Attitudes toward COVID-19 vaccines in Chinese college students

Background: Vaccination is an important preventative measure against the coronavirus disease 19 (COVID-19) pandemic. To implement vaccination and immunization programs effectively, it is essential to investigate public attitudes toward COVID-19 vaccines. This study examined the attitudes of Chinese college students toward COVID-19 vaccines and their associated factors. Methods: A cross-sectional study was conducted in college students nationwide from December 27, 2020 to January 18, 2021. Attitudes toward COVID-19 vaccines and acceptance of future vaccination programs were assessed. Results: Totally, 2,881 college students participated in this survey; of them, 76.3% (95% CI: 74.8% - 77.9%) were willing to accept a COVID-19 vaccine in the future. Multiple logistic analysis revealed that students living in urban (OR=1.409, 95% CI: 1.152 - 1.724, p=0.001) and those studying health-related courses (OR=1.581, 95% CI: 1.291 - 1.935, p<0.001) were more likely to have a positive attitude toward COVID-19 vaccines. In addition, those who were worried about being infected with COVID-19 (very much vs no, OR=1.690, 95% CI: 1.212-2.356, p=0.002), heard previously about COVID-19 vaccines (OR=1.659, 95% CI: 1.268-2.170, p<0.001), believed that vaccines are safe (Yes vs No, OR=3.570, 95% CI: 1.825-6.980), thought that vaccines can protect people from being infected with COVID-19 (Yes vs No, OR=1.957, 95% CI: 1.286-2.979, p=0.002), and had encouraged their family and friends to have a vaccine (Yes vs No, OR=17.745, 95% CI: 12.271-25.660, p<0.001) had higher acceptance of COVID-19 vaccination. Conclusions: A high rate of acceptance of COVID-19 vaccines was found among Chinese college students. However, vaccine uptake may be reduced by concerns about vaccine safety and efficacy. Alleviating these concerns and enhancing public confidence in vaccines are crucial for future immunization programs against the COVID-19 pandemic.     

Parents' experiences discussing pediatric vaccination with healthcare providers: a survey of Canadian naturopathic patients

Background

Parents who choose to selectively vaccinate or avoid vaccination for their children may do so at risk of compromising relations with their family physician or pediatrician. Groups that are associated with reduced rates of pedicatic vaccination, such as parents who access naturopathic care, may be particularly vulnerable to this issue.

Methodology/Principal Findings

In March through September 2010, we administered a 26-item cross-sectional survey to 129 adult patients, all of whom were parents with children ≤16 years of age, presenting for naturopathic care in Ontario, Canada. Ninety-five parents completed the survey (response rate 74%), and only 50.5% (48 of 95) reported that their children had received all recommended vaccines. Most parents (50.5%; 48 of 95) reported feeling pressure to vaccinate from their allopathic physician and, of those who discussed vaccination with their physician, 25.9% (21 of 81) were less comfortable continuing care as a result. Five percent (4 of 81) of respondents were advised by their physician that their children would be refused care if they decided against vaccination. In our adjusted generalized linear model, feeling pressure to vaccinate (odds ratio [OR] = 3.07; 95% confidence interval [CI] = 1.14 to 8.26) or endorsing a naturopathic physician as their most trusted source of information regarding vaccination (OR = 3.57; 95% CI = 1.22 to 10.44) were associated with greater odds of having a partially vaccinated or unvaccinated child. The majority (69.6%; 32 of 46) of parent''s with partially vaccinated or unvaccinated children reported a willingness to re-consider this decision.

Conclusions/Significance

Use of naturopathic care should be explored among parents in order to identify this high-risk group and engage them in discussion regarding pediatric vaccination to encourage evidence-based, shared decision making. Physicians should ensure that discussions regarding vaccination are respectful, even if parents are determined not to vaccinate their children.     

Attitudes toward homosexuals: A rejoinder

The differences in the positions adopted by Gallup and myself are highlighted: the developmental process underlying the origin of homosexuality is crucial, because Gallup's reason for parents reacting with hostility to homosexuals is that they will affect their children's sexual orientation. My alternative, a two-process imprinting model, involves a different developmental process, the implications of which are that cross-gender behavior in childhood, rather than seduction by adults, is important for developing homosexual orientation. Criticisms of my alternative explanation of Gallup's findings in terms of xenophobia are also addressed, but it is emphasized that Gallup's hypothesis ultimately relies on the accuracy of his seduction theory of homosexual orientation.     

Attitudes of genetic counselors: a multinational survey.

