ArticleAmerican journal of preventive medicine2021
Vaccine Hesitancy and Concerns About Vaccine Safety and Effectiveness in Shanghai, China.
Article in American journal of preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.
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Who cites it
45 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Safety of COVID-19 Pfizer-BioNtech (BNT162b2) mRNA vaccination in adolescents aged 12-17 years: A systematic review and meta-analysis.Human vaccines & immunotherapeutics · 2022Pooled it
- Effects of Scalable, Wordless, Short, Animated Storytelling Videos on Flu Vaccine Hesitancy in China: Nationwide, Single-Blind, Parallel-Group, Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Effect of the framing of HPV vaccination on parents' willingness to accept an HPV vaccine.Vaccine · 2022Trial
- Exploring factors affecting malaria vaccination intention and COVID-19 vaccine uptake: evidence from a joint analysis in rural Senegal.BMC public health · 2026Article
- A video-based educational intervention to improve vaccine acceptance for Schistosomiasis japonicum: A pre-post study using the 5C model in rural China.Human vaccines & immunotherapeutics · 2025Article
- Assessing the psychometric properties of a modified vaccine hesitancy scale for measuring hepatitis B vaccine hesitancy among healthcare workers in Southern Ghana.BMC public health · 2025Article
- Surveillance of psychogenic adverse events following immunization in Zhejiang, China, 2020-2023.BMC public health · 2025Article
- Knowledge, attitude, and reasons for non-uptake of human papilloma virus vaccination among nursing students.BMC medicine · 2025Article
- Development and validation of a COVID-19 vaccination prediction model based on self-reporting results in Chinese older adults from September 2022 to November 2022: A nationwide cross-sectional study.Human vaccines & immunotherapeutics · 2024Article
- Complex interplay of science reasoning and vaccine hesitancy among parents in Shanghai, China.BMC public health · 2024Article
- Biases in COVID-19 vaccine effectiveness studies using cohort design.Frontiers in medicine · 2024Review
- A cross-sectional study on the reasons for vaccine hesitancy in children under seven years of age in Isfahan, Iran.Vaccine: X · 2023Article
- Temporal and Emotional Variations in People's Perceptions of Mass Epidemic Infectious Disease After the COVID-19 Pandemic Using Influenza A as an Example: Topic Modeling and Sentiment Analysis Based on Weibo Data.Journal of medical Internet research · 2023Article
- Article
- Acceptance of HPV vaccination in boys among mothers from selected churches in Accra, Ghana.BMC public health · 2023Article
- The Impact of a Revised National Childhood Immunization Schedule on Vaccination Defaulters.Vaccines · 2023Article
- COVID-19 Vaccination Program Data Analysis Based on Regional Status and Day Type: A Study from West Java Province, Indonesia.Healthcare (Basel, Switzerland) · 2023Article
- Determinants of COVID-19 vaccination status and hesitancy among older adults in China.Nature medicine · 2023Article
- Psychometric development of the COVID-19 vaccine misinformation scale and effects on vaccine hesitancy.Preventive medicine reports · 2023Article
- COVID-19 Vaccine Hesitancy and Personality Traits; Results from a Large National Cross-Sectional Survey in Qatar.Vaccines · 2023Article
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Authors and funding
10 authors.
Funding
Abstract
introductionRapidly urbanizing communities in middle-income countries could be sources of vaccine hesitancy, and may create hot spots of low vaccination coverage. This study characterizes vaccine hesitancy in Shanghai and identifies disparities in vaccine safety and efficacy concerns by residency status-a marker for recent migration into the city.
methodsParents of children aged ≤18 years from immunization clinics in Shanghai were enrolled in summer 2019, with the data analyzed during winter 2019-2020. The paper questionnaire used the Parental Attitudes towards Childhood Vaccines scale, which included questions about vaccine safety and efficacy concerns. The primary independent variable was residency-whether an individual was a Shanghai local or a recent migrant (i.e., non-local). Linear regression models assessed the relationship between residency and vaccine safety and efficacy concerns.
resultsAmong 1,021 participants, 65.4% had local residency, and the remainder were urban non-locals (13.1%) or rural non-locals (21.5%). A majority of parents expressed concerns about vaccine side effects (73.8%), vaccine safety (63.9%), and vaccine effectiveness (52.4%). Compared with locals, rural non-locals were more concerned about vaccine side effects (β=0.26, 95% CI=0.07, 0.46), vaccine safety (β=0.42, 95% CI=0.19, 0.65), and vaccine effectiveness (β=0.37, 95% CI=0.16, 0.58).
conclusionsDifferences in vaccine hesitancy by residency could lead to geographical and sociodemographic disparities in vaccination coverage and outbreaks of vaccine-preventable disease. SUPPLEMENT INFORMATION: This article is part of a supplement entitled Global Vaccination Equity, which is sponsored by the Global Institute for Vaccine Equity at the University of Michigan School of Public Health.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.