COVID-19 vaccine acceptance and hesitancy among ethnic minorities in Hong Kong

Ethnic minorities account for 8% of the Hong Kong population, most are Filipino and Indonesian domestic helpers taking care of children and the elderly. To understand the COVID-19 vaccination rates and factors associated with vaccine acceptance of ethnic minorities, we performed a cross-sectional qu...

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Bibliographic Details
Published in:	Human vaccines & immunotherapeutics Vol. 18; no. 5; p. 2054261
Main Authors:	Chua, Gilbert T., Lok Yan, Cheung, Wong, Wilfred HS, Sridhar, Siddharth, To, Kelvin KW, Lau, Joseph, Gurung, Sharmila, Mahtani, Shalini, Ho, Raymond, Li, Wing Sum, Yam, Jason CS, Rosa Duque, Jaime S, Wong, Ian C K, Lau, Yu Lung, Kwan, Mike Yat Wah, Ip, Patrick
Format:	Journal Article
Language:	English
Published:	United States Taylor & Francis 30-11-2022 Taylor & Francis Group
Subjects:	acceptance Adolescent Adult Aged Child Coronavirus – Research Paper COVID-19 - prevention & control COVID-19 vaccine COVID-19 Vaccines Cross-Sectional Studies Ethnic and Racial Minorities ethnic minorities Female hesitancy Hong Kong - epidemiology Humans Influenza Vaccines Male Patient Acceptance of Health Care Vaccination Hong Kong COVID-19 vaccine hesitancy acceptance ethnic minorities
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Summary:	Ethnic minorities account for 8% of the Hong Kong population, most are Filipino and Indonesian domestic helpers taking care of children and the elderly. To understand the COVID-19 vaccination rates and factors associated with vaccine acceptance of ethnic minorities, we performed a cross-sectional questionnaire study recruiting Hong Kong ethnic minorities aged ≥18 years between 1 July and 18 July 2021 in public areas. Demographics, knowledge about COVID-19, vaccination status, intention and reasons to receive the vaccine, and planning to be re-vaccinated were analyzed. Continuous and categorical variables were compared using unpaired t-test and Chi-square test, respectively. Potential confounders were adjusted using multiple logistic regression. 2,012 ethnic minorities participated, with a mean age of 39 years, of which 97.6% were female, 79.5% were Filipino, and 17.5% were Indonesian. 80.6% of participants were categorized as vaccine acceptance, and 69.2% were willing to be re-vaccinated. There were significantly more Filipinos than Indonesians in the vaccine acceptance group (p < .001). Subjects in the vaccine acceptance group were more likely to have higher education (p < .001), a higher COVID-19 knowledge score (p < .001), received information from the Government website (p = .003) and not from their friends or family members (p = .02), and were more confident in judging the accuracy of the information (p < .001). Logistic regression showed the mean knowledge score (β = 3.07, p < .001) and receiving information from official Government websites (adjusted OR = 1.37, p = .03) were significant factors that positively influenced vaccine acceptance. The Hong Kong Government should improve COVID-19 vaccination acceptance among ethnic minorities through public education using official channels.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Co-first authors
ISSN:	2164-5515 2164-554X
DOI:	10.1080/21645515.2022.2054261