Health Belief Model and parents' acceptance of the Pfizer-BioNTech and Sinopharm COVID-19 vaccine for children aged 5–18 years Old: A national survey

Vatcharavongvan, Pasitpon; Boonyanitchayakul, Napat; Khampachuea, Panpassorn; Sinturong, Isawan; Prasert, Vanida

doi:10.1016/j.vaccine.2023.01.029

Cited by 8 publications

(4 citation statements)

References 27 publications

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“…Similar to our study, Yenew and colleagues also found that greater perceived vaccination barriers were associated with booster refusal [21]. Another study evaluating the intention of parents to vaccinate their children showed that unwillingness to vaccinate was associated with greater parental perception of barriers and lower benefits [22]. As demonstrated in previous studies, HBM constructs are important to understand the intention to vaccinate against COVID- 19 [12,15,20,21].…”

Section: Discussionsupporting

confidence: 88%

COVID‐19 Vaccine Booster Hesitancy among Hispanic Adults: The Puerto Rico Community Engagement Alliance (PR‐CEAL) against COVID‐19 Disparities

Berríos,

López-Cepero,

Pérez

et al. 2023

Preprint

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Hispanic/Latino communities have suffered a disproportionate burden due to the COVID-19 pandemic. Although Puerto Rico has one of the highest COVID-19 primary series vaccination rates nationwide, this estimate contrasts with the low uptake of booster doses (32.7%). This study aimed to assess health belief correlates of COVID-19 vaccine booster uptake. PR-CEAL recruited 787 participants via an online survey between December 2021 and January 2022. Sociodemographic characteristics and questions framed using the Health Belief Model were assessed. Analyses included adjusted Poisson regression models to estimate prevalence ratios (PR) of booster refusal. Overall, 22% of participants planned (10%) or refused (12%) the vaccine booster. Participants with lower income [PR=1.92; 95%CI=1.30, 2.84], in disagreement with vaccine benefits [PR=4.16; 95%CI=3.06, 5.64], and in agreement with booster concerns [PR=2.93; 95%CI=2.12, 4.04], efficacy [PR=2.76; 95%CI=2.00, 3.82], and safety [PR=2.97; 95%CI=2.15, 4.08] were significantly more likely to refuse the booster. Booster vaccination refusal was associated with lower perceived vaccine benefits and higher barriers among adults in Puerto Rico. Results informed CEAL team intervention strategies for public health campaigns to increase booster vaccine uptake.

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Section: Discussionsupporting

confidence: 88%

COVID‐19 Vaccine Booster Hesitancy among Hispanic Adults: The Puerto Rico Community Engagement Alliance (PR‐CEAL) against COVID‐19 Disparities

Berríos,

López-Cepero,

Pérez

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Similar to our study, Yenew and colleagues also found that greater perceived vaccination barriers were associated with booster refusal [ 21 ]. Another study evaluating the intention of parents to vaccinate their children showed that unwillingness to vaccinate was associated with greater parental perception of barriers and lower benefits [ 22 ]. As demonstrated in previous studies, HBM constructs are important to understand the intention to vaccinate against COVID-19 [ 12 , 15 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Vaccine Booster Hesitancy among Hispanic Adults: A Cross-Sectional Study from the Puerto Rico Community Engagement Alliance against COVID-19 Disparities (PR-CEAL)

Berríos,

López-Cepero,

Pérez

et al. 2023

Vaccines

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Hispanic/Latino communities have suffered a disproportionate burden of the COVID-19 pandemic. Although Puerto Rico has one of the highest COVID-19 primary series vaccination rates nationwide, this estimate contrasts with the reported booster doses’ low uptake. This study aimed to assess health belief correlates of COVID-19 vaccine booster uptake. Using a convenience sampling approach, the Puerto Rico-Community Engagement Alliance (PR-CEAL) conducted a cross-sectional study where 787 participants were recruited using online and in-person strategies between December 2021 and February 2022. Participants were adults 18 years or older, Spanish-speaking, and residents of Puerto Rico. The Health Belief Model was used to evaluate attitudes and beliefs. A total of 784 participants were used in this analysis. Adjusted Poisson regression models were used to estimate prevalence ratios (PR) and 95% confidence intervals (CI) of booster refusal. Overall, 22% of participants refused the vaccine booster or had not gotten it yet. Adjusted models showed that (i) participants who disagreed that getting the booster dose either made them feel less worried about COVID-19 or (ii) felt that the vaccine decreased their chances of getting COVID-19 presented higher booster-refusal prevalence ratios (PR = 4.20, 95% CI: 3.00, 5.90; PR = 3.70, 95% CI: 2.64, 5.18). Moreover, participants that (iii) reported having concerns for booster side effects [PR = 2.47; 95% CI = 1.73, 3.51], (iv) booster efficacy [PR = 2.50; 95% CI = 1.75, 3.58], and (v) booster safety [PR = 2.80; 95% CI = 1.96, 3.99] were significantly more likely to refuse the booster. In conclusion, booster vaccination refusal was associated with lower perceived vaccine benefits and greater barriers among adults in Puerto Rico. These results informed the development of PR-CEAL’s targeted community outreach strategies and public health campaigns to increase booster vaccine uptake.

