Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model

doi:10.3389/fpubh.2023.1236376

科研成果详情

题名	Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model
作者	Xie, Zhaomin 1,2,3; Lau, Joseph Tak-Fai 4,5,6,7; Liang, Yuanke 8; Ouyang, Qiaolei 9; Chen, Junjia 9; Lin, Si 9; Yao, Kaitao 9; Hu, Xuanyin 9; Lin, Haoyu 8; Yu, Yanqiu 10; Zeng, De 2,3
发表日期	2023-08-03
发表期刊	FRONTIERS IN PUBLIC HEALTH 影响因子和分区
语种	英语
原始文献类型	Article
关键词	cancer patients health belief model COVID-19 vaccine refusals vaccine
其他关键词	IMPACT ; ATTITUDES ; HESITANCY
摘要	IntroductionIt is essential to protect cancer patients from contracting COVID-19 through vaccination. A majority of cancer patients are recommended by international health authorities to take up the vaccines. COVID-19 vaccine refusal among cancer patients during the pandemic period is under-researched. This study investigated factors of vaccine refusal based on the Health Belief Model (HBM). MethodsA cross-sectional study was conducted among female breast cancer patients, male/female thyroid cancer patients, and gynecological cancer patients in Shantou, China from April to August 2022 (n = 1,115). Multinomial logistic regression analysis adjusted for socio-demographics was conducted to test factors of COVID-19. Adjusted odds ratios of the two models comparing vaccine refusal vs. vaccine non-refusal and vaccine refusal vs. ever-vaccination were derived and presented. ResultsOf all the participants, the prevalence of vaccine refusal, vaccine non-refusal, and ever-vaccination was 25.9, 22.2, and 51.8%, respectively. In both multinomial logistic regression models, significant factors of vaccine refusal included socio-demographics (age, education level, employment status, monthly household income, cancer type, duration since cancer diagnosis, current treatment status) and some vaccine-related HBM (perceived benefits, perceived barriers, cue to action, and self-efficacy). Perceived severity of COVID-19 was significant only in the vaccine refusal vs. ever-vaccination model. In neither model, perceived susceptibility to contract COVID-19 was statistically significant. ConclusionAbout 1/4 of the participants expressed vaccine refusal. Interventions are warranted. Future longitudinal studies are needed to verify this study's findings. Pilot interventions should also be launched to test effectiveness of interventions modifying the significant HBM factors found in this study.
资助项目	Science and Technology Special Fund of Guangdong Province of China[190829105556145];Strategic and Special Fund for Science and Technology Innovation of Guangdong Province of China[180918114960704];Guangdong Basic and Applied Basic Research Foundation[2022A1515012623];
出版者	FRONTIERS MEDIA SA
ISSN	2296-2565
EISSN	2296-2565
卷号	11
DOI	10.3389/fpubh.2023.1236376
页数	11
WOS类目	Public, Environmental & Occupational Health
WOS研究方向	Public, Environmental & Occupational Health
WOS记录号	WOS:001050455800001
收录类别	SCIE ; PUBMED ; SCOPUS ; SSCI
URL	查看原文
PubMed ID	37601174
SCOPUSEID	2-s2.0-85168318719
社科自定义期刊分类	E类
通讯作者地址	[Zeng, De]Department of Medical Oncology,Cancer Hospital of Shantou University Medical College,Shantou,China ; [Lin, Haoyu]Department of Thyroid and Breast Surgery,Clinical Research Center,The First Affiliated Hospital of Shantou University Medical College (SUMC),Shantou,China ; [Yu, Yanqiu]Department of Preventive Medicine and Health Education,School of Public Health,Fudan University,Shanghai,China
Scopus学科分类	Public Health, Environmental and Occupational Health
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/182273
专题	精神医学学院温州医科大学
通讯作者	Lin, Haoyu; Yu, Yanqiu; Zeng, De
作者单位	1.School of Public Health,Shantou University,Shantou,China; 2.Department of Medical Oncology,Cancer Hospital of Shantou University Medical College,Shantou,China; 3.Guangdong Provincial Key Laboratory for Breast Cancer Diagnosis and Treatment,Cancer Hospital of Shantou University Medical College,Guangdong,Shantou,China; 4.School of Mental Health,Wenzhou Medical University,Wenzhou,China; 5.Zhejiang Provincial Clinical Research Center for Mental Disorders,The Affiliated Wenzhou Kangning Hospital,Wenzhou Medical University,Wenzhou,China; 6.School of Public Health,Zhejiang University,Hangzhou,China; 7.Centre for Health Behaviours Research,Jockey Club School of Public Health and Primary Care,The Chinese University of Hong Kong,Hong Kong; 8.Department of Thyroid and Breast Surgery,Clinical Research Center,The First Affiliated Hospital of Shantou University Medical College (SUMC),Shantou,China; 9.Shantou University Medical College,Shantou,China; 10.Department of Preventive Medicine and Health Education,School of Public Health,Fudan University,Shanghai,China
推荐引用方式 GB/T 7714	Xie, Zhaomin,Lau, Joseph Tak-Fai,Liang, Yuanke,et al. Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model[J]. FRONTIERS IN PUBLIC HEALTH,2023,11.
APA	Xie, Zhaomin., Lau, Joseph Tak-Fai., Liang, Yuanke., Ouyang, Qiaolei., Chen, Junjia., ... & Zeng, De. (2023). Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model. FRONTIERS IN PUBLIC HEALTH, 11.
MLA	Xie, Zhaomin,et al."Prevalence and factors of COVID-19 vaccine refusal among solid cancer patients in China: an application of the health belief model".FRONTIERS IN PUBLIC HEALTH 11(2023).