Regional mobility and COVID-19 vaccine hesitancy: Evidence from China

China’s Zero-COVID Policy imposed stringent restrictions on citizens’ mobility to curb the spread of COVID-19. While effective in reducing viral transmission, these measures may have inadvertently delayed or deterred vaccine uptake by fostering a heightened sense of security. This study examines the...

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Bibliographic Details
Main Authors: Wang-Lu, Huaxin (Author) , Valerio Mendoza, Octasiano Miguel (Author) , Chen, Simiao (Author) , Geldsetzer, Pascal (Author) , Adam, Maya (Author)
Format: Article (Journal)
Language:English
Published: 13 May 2025
In: Vaccine
Year: 2025, Volume: 58, Pages: 1-9
ISSN:1873-2518
DOI:10.1016/j.vaccine.2025.127179
Online Access:Verlag, kostenfrei, Volltext: https://doi.org/10.1016/j.vaccine.2025.127179
Verlag, kostenfrei, Volltext: https://www.sciencedirect.com/science/article/pii/S0264410X25004761
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Author Notes:Huaxin Wang-Lu, Octasiano Miguel Valerio Mendoza, Simiao Chen, Pascal Geldsetzer, Maya Adam
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Summary:China’s Zero-COVID Policy imposed stringent restrictions on citizens’ mobility to curb the spread of COVID-19. While effective in reducing viral transmission, these measures may have inadvertently delayed or deterred vaccine uptake by fostering a heightened sense of security. This study examines the relationships between intra- and inter-regional travel mobility and individual hesitancy towards COVID-19 vaccines (HCV), leveraging the Baidu Mobility Index and data from a cross-sectional survey of 12,000 participants. Our descriptive analysis reveals that (a) individual attitudes toward COVID-19 vaccines are more polarized across regions with different mobility levels than toward vaccines in general and (b) regions with higher population mobility exhibit lower levels of hesitancy toward COVID-19 vaccines. Our OLS and IV results further demonstrate that a one-standard-deviation increase in inter-provincial travel rates is associated with a decrease of 0.0112-0.0195 standard deviations in HCV, whereas intra-provincial mobility is not correlated. Overall, this paper suggests prioritizing the roll-out of COVID-19 vaccines or similar initiatives in areas with higher mobility levels, where residents perceive greater risks and exhibit a higher likelihood of seeking vaccination.
Item Description:Gesehen am 16.10.2025
Physical Description:Online Resource
ISSN:1873-2518
DOI:10.1016/j.vaccine.2025.127179