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Willingness to participate in vaccine clinical trials and influencing factors among permanent residents aged 18 years and older in Zhoushan city: a cross-sectional study
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Menglu YU1, Chen YUAN1, Jufei CHEN2, Yongfen ZHUGE3, Haitao SUN4, Zhiping WANG5, Xinyu LIU5, Yafei HAN3, An TANG1
Chinese Journal of Public Health | 2025, 41(11) : 1345 - 1351
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Chinese Journal of Public Health | 2025, 41(11): 1345-1351
• Special Report—Vaccine Research •
Willingness to participate in vaccine clinical trials and influencing factors among permanent residents aged 18 years and older in Zhoushan city: a cross-sectional study
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Menglu YU1, Chen YUAN1, Jufei CHEN2, Yongfen ZHUGE3, Haitao SUN4, Zhiping WANG5, Xinyu LIU5, Yafei HAN3, An TANG1
Affiliations
  • 1Zhoushan Center for Disease Control and Prevention (Zhoushan Institute of Public Health Supervision), Zhoushan 316021, China
  • 2Putuoshan Community Health Service Center, Zhoushan 316107, China
  • 3Lincheng Community Health Service Center, Zhoushan 316021, China
  • 4Qiandao Community Health Service Center, Zhoushan 316021, China
  • 5Daishan Center for Disease Control and Prevention (Daishan Institute of Public Health Supervision), Zhoushan 316200, China
Published: 2025-11-10 doi: 10.11847/zgggws1147056
Outline
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Objective

To investigate the willingness to participate in vaccine clinical trials among permanent residents aged 18 years and older in Zhoushan city, Zhejiang province, and to analyze its influencing factors, so as to provide a reference for further improving residents' willingness to participate in vaccine clinical trials.

Methods

From August to November 2024, 623 permanent residents aged 18 years and older were selected from two counties (districts) in Zhoushan city using a convenience sampling method. A questionnaire survey was conducted to collect information on socio-demographics, awareness of vaccine clinical trials, willingness to participate, and motivations. The willingness rate was calculated with the direct standardization method. Non-parametric tests were taken to analyze data between groups, and ordered logistic regression models were used to analyze the influencing factors of willingness to participate in vaccine clinical trials.

Results

A total of 623 valid questionnaires were included. Eighty-one participants (13.00%) were willing to participate, 336 (53.93%) were conditionally willing to participate, and 206 (33.07%) were unwilling to participate. The standardized rate of willingness or conditional willingness to participate was 64.56%. Statistical differences were found between groups based on gender (Z = –2.883), occupation (Z = –2.282), awareness of vaccine clinical trials (Z = –5.731), and previous experience as a clinical trial participant (Z = –3.683) (all P < 0.05). Age group was correlated with willingness to participate (Rs = 0.092, P < 0.05). Ordered logistic regression analysis showed that gender, age, awareness, and previous experience as a clinical trial participant were influencing factors for willingness to participate in vaccine clinical trials.

Conclusions

Male gender, age ≥ 60 years, low awareness, and lack of experience in clinical trials were associated with lower willingness to participate. It is recommended to objectively guide potential participants while improving their awareness, strengthen and improve the participant protection mechanism, and appropriately highlight altruistic motives to increase the actual enrollment rate.

vaccine clinical trials  /  willingness to participate  /  permanent residents  /  influencing factors  /  Zhoushan city
俞梦璐, 袁辰, 陈菊飞, 诸葛永芬, 孙海涛, 王志平, 刘馨瑜, 韩亚飞, 唐安. 舟山市18周岁及以上常住居民疫苗临床试验参与意愿及影响因素分析. 中国公共卫生, 2025 , 41 (11) : 1345 -1351 . DOI: 10.11847/zgggws1147056
Menglu YU, Chen YUAN, Jufei CHEN, Yongfen ZHUGE, Haitao SUN, Zhiping WANG, Xinyu LIU, Yafei HAN, An TANG. Willingness to participate in vaccine clinical trials and influencing factors among permanent residents aged 18 years and older in Zhoushan city: a cross-sectional study[J]. Chinese Journal of Public Health, 2025 , 41 (11) : 1345 -1351 . DOI: 10.11847/zgggws1147056
Year 2025 volume 41 Issue 11
107
47
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Article Info
doi: 10.11847/zgggws1147056
  • Receive Date:2025-02-20
  • Online Date:2026-10-25
  • Published:2025-11-10
Article Data
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History
  • Received:2025-02-20
  • Revised:2025-04-22
  • Accepted:2025-07-09
Affiliations
    1Zhoushan Center for Disease Control and Prevention (Zhoushan Institute of Public Health Supervision), Zhoushan 316021, China
    2Putuoshan Community Health Service Center, Zhoushan 316107, China
    3Lincheng Community Health Service Center, Zhoushan 316021, China
    4Qiandao Community Health Service Center, Zhoushan 316021, China
    5Daishan Center for Disease Control and Prevention (Daishan Institute of Public Health Supervision), Zhoushan 316200, China

Corresponding:

TANG An, E-mail:
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表12种不同金属材料的力学参数
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
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红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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