Evidence map›Paper›PMID 35891283›Full record

ArticleVaccines2022

Vaccine Resistance and Hesitancy among Older Adults Who Live Alone or Only with an Older Partner in Community in the Early Stage of the Fifth Wave of COVID-19 in Hong Kong.

Dexing Zhang, Weiju Zhou, Paul Kwok-Ming Poon, Kin On Kwok, Tracy Wai-Sze Chui, Phoebe Hoi Yi Hung, Bonny Yin Tung Ting, Dicken Cheong-Chun Chan, Samuel Yeung-Shan Wong

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Social Perception, Trust, and Reluctance Towards Vaccines: A Bibliometric Analysis (2019-2025).International journal of environmental research and public health · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Improving Vaccine Clinic Efficiency Through the CANImmunize Platform.Online journal of public health informatics · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Dexing ZhangJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Weiju ZhouJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Paul Kwok-Ming PoonJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0003-4252-0656
Kin On KwokJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Tracy Wai-Sze ChuiJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Phoebe Hoi Yi HungJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Bonny Yin Tung TingJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Dicken Cheong-Chun ChanJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
Samuel Yeung-Shan WongJC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0003-0934-6385
Chinese University of Hong Kong · HK

Funding

Hong Kong Jockey Club 2021-0158
6 · The paper itself

Abstract

Vaccination is an effective way in providing protection against COVID-19 infection and severe outcomes. However, vaccine resistance and hesitancy are a great concern among vulnerable populations including older adults who live alone or only with an older partner. This study examined their vaccination status and reasons and associated factors of vaccine resistance and hesitancy. A cross-sectional study was conducted among older adults living alone or only with an older partner in communities in Hong Kong. Participants were interviewed between October 2021 and February 2022. Logistic regression analyses were employed to examine factors associated with vaccine resistance and hesitancy. Of the 2109 included participants, the mean age was 79.3 years (SD 7.6), 1460 (69.2%) were female, 1334 (63.3%) lived alone, and 1621 (76.9%) were receiving social security support. The vaccine uptake, non-uptake (i.e., resistance), and hesitancy rates were 50.1%, 34.4%, and 15.5%, respectively. The top four reasons for vaccine resistance and hesitancy were "Not feeling in good health" (27%), "Worry about vaccine side effects" (18%), "Feeling no need" (10%), and "Lack of recommendation from doctors" (9%). Vaccine resistance and hesitancy was significantly associated with older age, living alone, more chronic conditions, fewer types of social media use, and lower self-rated health status. Similar associations can be observed in their separate analysis for vaccine resistance and vaccine hesitancy, and ever hospital admission over the past 6 months was additionally related to vaccine hesitancy. Older people who live alone or only with an older partner had a low vaccination rate. Poor health or worry about vaccine side effects were the most common reasons for their vaccine resistance and hesitancy. Actions are greatly needed to improve the uptake rate among this vulnerable population, especially those who were older, have poorer health, and use less social media.

Indexed as

COVID-19living aloneliving with an older partnerolder peoplevaccinationvaccine resistance and hesitancy

Identifiers

PMID35891283
PMCPMC9324439
OpenAlexW4285394181

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.