Of 1,053 medical geneticists in 18 nations 677 (64%) returned questionnaires on their views on the importance of seven goals of genetic counseling, the appropriateness of five directive/nondirective approaches to counseling, and their choices of action in four situations involving directive/nondirective counseling. The majority (92%-94%) regarded nondirective approaches as appropriate; their views on both goals and approaches were similar to those reported in an earlier survey of 205 genetic counselors in the United States. In clinical situations involving presentation of reproductive options to carriers of disorders not diagnosable prenatally, 74%-85% would present contraception, sterilization, taking one's chances, artificial insemination donor (AID), or adoption as options even if not asked; 66% would present in vitro fertilization (IVF) with a donor egg; and 46% (67% in the United States) would present surrogate motherhood. In regard to three situations involving fetuses with low-burden disorders (Turner syndrome, XYY, and a possible small neural tube defect), 84%-88% would counsel nondirectively. Stepwise logistic regression analyses on professional and personal background variables showed that gender was related, cross-nationally, to self-reported directiveness in counseling, with men more likely than women to regard directive approaches as appropriate, more likely to give advice about fetuses with low-burden disorders, and more likely to present either IVF with donor egg or surrogate motherhood as options. Social and ethical implications of this widespread acceptance of nondirective counseling are discussed.     

Attitudes toward Olfaction: A Cross-regional Study

This study aimed to determine whether there are regional influences on attitudes toward olfaction. A total of 1082 participants aged 21-50 years from 4 different regions (Mexican, Korean, Czech, and German) were asked to rate general attitudes toward olfaction in everyday life. To examine affective attitudes to odors (i.e., pleasantness), participants were also asked to list 3 odors as being the most pleasant or unpleasant, respectively. Next, the mentioned odor names were attributed to 1 of 4 main categories: "Food & Drink," "Social relationship," "Nature," and "Civilization" and the distribution of these categories was compared across regions. Mexicans were significantly different to the other regions in their general attitudes toward olfaction. In addition, in all regions, in comparison with men, women indicated a higher interest in the sense of smell. Moreover, a significant positive correlation was present between individuals' self-rating of olfactory sensitivity and general attitudes toward olfaction. Finally, there were significant cross-regional differences in affective attitudes toward specific categories of odors. In conclusion, our findings support and extend the notion that regions affect attitudes toward the olfactory world.     

Attitudes toward genetic testing among the general population and relatives of patients with a severe genetic disease: a survey from Finland.

In the present study we explore the attitudes of the Finnish population toward genetic testing by conducting a questionnaire study of a stratified sample of the population as well as of family members of patients with a severe hereditary disease, aspartylglucosaminuria (AGU). The questionnaire evaluated attitudes toward gene tests in general and also respondents' preparedness to undergo gene tests for predictive testing, carrier detection, prenatal diagnosis, and selective abortion, in theoretical situations. The results of the study indicate that both the Finnish population in general and family members of AGU patients have a favorable attitude toward genetic testing. However, a commonly expressed reason against testing was that test results might lead to discrimination in employment or insurance policies. Based on the responses, we predict that future genetic testing programs will most probably be met with a high acceptance rate by the Finnish population.     

Patient-physician sexual involvement: a Canadian survey of obstetrician-gynecologists.

OBJECTIVE: To determine obstetrician-gynecologists'' (ob-gyns'') awareness of and experience with sexual abuse of patients and former patients and their opinions about appropriate consequences. DESIGN: Mailed survey. SETTING: Canada. PARTICIPANTS: All 792 members of the Society of Obstetricians and Gynaecologists of Canada (SOGC); 618 (78%) responded. Approximately half of all ob-gyns in Canada belong to the SOGC. MAIN OUTCOME MEASURES: Knowledge of sexual involvement by an ob-gyn colleague with a patient or former patient (as defined by the respondents and by the College of Physicians and Surgeons of Ontario [CPSO]), self-report of such involvement, attitudes toward physician sexual abuse, desirable length of time a physician should wait before seeing a former patient in a situation that could lead to a sexual encounter, suggested consequences of sexual abuse. RESULTS: Overall, 10% of the respondents indicated that they knew about another ob-gyn who at some time had been sexually involved with a patient. In all, 3% of the male respondents and 1% of the female respondents reported sexual involvement with a patient; the corresponding proportions of those who reported having been accused of sexual abuse by a patient were 4% and 2%. Significantly more of the female ob-gyns than of their male counterparts (37% v. 19%) reported awareness of a colleague''s sexual involvement with a patient that would meet the CPSO''s definition of sexual impropriety, transgression or violation. Most of the respondents felt that the consequence of proven sexual impropriety should be reprimand and fine (chosen by 33%) or rehabilitation without loss of licence (28%). Most of the physicians supported loss of licence for proven sexual transgression (57%) or proven sexual violation (74%), but fewer felt that loss of licence should be permanent for these types of abuse (4% and 24% respectively). The female ob-gyns supported stronger sanctions against sexual transgression and sexual violation than the male ob-gyns. A wide range of opinion was seen regarding the propriety of sexual relationships with former patients. CONCLUSIONS: Ob-gyns have varied opinions about how sexual abuse of patients should be defined and how it should be sanctioned. There is a discrepancy between proposed public policy and the beliefs of physicians to whom the policy is to be applied.     

