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Neighborhood social cohesion is associated with the willingness toward the booster dose of COVID-19 vaccines among the Chinese older population.
Qin, Chenyuan; Liu, Qiao; Du, Min; Yan, Wenxin; Tao, Liyuan; Wang, Yaping; Liu, Min; Liu, Jue.
  • Qin C; School of Public Health, Peking University, Beijing, China.
  • Liu Q; School of Public Health, Peking University, Beijing, China.
  • Du M; School of Public Health, Peking University, Beijing, China.
  • Yan W; School of Public Health, Peking University, Beijing, China.
  • Tao L; Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.
  • Wang Y; School of Public Health, Peking University, Beijing, China.
  • Liu M; School of Public Health, Peking University, Beijing, China.
  • Liu J; School of Public Health, Peking University, Beijing, China.
Hum Vaccin Immunother ; : 2140530, 2022 Nov 14.
Article in English | MEDLINE | ID: covidwho-2119388
ABSTRACT
Neighborhood social cohesion is a prominent psychosocial factor during the pandemic, and trust in neighbors is critical for implementing health prevention-related behaviors with public health messages. We planned to specifically explore the association between neighborhood social cohesion and vaccine acceptability among older adults (≥60 years) in China. Using a random stratified sampling method, an anonymous cross-sectional online survey was conducted in mainland China via a professional scientific data platform from May 25 to June 8, 2022. A revised Social Cohesion Scale was applied to evaluate the level of neighborhood social cohesion. Of the 3,321 recruited respondents aged 60 and above, 82.8% (95% CI 81.5-84.1) reported their willingness to be vaccinated. With all significant covariates adjusted, older adults with moderate (aOR = 1.77, 95% CI 1.04-3.04) and high level of social cohesion (aOR = 2.21, 95% CI 1.29-3.77) were more likely to receive the booster dose. Our findings remained robust in a series of models after controlling for different covariates. Uncertainty about contraindications (38.3%), underestimation of their vulnerability (33.1%), and concerns about vaccine safety (32.0%) were the three main reasons for vaccine hesitancy. Therefore, building a harmonious community environment, strengthening neighborhood communication and exchange, and making good use of peer education among neighbors may become a breakthrough to promote herd immunity, especially for vulnerable older adults with limited social networks.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Vaccines Language: English Journal: Hum Vaccin Immunother Year: 2022 Document Type: Article Affiliation country: 21645515.2022.2140530

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Experimental Studies / Observational study / Randomized controlled trials Topics: Vaccines Language: English Journal: Hum Vaccin Immunother Year: 2022 Document Type: Article Affiliation country: 21645515.2022.2140530