an exemplar for pandemic response until it recorded the world's highest daily COVID-19 mortality, which was likely due to vaccine... This cohort study uses interview data from Hong Kong residents to assess COVID-19 vaccination willingness and uptake and assess factors associated with vaccine... |
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| Title | COVID-19 Vaccination Willingness and Reasons for Vaccine Refusal |
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