Attitudes toward homosexuals: An alternative darwinian view

Gallup (1995) argued that there has been selection for parents to counter any social process that would increase the likelihood of one of their children becoming homosexual, and he indicated that contact between adult homosexuals and children was such a process. He therefore predicted (and found) that homophobia would be exaggerated where there was perceived contact with children. In this commentary, I argue that this hypothesis is based on supposing that sexual orientation occurs through a modeling process, when in fact it operates via an imprinting-like process. The specific findings regarding negative attitudes to homosexuals can be explained in terms of a more general evolved response, xenophobia. I argue that Gallup's hypothesis comes from a general willingness to view specific aspects of contemporary human behavior as adaptive when there are a number of reasons—all consistent with modern Darwinian thinking—why many of these are not themselves adaptive.     

Attitudes toward Animals: A Study of Portuguese Children

In this study we analyzed the attitudes toward different animals in 210 Portuguese children: 107 boys and 103 girls, aged between 8 and 10 years, attending the 3rd and 4th years of primary school. We used a questionnaire with two distinct parts. In the first part, the children were asked about the degree to which they liked 25 different animals, using a scale ranging from ?7 (strongly dislike) to 7 (like very much), and to give their reasons for the value attributed. In the second part, they were asked whether in the event of the animals being threatened with extinction, it would be important to save any of them. We also asked for the reasons for their opinion. The most popular animals were big mammals and also birds. Certain gender differences were present, with boys preferring predators and other animals with a traditionally bad image, like bats and sharks. The most disliked animals were insects, but also those that were thought of as a danger to humans. However, we found a moderate positive correlation between liking and saving an animal, although this was lower in the case of the girls toward several animals. This shows that a negative perception of an animal does not always mean a negative attitude toward it. In part, the reasons for liking an animal were different from the reasons for saving it. All the results are important for the design of primary school teaching activities involving animals, including the fact that some reasons that the children gave revealed a lack of knowledge about the meaning of certain behaviors of the animals and of their ecological role.     

Attitudes towards potential animal flagship species in nature conservation: A survey among students of different educational institutions

Using a standardised questionnaire, a total of 415 students from two different Swiss primary schools, grammar schools and agricultural schools as well as students from a Swiss University of Applied Sciences were asked about their attitudes towards 27 different indigenous wildlife animal species. In the questionnaire, six mammal, five bird, two reptile, four amphibian and ten insect species, all with potential flagship quality, were individually presented on a colour photograph without any further background information. The participants were also asked to give individual reasons for species-related affinity or antipathy. In addition, it was ascertained whether they were able to correctly identify and name each species.The survey shows a heterogeneous pattern, whereby butterflies, birds and most mammals are, on average, more higher appreciated than reptiles, insects (excl. butterflies) and amphibians. Furthermore, it becomes evident that attitudes do not only depend on the species themselves, but also on other factors, particularly the type of educational institution attended. In general, there is no significant difference in attitudes to animals between males and females. At species level, females show significantly higher affinity for 'loveable animals' and a lesser degree of affinity for 'fear-relevant animals'. Respondents seem to show higher affinity for species they can identify than for unfamiliar species. The authors postulate that providing targeted background information in educational institutions might help soften rigid thinking patterns by strengthening appreciation for less attractive animals.     

Parental attitudes toward pediatric organ donation: a survey.

We conducted a telephone survey of parents in the National Capital Region to assess their intention to donate their child''s organs and to provide physicians with information that could help alleviate their concerns about approaching parents for consent. Of 339 parents who agreed to answer questions after being given details of their child''s "death" 288 (85%) said that they would be willing to donate their child''s organs. The degree of willingness was associated with the certainty of death, altruism and empathy toward children in need of an organ, previous discussion of organ donation with a family member and knowledge of an adolescent or adult child''s attitude toward donation. Factors that inhibited the intention to donate included uncertainty of death, insufficient information from medical professionals and fear of multilation. The child''s age was not significantly associated with intention to donate. Concordance between the results and actual donation rates in Canada and the United States supports the generalizability of the survey findings.     

