@Article{info:doi/10.2196/33484,
author="Yu, Hanzhi
and Du, Runming
and Wang, Minmin
and Yu, Fengyun
and Yang, Juntao
and Jiao, Lirui
and Wang, Zhuoran
and Liu, Haitao
and Wu, Peixin
and B{\"a}rnighausen, Till
and Xue, Lan
and Wang, Chen
and McMahon, Shannon
and Geldsetzer, Pascal
and Chen, Simiao",
title="Attitudes Toward the Global Allocation of Chinese COVID-19 Vaccines: Cross-sectional Online Survey of Adults Living in China",
journal="JMIR Public Health Surveill",
year="2022",
month="Jun",
day="7",
volume="8",
number="6",
pages="e33484",
keywords="COVID-19 vaccines; China; global allocation; public attitudes; cross-sectional; survey; vaccines; COVID-19; pandemic; public health; health policy; epidemiology",
abstract="Background: COVID-19 vaccines are in short supply worldwide. China was among the first countries to pledge supplies of the COVID-19 vaccine as a global public product, and to date, the country has provided more than 600 million vaccines to more than 200 countries and regions with low COVID-19 vaccination rates. Understanding the public's attitude in China toward the global distribution of COVID-19 vaccines could inform global and national decisions, policies, and debates. Objective: The aim of this study was to determine the attitudes of adults living in China regarding the global allocation of COVID-19 vaccines developed in China and how these attitudes vary across provinces and by sociodemographic characteristics. Methods: We conducted a cross-sectional online survey among adults registered with the survey company KuRunData. The survey asked participants 31 questions about their attitudes regarding the global allocation of COVID-19 vaccines developed in China. We disaggregated responses by province and sociodemographic characteristics. All analyses used survey sampling weights. Results: A total of 10,000 participants completed the questionnaire. Participants generally favored providing COVID-19 vaccines to foreign countries before fulfilling domestic needs (75.6{\%}, 95{\%} CI 74.6{\%}-76.5{\%}). Women (3778/4921, 76.8{\%}; odds ratio 1.18, 95{\%} CI 1.07-1.32; P=.002) and those living in rural areas (3123/4065, 76.8{\%}; odds ratio 1.13, 95{\%} CI 1.01-1.27; P=.03) were especially likely to hold this opinion. Most respondents preferred providing financial support through international platforms rather than directly offering support to individual countries (72.1{\%}, 95{\%} CI 71{\%}-73.1{\%}), while for vaccine products they preferred direct provision to relevant countries instead of via a delivery platform such as COVAX (77.3{\%}, 95{\%} CI 76.3{\%}-78.2{\%}). Conclusions: Among our survey sample, we found that adults are generally supportive of the international distribution of COVID-19 vaccines, which may encourage policy makers to support and implement the distribution of COVID-19 vaccines developed in China worldwide. Conducting similar surveys in other countries could help align policy makers' actions on COVID-19 vaccine distribution with the preferences of their constituencies. ",
issn="2369-2960",
doi="10.2196/33484",
url="https://publichealth.jmir.org/2022/6/e33484",
url="https://doi.org/10.2196/33484",
url="http://www.ncbi.nlm.nih.gov/pubmed/35483084"
}