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Erschienen in: Journal of Public Health 3/2024

31.01.2023 | COVID-19 | Original Article

Association between attitudes toward the COVID-19 vaccines and mental health among 140,259 college students in China

verfasst von: Qingqing Xu, Keliang Fan, Dandan Wei, Juan Wang, Xian Wang, Xiaomin Lou, Hualiang Lin, Chongjian Wang, Cuiping Wu, Zhenxing Mao

Erschienen in: Journal of Public Health | Ausgabe 3/2024

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Abstract

Background

With the launch of the COVID-19 vaccines, the vaccination rate has become a hot issue of concern. However, the evidence for the relationship between college students’ attitudes toward vaccines and anxiety and depressive symptoms has been limited.

Methods

In total, 140,259 college students were recruited using a cluster sampling method in Zhengzhou, Xinxiang, Xinyang city of Henan Province, China, May 21-27, 2021. Anxiety symptoms were determined by the Generalized Anxiety Disorder tool (GAD-7) and depressive symptoms were determined by the Patient Health Questionnaire (PHQ-9). Multiple logistic regression was performed to estimate the association between students’ attitudes toward the vaccines and anxiety and depressive symptoms.

Results

The results indicate that 22.45% of students are unclear whether the vaccine can protect them from infection and 45.57% are unclear whether the vaccine is safe and has no side effects. In addition, after adjusting, the model showed that students who think vaccines can protect them and are safe had 0.128 (95%CI 0.110–0.150; Ptrend < 0.001) times lower risk of anxiety compared to their counterparts who think vaccines can neither protect them nor are safe. Similar ORs were found in depression (aOR = 0.157; 95%CI 0.137–0.180).