Attitudes toward Animals among Kindergarten Children: Species Preferences

ABSTRACT

Attitudes toward animals are influenced by both animal traits (e.g., similarity to humans, aesthetic quality, size) and individual human attributes (e.g., gender, age, educational level, cultural factors). Although the examination of children's interest in animals, and their preference for different species, may evidence specific trends and help explain the development of attitudes, the vast majority of research has not considered children younger than 6 years. The present study was aimed at assessing preferences for a variety of animal species in a sample of 3–6 year-old Italian children, using a forced-choice task and visual aids (images of the animals). Pictures of 48 animal species, ranging from mammals to invertebrates, were presented to the children. Two photographic stimuli were simultaneously displayed and participants were asked to indicate their preference. Results show that the children preferred higher-order species, and domestic over wild animals. Apart from a few exceptions, invertebrates were the most disliked group of species among the children. Girls showed more negative and fear-related attitudes than the boys. Results are discussed taking into account different factors that may affect children's preferences for various animal species, that is, similarity to humans and aesthetical appeal. Greater knowledge on early attitudes toward animals has implications for promoting interest in animals and for building educational interventions for kindergarten children. This is particularly important in light of the growing use of different animals in educational and therapeutic contexts, as well as from an animal welfare perspective.     

Drinking among medical students: a questionnaire survey.

To assess the prevalence of drinking among medical students a questionnaire on smoking, exercise, drinking, and weight was distributed among the students available. A total of 260 replies were received from an estimated available population of 350 students (134 men and 126 women). The mean alcohol consumption obtained by a quantity-frequency measure was 20.5 units/week for male students and 14.6 units/week for female students. Retrospective diary reports showed mean (SE) consumptions of 18 (2) units/week for men (n = 134) and 11 (1) units/week for women (n = 126). Consumption among the men closely matched consumption among men matched for age in the general population. Women, however, drank more than women matched for age. Male and female medical students exceeded the suggested maximum for their sex in equal proportions. Quantity-frequency data showed that 31 (23%) men drank over 35 units/week and 28 (22%) women drank over 21 units/week. Of the 59 students exceeding these limits, 51 responded positively to a standard screening questionnaire for alcohol abuse. Forty students reported that they might have a drinking problem, and 138 reported that alcohol had affected their academic performance at some time; 17 of these were affected frequently. The students suggested sensible maximum consumption figures for health education. Smoking was associated with heavy drinking, especially among the women. These results suggest that some medical students are compromising their future health and their academic performance through excessive drinking.     

Canadian survey of thyroid cancer

We report the results of a multicentre retrospective chart review of 2214 patients with thyroid cancer registered at 13 radiotherapy centres between 1958 and 1978. The data analysed included sex, age at the time of diagnosis, pathological diagnosis, extent of disease before treatment, types of treatment and their complications, and the rates of recurrence and survival up to 24 years after diagnosis. Although papillary cancers were most common, anaplastic and miscellaneous tumours were more frequent than expected, which reflects the type of patients referred by endocrinologists and surgeons to radiotherapy centres. There were marked differences in patterns of referral to the centres. Some patients with papillary and follicular thyroid cancers died of these cancers up to 20 years after diagnosis. The clinical manifestations, treatment and outcome of the rarer types of thyroid malignant tumours were of particular interest. The influence of age at the time of diagnosis on survival rates for patients with papillary or follicular thyroid cancer was highly significant, indicating much more aggressive behaviour of these cancers in older patients, particularly those beyond the age of 60 years. A more detailed analysis of tumour subtypes should provide new information on their natural history and lead to better management.     

From Disgust to Desire: Changing Attitudes toward Beringian Mushrooms

From Disgust to Desire: Changing Attitudes toward Beringian Mushrooms. Separated by national borders and the International Dateline, the native communities inhabiting the Bering Strait regions of Russia and Alaska share a common natural environment, myriad cultural similarities, and long-standing social ties. Their subsistence diets also are similar, except that wild mushrooms are revered on the Russian side of the Bering Strait (Chukotka) and are feared and avoided in Alaska. This paper explores the origins of this dietary difference and probes the social dimensions of food and cuisine with respect to the culinary utilization of wild mushrooms.     

Attitudes toward homosexuals and evolutionary theory: The role of evidence

Archer (this issue) contends that seduction by homosexual pedophiles is largely a result of media exaggeration and that xenophobia explains the data I reported on attitudes toward homosexuals (Gallup 1995). However, a cursory review of the evidence shows that the incidence of child molestation by homosexual males is much higher than Archer implies, and when the specific findings on attitudes are considered, xenophobia fails to provide an adequate account of the way people react to homosexuals.