Applying an extended protection motivation theory to predict Covid-19 vaccination intentions and uptake in 50–64 year olds in the UK

Griffin, Bethany; Conner, Mark; Norman, Paul

doi:10.1016/j.socscimed.2022.114819

Cited by 28 publications

(21 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The completion rate was especially low among people aged 75 years or above (43.2%). The completion rate observed by this study was consistent with the official data reported by the Hong Kong government during the study period, and was much lower than that of the United States, the United Kingdom, Singapore, and mainland China [ 21 , 22 , 23 , 24 ]. At that time, Hong Kong was severely hit by the fifth wave of the COVID-19 outbreak, mainly caused by Omicron sub-variant BA.2.…”

Section: Discussionsupporting

confidence: 87%

“…The prevalence of willingness to receive COVID-19 vaccination among older adults was 91.3% in the United States, 66–92.7% in Italy, 92% in Israel, 84.1% in Canada, 81.7% in Malaysia, 79.1% in mainland China, and 71% in Lebanon and Brazil [ 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ]. The prevalence of taking up at least one dose of COVID-19 vaccination was high among older adults in most parts of the world, for example, 79.1% in the United States (April 2021) [ 21 ], 94% in the United Kingdom (May 2021) [ 22 ], 94% in Singapore (October 2021) [ 23 ], and 80% in mainland China (November 2021) [ 24 ]. In contrast, older adults in Hong Kong reported a very low COVID-19 vaccination uptake during the study period (70–79 years: 38.4%, ≥80 years: 13.38% in October 2021) [ 3 ], which is much lower than their younger counterparts (20–69 years: 57.84–80.4%) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is also important to understand determinants of COVID-19 vaccination specific to older adults to develop health promotional campaigns to cater to their needs. To our knowledge, at least 12 studies have investigated factors associated with willingness to take up COVID-19 vaccination among older adults [ 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 ], while fewer studies have looked at factors influencing actual uptake in this group [ 10 , 22 ]. Facilitators identified by these studies included a history of seasonal influenza vaccination [ 18 , 19 , 20 ]; perceived higher risk and severer consequences of COVID-19 [ 10 , 11 , 12 , 14 , 17 , 19 , 20 ]; belief in vaccine efficacy and other benefits [ 10 , 13 , 14 , 15 , 17 ]; trust in vaccination information obtained from social media, friends, or family members [ 11 , 14 ]; higher social support [ 11 ]; and trust in the healthcare system, healthcare workers, or the government [ 11 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Wang

Fang

et al. 2022

Vaccines

View full text Add to dashboard Cite

COVID-19 vaccination is proven to be effective and safe for older adults. This study investigated the impacts of incentives and health promotional materials provided by the government on the completion of the primary COVID-19 vaccination series among older adults in Hong Kong. Participants were Chinese-speaking community-dwelling adults aged ≥65 years. Telephone numbers were randomly selected from up-to-date Hong Kong telephone directories. A total of 440 participants completed the telephone interview. Logistic regression models were fitted. Among the participants, 58.4% had completed the primary COVID-19 vaccination series. Most participants believed that incentives provided by the government had almost no impact on increasing their motivation to receive COVID-19 vaccination, and less than half thought that vaccination promotional materials produced by the government could address their concerns and help them make decisions. After adjustment for significant background characteristics, we found perceived higher impacts of the incentives and belief that vaccination promotional materials produced by the government could address their concern and were helpful for them to make decisions to be associated with a higher rate of completion of primary COVID-19 vaccination series. Perceptions supporting COVID-19 vaccination and less decisional conflict regarding the choice of vaccine were also positively associated with the dependent variable. Government should develop incentives and health promotional materials tailored to the needs of older adults.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Wang

Fang

et al. 2022

Vaccines

View full text Add to dashboard Cite

show abstract

“…However, the aOR value of perceived severity was 0.67, suggesting that those individuals with the higher level of perceived severity had less intention to get booster vaccination. This observation seemed to be different from previous studies, which reported that the perceived severity was not significantly affected the intention to take COVID‐19 vaccine, 19,20,37 and other studies reported that higher levels of perceived severity were associated with higher COVID‐19 vaccination intentions 38,39 . The reason for this inconsistent observation might be that the perception of the severity of COVID‐19 has been changing, likely because of the decreased pathogenicity of SARS‐CoV‐2 and the improved therapeutic drugs and clinical treatment 40 …”

