EClinicalMedicine,
Год журнала:
2023,
Номер
67, С. 102374 - 102374
Опубликована: Дек. 13, 2023
The
pivotal
phase
3
efficacy
clinical
trial
has
demonstrated
that
a
two-dose
regimen
of
dNS1-RBD
(Beijing
Wantai
Biological
Pharmacy
Enterprise,
Beijing,
China)
is
well-tolerated
and
provides
wide
protection
against
SARS-CoV-2
infection.
However,
the
effectiveness
single-dose
still
unknown.
We
aimed
to
estimate
one-dose
symptomatic
Omicron
infections
in
real-world
conditions.
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Янв. 4, 2024
Abstract
The
global
rollout
of
COVID-19
vaccines
faces
a
significant
barrier
in
the
form
vaccine
hesitancy.
This
study
adopts
dynamic
and
network
perspective
to
explore
determinants
uptake
Hong
Kong,
focusing
on
multi-level
their
interconnections.
Following
framework
proposed
by
Strategic
Advisory
Group
Experts
(SAGE),
used
repeated
cross-sectional
surveys
map
these
at
multiple
levels
investigates
interconnections
simultaneously
sample
15,179
over
two
years.
results
highlight
nature
hesitancy
an
evolving
pandemic.
findings
suggest
that
confidence
attitudes
play
crucial
roles
vaccination
uptake,
with
importance
shifting
time.
initial
emphasis
safety
gradually
transitioned
heightened
consideration
effectiveness
later
stage.
also
highlights
impact
chronic
condition,
age,
case
numbers,
non-pharmaceutical
preventive
behaviours
uptake.
Higher
educational
attainment
being
married
were
associated
primary
booster
it
may
be
possible
leverage
groups
as
early
innovation
adopters.
Trust
government
acts
bridging
factor
linking
various
variables
networks
attitudes,
which
subsequently
closely
linked
provides
insights
for
designing
future
effective
programmes
changing
circumstances.
Human Vaccines & Immunotherapeutics,
Год журнала:
2024,
Номер
20(1)
Опубликована: Фев. 18, 2024
Our
study
aims
to
assess
the
public's
perceptions
of
respiratory
syncytial
virus
(RSV)
and
attitudes
toward
RSV
vaccine
identify
associated
factors
in
China.
A
nationwide
cross-sectional
survey
conducted
using
an
online
platform
between
August
16
September
14,
2023.
Questions
related
socio-demographics,
awareness,
knowledge,
susceptibility
severity
RSV,
were
included
questionnaire.
We
used
chi-square
test
logistic
regression
model
explore
factors.
Overall,
2133
individuals
this
study.
Nearly
a
quarter
participants
(24.3%)
indicated
that
they
had
never
heard
RSV.
The
proportion
aged
over
50
years
reporting
having
(36.5%)
low
knowledge
level
(55.3%)
was
significantly
higher
other
younger
age
groups.
More
than
half
(55.7%)
exhibited
concerning
infection.
total
68.4%
expressed
willingness
receive
vaccine.
Younger
positively
with
be
vaccinated.
most
frequent
reason
for
declining
"Concern
about
vaccine's
safety
or
side
effects."
About
60%
considered
price
below
200
CNY
(28
USD)
as
acceptable.
awareness
perceived
infection
limited
Chinese
public.
It
is
necessary
take
measures
address
acceptability
among
older
adults.
Vaccine,
Год журнала:
2024,
Номер
42(17), С. 3684 - 3692
Опубликована: Май 6, 2024
Trust
in
governments
and
public
institutions
as
a
determinant
of
health
outcomes
has
gained
increased
attention
since
the
COVID-19
pandemic.
Provided
historically
low
confidence
vaccines
Japan,
investigating
role
trust
information
sources
actual
vaccination
uptake
behavior
will
be
invaluable
for
future
vaccine
promotion
policymaking.
Therefore,
objective
this
study
was
to
elucidate
determinants
evaluate
relationship
between
different
Japan.
For
study,
we
leveraged
longitudinal
series
web-based
surveys
19,174
individuals
Japan
conducted
2021
2022
which
asked
questions
regarding
wide
range
sociodemographic
psychographic
characteristics
related
Determinant
analysis
(at
least
one
dose
vaccine)
via
multiple
logistic
regression,
odds
ratios
(OR)
with
95%
intervals
(CI)
were
estimated.
After
adjustment
uptake,
aggregate
systems
approval
(OR:
1.42,
CI:
1.30–1.56),
about
pandemic
coming
from
government
1.27,
1.12–1.44)
found
consistently
powerful
predictors
vaccination.
media
including
traditional
1.21,
1.07–1.36),
internet
0.77,
0.66–0.89)
had
significant
opposing
effects.
Our
findings
support
broader
hypothesis
that
remains
We
also
decision-making
is
multifactorial
process
includes
synthesis
media,
its
interaction
psychosocial
such
prosociality
literacy.
hope
apply
study's
towards
programs
contagious
diseases.