Conclusion

This large-scale study has shown an association between symptoms of anxiety and depression and reluctance to obtain vaccination.
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Literatur
Zurück zum Zitat Bendau A, Petzold MB, Pyrkosch L, Mascarell Maricic L, Betzler F, Rogoll J, Große J, Ströhle A, Plag J (2021) Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19 related fear in the general population in Germany. Eur Arch Psychiatry Clin Neurosci 271(2):283–291. https://doi.org/10.1007/s00406-020-01171-6CrossRefPubMed Bendau A, Petzold MB, Pyrkosch L, Mascarell Maricic L, Betzler F, Rogoll J, Große J, Ströhle A, Plag J (2021) Associations between COVID-19 related media consumption and symptoms of anxiety, depression and COVID-19 related fear in the general population in Germany. Eur Arch Psychiatry Clin Neurosci 271(2):283–291. https://​doi.​org/​10.​1007/​s00406-020-01171-6CrossRefPubMed
Zurück zum Zitat Froiland JM (2021) A comprehensive model of preschool through high school parent involvement with emphasis on the psychological facets. School Psychology International 42(2):103–131CrossRef Froiland JM (2021) A comprehensive model of preschool through high school parent involvement with emphasis on the psychological facets. School Psychology International 42(2):103–131CrossRef
Zurück zum Zitat Kessler RC, Angermeyer M, Anthony JC, R DEG, Demyttenaere K, Gasquet I, G DEG, Gluzman S, Gureje O, Haro JM, Kawakami N, Karam A, Levinson D, Medina Mora ME, Oakley Browne MA, Posada-Villa J, Stein DJ, Adley Tsang CH, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell BE, Berglund P, Gruber MJ, Petukhova M, Chatterji S, Ustün TB. (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry, 6(3):168–176. Kessler RC, Angermeyer M, Anthony JC, R DEG, Demyttenaere K, Gasquet I, G DEG, Gluzman S, Gureje O, Haro JM, Kawakami N, Karam A, Levinson D, Medina Mora ME, Oakley Browne MA, Posada-Villa J, Stein DJ, Adley Tsang CH, Aguilar-Gaxiola S, Alonso J, Lee S, Heeringa S, Pennell BE, Berglund P, Gruber MJ, Petukhova M, Chatterji S, Ustün TB. (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey Initiative. World Psychiatry, 6(3):168–176.
Zurück zum Zitat Reeve J, Shin SH (2020) How teachers can support students’ agentic engagement. Theory Into Practice 59(2):150–161CrossRef Reeve J, Shin SH (2020) How teachers can support students’ agentic engagement. Theory Into Practice 59(2):150–161CrossRef
Zurück zum Zitat Roy M, Sherrard L, Dubé È, Gilbert NL (2018) Determinants of non-vaccination against seasonal influenza. Health Rep 29(10):12–22PubMed Roy M, Sherrard L, Dubé È, Gilbert NL (2018) Determinants of non-vaccination against seasonal influenza. Health Rep 29(10):12–22PubMed
Zurück zum Zitat Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, Olesen J, Allgulander C, Alonso J, Faravelli C, Fratiglioni L, Jennum P, Lieb R, Maercker A, van Os J, Preisig M, Salvador-Carulla L, Simon R, Steinhausen HC (2011) The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 21(9):655–679. https://doi.org/10.1016/j.euroneuro.2011.07.018CrossRefPubMed Wittchen HU, Jacobi F, Rehm J, Gustavsson A, Svensson M, Jönsson B, Olesen J, Allgulander C, Alonso J, Faravelli C, Fratiglioni L, Jennum P, Lieb R, Maercker A, van Os J, Preisig M, Salvador-Carulla L, Simon R, Steinhausen HC (2011) The size and burden of mental disorders and other disorders of the brain in Europe 2010. Eur Neuropsychopharmacol 21(9):655–679. https://​doi.​org/​10.​1016/​j.​euroneuro.​2011.​07.​018CrossRefPubMed
Zurück zum Zitat Zhu FC, Guan XH, Li YH, Huang JY, Jiang T, Hou LH, Li JX, Yang BF, Wang L, Wang WJ, Wu SP, Wang Z, Wu XH, Xu JJ, Zhang Z, Jia SY, Wang BS, Hu Y, Liu JJ et al (2020a) Immunogenicity and safety of a recombinant adenovirus type-5-vectored COVID-19 vaccine in healthy adults aged 18 years or older: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet 396(10249):479–488. https://doi.org/10.1016/s0140-6736(20)31605-6CrossRefPubMedPubMedCentral Zhu FC, Guan XH, Li YH, Huang JY, Jiang T, Hou LH, Li JX, Yang BF, Wang L, Wang WJ, Wu SP, Wang Z, Wu XH, Xu JJ, Zhang Z, Jia SY, Wang BS, Hu Y, Liu JJ et al (2020a) Immunogenicity and safety of a recombinant adenovirus type-5-vectored COVID-19 vaccine in healthy adults aged 18 years or older: a randomised, double-blind, placebo-controlled, phase 2 trial. Lancet 396(10249):479–488. https://​doi.​org/​10.​1016/​s0140-6736(20)31605-6CrossRefPubMedPubMedCentral
Zurück zum Zitat Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW et al (2020b) Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet 395(10240):1845–1854. https://doi.org/10.1016/s0140-6736(20)31208-3CrossRefPubMedPubMedCentral Zhu FC, Li YH, Guan XH, Hou LH, Wang WJ, Li JX, Wu SP, Wang BS, Wang Z, Wang L, Jia SY, Jiang HD, Wang L, Jiang T, Hu Y, Gou JB, Xu SB, Xu JJ, Wang XW et al (2020b) Safety, tolerability, and immunogenicity of a recombinant adenovirus type-5 vectored COVID-19 vaccine: a dose-escalation, open-label, non-randomised, first-in-human trial. Lancet 395(10240):1845–1854. https://​doi.​org/​10.​1016/​s0140-6736(20)31208-3CrossRefPubMedPubMedCentral
Metadaten
Titel
Association between attitudes toward the COVID-19 vaccines and mental health among 140,259 college students in China
verfasst von
Qingqing Xu
Keliang Fan
Dandan Wei
Juan Wang
Xian Wang
Xiaomin Lou
Hualiang Lin
Chongjian Wang
Cuiping Wu
Zhenxing Mao
Publikationsdatum
31.01.2023
Verlag
Springer Berlin Heidelberg
Schlagwort
COVID-19
Erschienen in
Journal of Public Health / Ausgabe 3/2024
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI
https://doi.org/10.1007/s10389-023-01830-7

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