Section: Discussionmentioning

confidence: 63%

“…This observation seemed to be different from previous studies, which reported that the perceived severity was not significantly affected the intention to take COVID-19 vaccine, 19,20,37 and other studies reported that higher levels of perceived severity were associated with higher COVID-19 vaccination intentions. 38,39 The reason for this inconsistent observation might be that the perception of the severity of COVID-19 has been changing, likely because of the decreased pathogenicity of SARS-CoV-2 and the improved therapeutic drugs and clinical treatment. 40 To further clarify the influencing factors, we investigated those participants who were hesitant to booster COVID-19 vaccination.…”

Section: Discussionmentioning

confidence: 99%

Acceptance of COVID‐19 booster vaccination based on the protection motivation theory: A cross‐sectional study in China

Wu¹,

Yuan²,

Deng³

et al. 2022

Journal of Medical Virology

View full text Add to dashboard Cite

The promotion of the booster shots against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection is an open issue to be discussed. Little is known about the public intention and the influencing factors regarding the booster vaccine. A cross-sectional survey in Chinese adults was conducted using an online questionnaire, which designed on the basis of protection motivation theory (PMT) scale and vaccine hesitancy scale (VHS). Hierarchical multiple regression was used to compare the fitness of the PMT scale and VHS for predicting booster vaccination intention. Multivariable logistic regression was used to analyze the factors associated with the acceptance. Six thousand three hundred twenty-one (76.8%) of participants were willing to take the booster shot. However, the rest of the participants (23.2%) were still hesitant to take the booster vaccine. The PMT scale was more powerful than the VHS in explaining the vaccination intention.Participants with high perceived severity (adjusted odds ratio [aOR] = 0.69) and response cost (aOR = 0.47) were less willing to take the booster shots, but participants with high perceived susceptibility (aOR = 1.19), response efficacy (aOR = 2.13), and self-efficacy (aOR = 3.33) were more willing to take the booster shots. In summary, interventions based on PMT can provide guidance to ensure the acceptance of the booster vaccine.

show abstract

Motives for Vaccination Against COVID-19 Among the Ultra-orthodox Jewish Community in Israel

Schiff,

Sharon-Lavi

2024

J Relig Health

View full text Add to dashboard Cite

According to official data, the ultra-Orthodox group in Israel had the highest COVID-19 infection rate yet the lowest vaccination rate compared to the general population. The present study aimed to explore the rate of vaccine uptake as well as reported reasons for vaccine avoidance. In addition, we examined whether several protection motivation theory (PMT) components are good predictors of vaccine uptake. The components we addressed were: perceived susceptibility to the threat of COVID-19, perceived severity of the virus, and perceived efficiency and safety of the vaccine (i.e., response efficacy). The sample included 623 individuals (337 men) aged 18 + who were drawn from a database of a survey company specializing in the ultra-Orthodox community. We conducted a cross-sectional online survey between June 22, 2021, and July 7, 2021, approximately six months after the beginning of vaccination distribution. Results revealed that 65.8% of the participants (versus 89% of the general population) were vaccinated. Women were vaccinated at lower rates than men, whereas those in the Misnagdim ultra-Orthodox subgroup were vaccinated at higher rates than other subgroups in that community. The most prominent reasons for vaccine avoidance were perceived immunity based on prior infection by the virus and lack of trust in the vaccine’s safety. In support of the PMT model, the perceived severity of the virus and the vaccine high efficacy were significant predictors of vaccine uptake. The study results call for better outreach to this community and specific psycho-education interventions tailored for its women.

show abstract

Applying an extended protection motivation theory to predict Covid-19 vaccination intentions and uptake in 50–64 year olds in the UK

Cited by 28 publications

References 44 publications

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Governmental Incentives, Satisfaction with Health Promotional Materials, and COVID-19 Vaccination Uptake among Community-Dwelling Older Adults in Hong Kong: A Random Telephone Survey

Acceptance of COVID‐19 booster vaccination based on the protection motivation theory: A cross‐sectional study in China

Motives for Vaccination Against COVID-19 Among the Ultra-orthodox Jewish Community in Israel

Contact Info

Product

Resources

About