Signal Transduction and Targeted Therapy,
Год журнала:
2024,
Номер
9(1)
Опубликована: Май 13, 2024
Abstract
The
safety
and
efficacy
of
COVID-19
vaccines
in
the
elderly,
a
high-risk
group
for
severe
infection,
have
not
been
fully
understood.
To
clarify
these
issues,
this
prospective
study
followed
up
157
elderly
73
young
participants
16
months
compared
safety,
immunogenicity,
two
doses
inactivated
vaccine
BBIBP-CorV
by
booster
dose
recombinant
protein
ZF2001.
results
showed
that
vaccination
protocol
was
safe
tolerable
elderly.
After
administering
BBIBP-CorV,
positivity
rates
titers
neutralizing
anti-RBD
antibodies
were
significantly
lower
than
those
individuals.
ZF2001
dose,
antibody-positive
comparable
to
young;
however,
antibody
remained
lower.
Gender,
age,
underlying
diseases
independently
associated
with
immunogenicity
pseudovirus
neutralization
assay
that,
after
receiving
priming,
some
obtained
immunological
protection
against
BA.5
BF.7
booster.
Breakthrough
infection
symptoms
last
longer
infected
pre-infection
negatively
severity
post-infection
symptoms.
levels
increased
breakthrough
but
still
young.
Our
data
suggest
multiple
vaccinations
at
short
intervals
maintain
high
may
be
an
effective
strategy
protecting
COVID-19.
Journal of Medical Virology,
Год журнала:
2024,
Номер
96(7)
Опубликована: Июль 1, 2024
Globally,
the
rollout
of
COVID-19
vaccine
had
been
faced
with
a
significant
barrier
in
form
hesitancy.
This
study
adopts
multi-stage
perspective
to
explore
prevalence
and
determinants
hesitancy,
focusing
on
their
dynamic
evolutionary
features.
Guided
by
integrated
framework
3Cs
model
(complacency,
confidence,
convenience)
EAH
(environmental,
agent,
host),
this
conducted
three
repeated
national
cross-sectional
surveys.
These
surveys
carried
out
from
July
2021
February
2023
across
mainland
China,
targeted
individuals
aged
18
older.
They
were
strategically
timed
coincide
critical
vaccination
phases:
universal
coverage
(stage
1),
partial
2),
key
population
3).
From
2023,
examined
sample
sizes
29
925,
6659,
5407,
respectively.
The
hesitation
rates
increased
8.39%
29.72%
2023.
Urban
residency,
chronic
condition,
low
trust
developer
contributed
hesitancy
pandemic.
Negative
correlations
between
intensity
policies
positive
long
COVID,
confirmed.
provides
insights
for
designing
future
effective
programs
emerging
vaccine-preventable
infectious
X
diseases.
Introduction:
COVID-19
has
become
a
burden
to
all
nations
across
the
globe,
and
vaccination
currently
remains
most
effective
means
of
fighting
SARS-COV-2
pandemic.
From
time
approval
subsequent
distribution
various
vaccines,
nearly
72.3%
(5.5
billion)
globe's
population
have
been
vaccinated,
leaving
slightly
more
than
quarter
at
risk.
With
availability
booster
vaccine
dosages
individuals
with
chronic
conditions,
including
coronary
heart
disease
(CHD),
it
is
vital
comprehend
factors
underlying
uptake
in
such
subgroups.
Further,
American
Heart
Association
recommends
against
populations
(CHD).
This
because
they
are
likely
experience
severe
outcomes
due
infection.
study
assesses
vaccines
as
well
predictors
its
uptake.
Methods:
Using
2022
survey
data
from
National
Health
Interview
Survey
(NHIS),
1,708
adults
≥
40
years
CHD
who
responded
yes/no
whether
had
received
were
identified.
A
Pearson's
chi-square
test
was
used
ascertain
differences
among
those
not.
logistic
regression
(multivariate
regression)
evaluate
vaccination.
Results:
About
1,491/1,708
(86.8%)
reported
being
vaccinated
COVID-19.
Among
them,
1,065/1,491
(68.4%)
two
doses.
The
older
age
(odds
ratio
(OR):
2.01
(95%
confidence
interval
(CI):
1.40-2.89),
p
<
0.001),
family
income
poverty
threshold
1
above
(OR:
2.40
CI:
1.58-3.64),
having
college
degree
3.09
1.85-5.14),
insured
3.26
1.03-10.26),
=
0.044).
Conclusion:
findings
indicated
that
68.4%
doses
vaccines.
More
half
followed
recommendations
vaccine.
Old
(above
years)
higher
socioeconomic
class
associated
follow
guidelines.
Despite
rate
diseases
group,
strategies
for
improving
awareness
alongside
accessibility
needed
enhance
additional
dosage
uptake,
protect
them
novel
variants,
ensure
development
sustained
immunity.
