Attitudes Toward COVID-19 Vaccines in Chinese Adolescents

• Published in: Frontiers in medicine 2021-07, Vol.8, p.691079-691079
• Main Authors: Cai, Hong, Bai, Wei, Liu, Shou, Liu, Huanzhong, Chen, Xu, Qi, Han, Liu, Rui, Cheung, Teris, Su, Zhaohui, Ng, Chee H., Xiang, Yu-Tao
• Format: Article
• Language: English
• Subjects: acceptance of COVID-19 vaccines; adolescents; attitude toward vaccines; COVID-19 vaccines; efficacy and safety of COVID-19 vaccines; Medicine
• ISSN: 2296-858X; 2296-858X
• DOI: 10.3389/fmed.2021.691079

Background: As COVID-19 vaccination programs are being implemented widely, it is important to examine the attitudes of adolescents toward the COVID-19 vaccine and its uptake. The aim of this study was to examine the acceptance of and attitudes toward COVID-19 vaccines, and their associated factors among adolescents in China. Methods: This was a cross-sectional, observational study conducted between November 27, 2020 and March 12, 2021 using snowball sampling method. Basic sociodemographic characteristics, health-related information, severity of depressive and anxiety symptoms, and attitudes and behavior toward COVID-19 vaccines were assessed. Results: Overall, 1,057 adolescents participated in this study, yielding a response rate of 89.3%. There were 799 (75.59%) [95% Confidence Interval (CI) 73.00–78.18%] adolescents who would accept future COVID-19 vaccination. Binary logistic regression analysis revealed that adolescents who previously heard about COVID-19 vaccines ( P = 0.001, odds ratio (OR) = 1.90, 95%CI:1.32–2.74), who thought that COVID-19 vaccines could protect them from COVID-19 infection ( P = 0.002, OR = 2.93, 95%CI: 1.49–5.70), and those who encouraged their family members and friends to get vaccinated ( P < 0.001, OR = 12.19, 95%CI: 6.78–21.92) and who believed that vaccines are safe ( P = 0.012, OR = 3.94, 95%CI: 1.36–11.44) were more likely to accept future COVID-19 vaccination. In addition, younger adolescents ( P = 0.003, OR = 0.93, 95%CI: 0.89–0.98) were more likely to accept future COVID-19 vaccines than older adolescents. Conclusions: In conclusion, Chinese adolescents appeared to have positive attitudes toward COVID-19 vaccines. It is important to increase public confidence and knowledge regarding the efficacy and safety of COVID-19 vaccines to maximize the success of vaccination programs.