The associations of geographic location and perceived risk of infection with the intentions to get vaccinated against COVID-19 in China.

Jing, Rize; Li, Li; Guo, Jia; Song, Yifan; Geng, Shufan; Wang, Jiaohao; Zhang, Haijun; Lai, Xiaozhen; Lyu, Yun; Feng, Huangyufei; Yu, Wenzhou; Zhu, He; Fang, Hai

BACKGROUND Vaccines are a critical tool against coronavirus disease 2019 (COVID-19) pandemic, yet little is known regarding the associations of geographic location and perceived risk with the intentions to get vaccinated against COVID-19 in China. METHODS An on-site face-to-face survey of adults aged 18 or older (n = 7261) was conducted from November to December, 2020 in China, and this survey selected six provinces based on the geographic location. RESULTS In the total sample, 82.5% reported that they would intend to get vaccinated against COVID-19. Compared with Hubei province, respondents' intentions to get vaccinated decreased by 70% in Zhejiang, 61% in Guangdong, 87% in Gansu, and 71% in Jilin, respectively. However, within Hubei province, compared with Wuhan city, respondents' intentions to get vaccinated in other cities were not significantly different. Respondents with higher perceived risk of infection were associated with increased odds of intentions to get vaccinated against COVID-19. CONCLUSION Our study identified priority geographic regions that need to pay attention on the vaccination campaign and help design effective immunization strategies to increase the vaccine uptake against COVID-19. More attention should be paid to adults residing farther from the epicenter of the outbreak and having lower perceived risk of infection.