Attitudes toward the global allocation of chinese COVID-19 vaccines: cross-sectional online survey of adults living in China

Background: COVID-19 vaccines are in short supply worldwide. China was among the first countries to pledge supplies of the COVID-19 vaccine as a global public product, and to date, the country has provided more than 600 million vaccines to more than 200 countries and regions with low COVID-19 vaccin...

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Main Authors: Yu, Hanzhi (Author) , Du, Runming (Author) , Wang, Minmin (Author) , Yu, Fengyun (Author) , Yang, Juntao (Author) , Jiao, Lirui (Author) , Wang, Zhuoran (Author) , Liu, Haitao (Author) , Wu, Peixin (Author) , Bärnighausen, Till (Author) , Xue, Lan (Author) , Wang, Chen (Author) , McMahon-Rössle, Shannon A. (Author) , Geldsetzer, Pascal (Author) , Chen, Simiao (Author)
Format: Article (Journal)
Language:English
Published: 2022 Jun 7
In: JMIR public health and surveillance
Year: 2022, Volume: 8, Issue: 6, Pages: 1-12
ISSN:2369-2960
DOI:10.2196/33484
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.2196/33484
Verlag, lizenzpflichtig, Volltext: https://publichealth.jmir.org/2022/6/e33484
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Author Notes:Hanzhi Yu, PhD; Runming Du, BSc; Minmin Wang, PhD; Fengyun Yu, BSc; Juntao Yang, PhD; Lirui Jiao, BA; Zhuoran Wang, BSc; Haitao Liu6, PhD; Peixin Wu, MD; Till Bärnighausen, MD, ScD; Lan Xue, PhD; Chen Wang*, MD, PhD; Shannon McMahon, PhD; Pascal Geldsetzer, MD, PhD; Simiao Chen, ScD

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520 |a Background: COVID-19 vaccines are in short supply worldwide. China was among the first countries to pledge supplies of the COVID-19 vaccine as a global public product, and to date, the country has provided more than 600 million vaccines to more than 200 countries and regions with low COVID-19 vaccination rates. Understanding the public’s attitude in China toward the global distribution of COVID-19 vaccines could inform global and national decisions, policies, and debates. - Objective: The aim of this study was to determine the attitudes of adults living in China regarding the global allocation of COVID-19 vaccines developed in China and how these attitudes vary across provinces and by sociodemographic characteristics. - Methods: We conducted a cross-sectional online survey among adults registered with the survey company KuRunData. The survey asked participants 31 questions about their attitudes regarding the global allocation of COVID-19 vaccines developed in China. We disaggregated responses by province and sociodemographic characteristics. All analyses used survey sampling weights. - Results: A total of 10,000 participants completed the questionnaire. Participants generally favored providing COVID-19 vaccines to foreign countries before fulfilling domestic needs (75.6%, 95% CI 74.6%-76.5%). Women (3778/4921, 76.8%; odds ratio 1.18, 95% CI 1.07-1.32; P=.002) and those living in rural areas (3123/4065, 76.8%; odds ratio 1.13, 95% CI 1.01-1.27; P=.03) were especially likely to hold this opinion. Most respondents preferred providing financial support through international platforms rather than directly offering support to individual countries (72.1%, 95% CI 71%-73.1%), while for vaccine products they preferred direct provision to relevant countries instead of via a delivery platform such as COVAX (77.3%, 95% CI 76.3%-78.2%). - Conclusions: Among our survey sample, we found that adults are generally supportive of the international distribution of COVID-19 vaccines, which may encourage policy makers to support and implement the distribution of COVID-19 vaccines developed in China worldwide. Conducting similar surveys in other countries could help align policy makers’ actions on COVID-19 vaccine distribution with the preferences of their constituencies. 
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