Enhancing vaccination uptake through community engagement: evidence from China

Hongyu Guan · Lidong Zhang · Xiangzhe Chen · Yunyun Zhang · Yuxiu Ding · Wenting Liu

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Vaccine Coverage and Hesitancy Public Health Policies and Education COVID-19 Prevention and Impact

Abstract

With growing recognition of the importance of community engagement in addressing public health challenges, its role in promoting healthy behaviors and preventing infectious diseases has gained attention. However, vaccination coverage remains a significant concern in many developing countries. While previous studies have linked community engagement to positive health outcomes, there is a gap in understanding its influence on individual vaccination choices, particularly in the context of developing countries. Utilizing data from the 2021 Chinese General Social Survey (CGSS), this study examines the impact of community engagement on COVID-19 and flu vaccination uptake among 7281 individuals. Community engagement, measured by community vaccination notifications, serves as the key independent variable. The study employs Ordinary Least Squares (OLS) regression and Propensity Score Matching (PSM) methods to analyze the relationship between community engagement and vaccination behavior. The analysis reveals a positive association between community engagement and vaccination rates. Specifically, individuals receiving notifications were more likely to get the COVID-19 vaccine compared to non-recipients (vaccination rates: 100% vs. 53.3%), and flu vaccination rates were also significantly higher among those notified (2.7% vs. 1.9%). Mechanism analysis suggests that individuals receiving community notifications are more aware of the benefits of vaccination, leading to higher vaccination rates among this group. This study underscores the effectiveness of community engagement strategies in promoting positive vaccination behavior among individuals in China. By enhancing awareness and trust in immunization, community engagement initiatives play a crucial role in shaping health behaviors and improving vaccination uptake. These findings emphasize the importance of integrating community engagement approaches into public health interventions to address vaccination challenges.

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2016Community mental health care worldwide: current status and further developments 2021Covid-19 vaccination hesitancy 2018Influenza vaccination coverage of population and the factors influencing influenza vaccination in mainland China: A meta-analysis 2006Educational attainment as a proxy for cognitive ability in selection: Effects on levels of cognitive ability and adverse impact.2021Perceived enablers and barriers of community engagement for vaccination in India: Using socioecological analysis 2022Community engagement to increase vaccine uptake: Quasi-experimental evidence from Islamabad and Rawalpindi, Pakistan

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