Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits

Background: Vaccination resistance is the key hurdle against herd immunity as it limits the final vaccination coverage. This study investigated the prevalence and factors of COVID-19 vaccination resistance (i.e., those indicating definitely not taking up COVID-19 vaccination), including individualis...

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Autores principales:	Yanqiu Yu, Mason M. C. Lau, Joseph Tak-Fai Lau
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	vaccination resistance COVID-19 vaccination personal benefits societal benefits individualism China Medicine R
Acceso en línea:	https://doaj.org/article/41f28be2b6574ac2b1a9c1624e4b515c
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id	oai:doaj.org-article:41f28be2b6574ac2b1a9c1624e4b515c
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spelling	oai:doaj.org-article:41f28be2b6574ac2b1a9c1624e4b515c2021-11-25T19:10:13ZPositive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits10.3390/vaccines91112252076-393Xhttps://doaj.org/article/41f28be2b6574ac2b1a9c1624e4b515c2021-10-01T00:00:00Zhttps://www.mdpi.com/2076-393X/9/11/1225https://doaj.org/toc/2076-393XBackground: Vaccination resistance is the key hurdle against herd immunity as it limits the final vaccination coverage. This study investigated the prevalence and factors of COVID-19 vaccination resistance (i.e., those indicating definitely not taking up COVID-19 vaccination), including individualism, perceived personal benefits (PPB) and perceived societal benefits (PSB) of COVID-19 vaccination, and related mechanisms of the association. Methods: A random telephone survey interviewed 395 unvaccinated adults aged 18–75 not having scheduled for COVID-19 vaccination in May 2021 in Hong Kong, China (response rate = 56.8%). Results: The prevalence of vaccination resistance was 56.5%. Adjusted for background factors, individualism, PPB, and PSB were significantly associated with vaccination resistance. Path analysis showed that individualism exhibited a direct effect on vaccination resistance and a 3-step indirect effect (individualism → PSB → PPB→ vaccination resistance) that explained 46.8% of the total effect. The two 2-step indirect paths via PPB only and via PSB only were non-significant. Conclusion: High prevalence of vaccination resistance was observed. Individualism increased vaccination resistance via its direct and indirect effects. Health promotion may emphasize collective good to reduce the impact of individualism and promote PPB/PSB, which may reduce vaccination resistance directly and alleviate the impact of individualism on vaccination resistance indirectly.Yanqiu YuMason M. C. LauJoseph Tak-Fai LauMDPI AGarticlevaccination resistanceCOVID-19 vaccinationpersonal benefitssocietal benefitsindividualismChinaMedicineRENVaccines, Vol 9, Iss 1225, p 1225 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	vaccination resistance COVID-19 vaccination personal benefits societal benefits individualism China Medicine R
spellingShingle	vaccination resistance COVID-19 vaccination personal benefits societal benefits individualism China Medicine R Yanqiu Yu Mason M. C. Lau Joseph Tak-Fai Lau Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
description	Background: Vaccination resistance is the key hurdle against herd immunity as it limits the final vaccination coverage. This study investigated the prevalence and factors of COVID-19 vaccination resistance (i.e., those indicating definitely not taking up COVID-19 vaccination), including individualism, perceived personal benefits (PPB) and perceived societal benefits (PSB) of COVID-19 vaccination, and related mechanisms of the association. Methods: A random telephone survey interviewed 395 unvaccinated adults aged 18–75 not having scheduled for COVID-19 vaccination in May 2021 in Hong Kong, China (response rate = 56.8%). Results: The prevalence of vaccination resistance was 56.5%. Adjusted for background factors, individualism, PPB, and PSB were significantly associated with vaccination resistance. Path analysis showed that individualism exhibited a direct effect on vaccination resistance and a 3-step indirect effect (individualism → PSB → PPB→ vaccination resistance) that explained 46.8% of the total effect. The two 2-step indirect paths via PPB only and via PSB only were non-significant. Conclusion: High prevalence of vaccination resistance was observed. Individualism increased vaccination resistance via its direct and indirect effects. Health promotion may emphasize collective good to reduce the impact of individualism and promote PPB/PSB, which may reduce vaccination resistance directly and alleviate the impact of individualism on vaccination resistance indirectly.
format	article
author	Yanqiu Yu Mason M. C. Lau Joseph Tak-Fai Lau
author_facet	Yanqiu Yu Mason M. C. Lau Joseph Tak-Fai Lau
author_sort	Yanqiu Yu
title	Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
title_short	Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
title_full	Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
title_fullStr	Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
title_full_unstemmed	Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits
title_sort	positive association between individualism and vaccination resistance against covid-19 vaccination among chinese adults: mediations via perceived personal and societal benefits
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/41f28be2b6574ac2b1a9c1624e4b515c
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Positive Association between Individualism and Vaccination Resistance against COVID-19 Vaccination among Chinese Adults: Mediations via Perceived Personal and Societal Benefits

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