Human Vaccines & Immunotherapeutics,
Год журнала:
2024,
Номер
20(1)
Опубликована: Июнь 5, 2024
Phase
III
multi-country
studies
(ZOE-50/70)
demonstrated
that
the
adjuvanted
recombinant
zoster
vaccine
(RZV)
was
well
tolerated
and
prevented
herpes
(HZ)
in
healthy
≥
50-year-olds,
with
a
efficacy
(VE)
>
90%
across
age
groups.
These
pivotal
trials
did
not
enroll
participants
from
mainland
China
where
RZV
is
licensed,
therefore
similar
clinical
data
are
missing
for
this
population.
In
phase
IV
observer-blind
study
(NCT04869982)
conducted
between
2021
2023
China,
immunocompetent
medically
stable
50-year-olds
were
randomized
1:1
to
receive
two
or
placebo
doses,
2
months
apart.
This
assessed
VE
(overall,
as
confirmatory
objective,
descriptively
by
category
[50–69-year-olds/≥
70-year-olds]),
reactogenicity,
safety
of
Chinese
Of
6138
enrolled
participants,
99.2%
completed
study.
During
mean
follow-up
period
15.2
(±1.1)
months,
31
HZ
episodes
confirmed
(RZV
=
0;
31)
an
incidence
rate
0.0
vs
8.2
per
1000
person-years
overall
100%
(89.82–100).
The
descriptive
(85.29–100)
50–69-year-olds
(60.90–100)
70-year-olds.
Solicited
adverse
events
(AEs)
more
frequent
group
(median
duration:
1–3
days
both
groups).
Pain
fatigue
most
local
general
AEs
(RZV:
72.1%
43.4%;
placebo:
9.2%
5.3%).
frequencies
unsolicited
AEs,
serious
potential
immune-mediated
diseases,
deaths
efficacious
preventing
consistent
including
worldwide
populations
medical
characteristics.
Although
the
second
booster
dose
of
COVID-19
vaccines
is
available,
vaccine
hesitancy
among
public
may
have
peaked
due
to
surge
in
infections
caused
by
Omicron
variant.
To
improve
coverage
dose,
it
crucial
investigate
prevalence
general
population
during
this
period
and
explore
reasons
for
phenomenon.
A
cross-sectional
survey
was
conducted
between
January
5
February
9,
2023.
Variables
including
sociodemographics,
mental
health,
infection
status,
vaccination
were
collected.
Univariate
multivariate
logistic
regression
analysis
performed
identify
factors
associated
with
population.
Among
10,623
participants,
uptake
rate
4.3%.
those
who
did
not
receive
43.6%
expressed
hesitancy.
The
highest
observed
participants
had
completed
primary
immunization
(71.4%),
followed
chronic
diseases
(48.6%)
aged
60
above
(33.2%).
higher
females,
high
incomes,
a
history
infection,
depressive
symptoms
post-traumatic
stress
disorder,
adverse
events
after
vaccination.
Conversely,
lower
students,
above,
from
southern
China,
level
perceived
social
support.
remains
prevalent
China
pandemic.
Crucial
steps,
such
as
raising
awareness
benefits
potential
side
effects
regular
vaccination,
ensuring
timely
monitoring
disclosure
pandemic
information,
implementing
targeted
measures
support
should
be
taken.
These
efforts
will
instrumental
reducing
hesitancy,
advancing
campaigns,
effectively
preparing
future
outbreaks.
npj Digital Medicine,
Год журнала:
2023,
Номер
6(1)
Опубликована: Май 25, 2023
Chatbots
have
become
an
increasingly
popular
tool
in
the
field
of
health
services
and
communications.
Despite
chatbots'
significance
amid
COVID-19
pandemic,
few
studies
performed
a
rigorous
evaluation
effectiveness
chatbots
improving
vaccine
confidence
acceptance.
In
Thailand,
Hong
Kong,
Singapore,
from
February
11th
to
June
30th,
2022,
we
conducted
multisite
randomised
controlled
trials
(RCT)
on
2,045
adult
guardians
children
seniors
who
were
unvaccinated
or
had
delayed
vaccinations.
After
week
using
chatbots,
differences
acceptance
compared
between
intervention
control
groups.
Compared
non-users,
fewer
chatbot
users
reported
decreased
Thailand
child
group
[Intervention:
4.3
%
vs.
Control:
17%,
P
=
0.023].
However,
more
[26%
12%,
0.028]
Kong
safety
[29%
10%,
0.041]
Singapore
group.
There
was
no
statistically
significant
change
senior
Employing
RE-AIM
framework,
process
indicated
strong
implementation
support
for
stakeholders,
with
high
levels
sustainability
scalability.
This
multisite,
parallel
RCT
study
found
mixed
success
among
Asian
subpopulations.
Further
that
link
usage
real-world
uptake
are
needed
augment
evidence
employing
advance