COVID-19 Vaccine-related Misinformation Identification Among Chinese Residents During a Regional Outbreak

Overview

Journal Front Public Health

Specialty Public Health

Date 2023 Oct 23

PMID 37869207

Authors

Jie Li

Yueying Chen

Xiaoquan Zhao

Xiaobing Yang

Fan Wang

Affiliations

Soon will be listed here.

Abstract

Objectives: Misinformation about the COVID vaccines poses a significant challenge to vaccination efforts in many countries. This study examined Chinese citizens' ability to correctly identify COVID-19 vaccine misinformation in geographic areas with and without a regional outbreak. We also investigated the associations between misinformation identification and information source usage, source trust, perceived information quality, and demographic characteristics.

Setting: The online survey was conducted in four cities from June 8th to 15th, 2021 in Guangdong Province, two of which were experiencing a regional surge of COVID-19 delta variant infections, and four cities in Hunan Province, a neighboring province largely unaffected.

Participants: A total of 4,479 individuals aged 18 and above completed the online questionnaire. Given survey length, those who finished the study under 5 min were excluded, resulting in a final sample of 3,800.

Outcome Measurements: Misinformation identification, source exposure, source trust, and perceived information quality.

Results: Results showed slightly higher levels of correct misinformation identification in surge vs. non-surge areas. Trust in official information sources was positively associated with correct misinformation identification in full sample analysis, while trust in informal sources was negatively associated with the same outcome. Perceived information quality was positively associated with correct misinformation identification in the full sample.

Conclusion: Information providers in China should enhance the quality of the vaccine information they provide, and the Chinese public should balance their usage of different sources of information to acquire vaccine knowledge.

References

Freiling I, Krause N, Scheufele D, Brossard D . Believing and sharing misinformation, fact-checks, and accurate information on social media: The role of anxiety during COVID-19. New Media Soc. 2023; 25(1):141-162. PMC: 9805917. DOI: 10.1177/14614448211011451. View

Loomba S, de Figueiredo A, Piatek S, de Graaf K, Larson H . Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nat Hum Behav. 2021; 5(3):337-348. DOI: 10.1038/s41562-021-01056-1. View

Fridman I, Lucas N, Henke D, Zigler C . Association Between Public Knowledge About COVID-19, Trust in Information Sources, and Adherence to Social Distancing: Cross-Sectional Survey. JMIR Public Health Surveill. 2020; 6(3):e22060. PMC: 7511226. DOI: 10.2196/22060. View

Vosoughi S, Roy D, Aral S . The spread of true and false news online. Science. 2018; 359(6380):1146-1151. DOI: 10.1126/science.aap9559. View

Baldovin T, Bertoncello C, Cocchio CA S, Fonzo M, Gazzani D, Buja A . Perception and knowledge of HPV-related and vaccine-related conditions among a large cohort of university students in Italy. Hum Vaccin Immunother. 2019; 15(7-8):1641-1649. PMC: 6746475. DOI: 10.1080/21645515.2018.1564432. View

Gehrau V, Fujarski S, Lorenz H, Schieb C, Blobaum B . The Impact of Health Information Exposure and Source Credibility on COVID-19 Vaccination Intention in Germany. Int J Environ Res Public Health. 2021; 18(9). PMC: 8124400. DOI: 10.3390/ijerph18094678. View

Massey P, Kearney M, Hauer M, Selvan P, Koku E, Leader A . Dimensions of Misinformation About the HPV Vaccine on Instagram: Content and Network Analysis of Social Media Characteristics. J Med Internet Res. 2020; 22(12):e21451. PMC: 7746500. DOI: 10.2196/21451. View

Jin Q, Raza S, Yousaf M, Zaman U, Siang J . Can Communication Strategies Combat COVID-19 Vaccine Hesitancy with Trade-Off between Public Service Messages and Public Skepticism? Experimental Evidence from Pakistan. Vaccines (Basel). 2021; 9(7). PMC: 8310328. DOI: 10.3390/vaccines9070757. View

Chen Y, Lin Y, Chang Y, Chou W, Yen C . Differences in Sources of Information, Risk Perception, and Cognitive Appraisals between People with Various Latent Classes of Motivation to Get Vaccinated against COVID-19 and Previous Seasonal Influenza Vaccination: Facebook Survey Study with.... Vaccines (Basel). 2021; 9(10). PMC: 8538554. DOI: 10.3390/vaccines9101203. View

10.

Islam M, Kamal A, Kabir A, Southern D, Khan S, Hasan S . COVID-19 vaccine rumors and conspiracy theories: The need for cognitive inoculation against misinformation to improve vaccine adherence. PLoS One. 2021; 16(5):e0251605. PMC: 8115834. DOI: 10.1371/journal.pone.0251605. View

11.

Featherstone J, Zhang J . Feeling angry: the effects of vaccine misinformation and refutational messages on negative emotions and vaccination attitude. J Health Commun. 2020; 25(9):692-702. DOI: 10.1080/10810730.2020.1838671. View

12.

Hwang Y, Jeong S . Misinformation Exposure and Acceptance: The Role of Information Seeking and Processing. Health Commun. 2021; 38(3):585-593. DOI: 10.1080/10410236.2021.1964187. View

13.

Steffens M, Dunn A, Wiley K, Leask J . How organisations promoting vaccination respond to misinformation on social media: a qualitative investigation. BMC Public Health. 2019; 19(1):1348. PMC: 6806569. DOI: 10.1186/s12889-019-7659-3. View

14.

Feng S, Lin S, Ma L, Xu S, Chen Y . Insufficient Knowledge and Vaccination Practice of Inflammatory Bowel Disease Patients in the People's Republic of China. Patient Prefer Adherence. 2020; 14:1513-1521. PMC: 7468539. DOI: 10.2147/PPA.S265346. View

15.

Awad S, Abdo N, Yusef D, Jawarneh A, Babaa A, Alwady D . Knowledge, attitudes and practices related to influenza illness and vaccination in children: Role of awareness campaigns in changing parents' attitudes toward influenza vaccination in Jordan. Vaccine. 2019; 37(25):3303-3309. DOI: 10.1016/j.vaccine.2019.04.083. View

16.

Kong W, Song S, Zhao Y, Zhu Q, Sha L . TikTok as a Health Information Source: Assessment of the Quality of Information in Diabetes-Related Videos. J Med Internet Res. 2021; 23(9):e30409. PMC: 8444042. DOI: 10.2196/30409. View

17.

Liu Y, Di N, Tao X . Knowledge, practice and attitude towards HPV vaccination among college students in Beijing, China. Hum Vaccin Immunother. 2019; 16(1):116-123. PMC: 7012165. DOI: 10.1080/21645515.2019.1638727. View

18.

Park S, Massey P, Stimpson J . Primary Source of Information About COVID-19 as a Determinant of Perception of COVID-19 Severity and Vaccine Uptake : Source of Information and COVID-19. J Gen Intern Med. 2021; 36(10):3088-3095. PMC: 8354304. DOI: 10.1007/s11606-021-07080-1. View

19.

Piltch-Loeb R, Savoia E, Goldberg B, Hughes B, Verhey T, Kayyem J . Examining the effect of information channel on COVID-19 vaccine acceptance. PLoS One. 2021; 16(5):e0251095. PMC: 8116041. DOI: 10.1371/journal.pone.0251095. View

20.

Bin Naeem S, Kamel Boulos M . COVID-19 Misinformation Online and Health Literacy: A Brief Overview. Int J Environ Res Public Health. 2021; 18(15). PMC: 8345771. DOI: 10.3390/ijerph18158091. View