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“…Similarly, beliefs about specific medical treatments affect willingness to take the treatments, as demonstrated by works based on the health belief model. The health belief model classifies beliefs related to a treatment into several dimensions, such as perceived benefits and perceived barriers, and helps in investigating the impact of each dimension on willingness to take the treatment [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. Thus, in addition to the development process of medical treatments itself, public confidence in the developed medical treatments is essential to public health because it affects the public’s willingness to take the treatments.…”

Section: Introductionmentioning

confidence: 99%

Updated beliefs and shaken confidence: evidence from vaccine hesitancy caused by experiencing “COVID arm”

Fukai,

Kawata,

Nakabayashi

2023

BMC Infect Dis

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Background Public health depends largely on people’s knowledge, beliefs, or behaviors regarding their health and medical treatments. Although works based on the health belief model have shown that public beliefs about medical treatments affect willingness to take the treatments, little is known about the effects of changes in beliefs on attitudes toward treatment. How one’s past experiences relate to one’s beliefs about a given medical treatment is worth considering. Methods We implemented an online panel survey in February 2021 and March 2022 in Japan before and after COVID-19 vaccines were administered to the public within the country. We exploited delayed localized hypersensitivity reactions to COVID-19 vaccines, namely, “COVID arm”, as an exogenous shock to investigate the relationship between past negative experiences and current beliefs about medical treatments or science. “COVID arm” was an unexpected side effect and thus likely caused updated beliefs about the vaccine. Out of the nonprobability sample of 15,000 respondents in the first wave in February 2021, 9,668 respondents also responded to the second wave conducted in March 2022. Outcome variables were whether experiencing “COVID arm” affected the respondents’ 1) confidence in vaccine safety, 2) willingness to take the next dose of COVID-19 vaccines, 3) acknowledgment of the importance of vaccination, and 4) confidence in science. We measured the impact of experience with “COVID arm” on changes in the probability that survey respondents would respond affirmatively to questions posed about the issues listed above. Results Experiencing “COVID arm” significantly lowered confidence in the safety of vaccination by 4.3 percentage points, which was approximately 6% of the sample mean for the first wave, and lowered the probability of taking a second dose of the COVID-19 vaccine by 1.5 percentage points. These adverse impacts were observed after conditioning background characteristics and prior confidence in vaccination. Experiencing “COVID arm” affected neither the acknowledged importance of vaccination nor confidence in science in a statistically significant way. Conclusions An unexpected and uncomfortable shock regarding beliefs about a treatment decreases willingness to take the treatment. An appropriate public health policy should account for this effect. Trial registration The survey was preregistered with the American Economic Association’s RCT Registry (Fukai et al., 2022).

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Health Belief Model and parents' acceptance of the Pfizer-BioNTech and Sinopharm COVID-19 vaccine for children aged 5–18 years Old: A national survey

Cited by 8 publications

References 27 publications

COVID‐19 Vaccine Booster Hesitancy among Hispanic Adults: The Puerto Rico Community Engagement Alliance (PR‐CEAL) against COVID‐19 Disparities

COVID‐19 Vaccine Booster Hesitancy among Hispanic Adults: The Puerto Rico Community Engagement Alliance (PR‐CEAL) against COVID‐19 Disparities

COVID-19 Vaccine Booster Hesitancy among Hispanic Adults: A Cross-Sectional Study from the Puerto Rico Community Engagement Alliance against COVID-19 Disparities (PR-CEAL)

Updated beliefs and shaken confidence: evidence from vaccine hesitancy caused by experiencing “COVID arm”

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