Intention to receive COVID-19 vaccine and its health belief model (HBM)-based predictors: A systematic review and meta-analysis

Yenew, Chalachew; Dessie, Anteneh Mengist; Gebeyehu, Asaye Alamneh; Genet, Almaw

doi:10.1080/21645515.2023.2207442

Cited by 15 publications

(18 citation statements)

References 35 publications

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“…This is consistent with our study that showed that participants with low perceived booster vaccination benefits were associated with booster refusal. 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 ].…”

Section: Discussionsupporting

confidence: 88%

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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Section: Discussionsupporting

confidence: 88%

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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“…The study determined that perceived susceptibility and self-efficacy were significant influencing factors, echoing findings from earlier research. 27 Perceived susceptibility, the degree to which an individual feels at risk of contracting a disease, differs greatly among individuals. 28 Following the revocation of the PHEIC status by the WHO, there has been a public perception that COVID-19 is no longer a threat.…”

Section: Discussionmentioning

confidence: 99%

Assessing the determinants of influenza and COVID-19 vaccine co-administration decisions in the elderly

Kwon,

Kim,

Song

et al. 2024

Human Vaccines & Immunotherapeutics

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This research examines the low rate of co-administration of influenza and COVID-19 vaccines among seniors aged 65 and older in Korea, despite recommendations from authorities and academia worldwide. The study aimed to understand the influence of general characteristics and health beliefs on the vaccination choices of seniors, who were categorized into four groups based on their vaccination status: influenza only, COVID-19 only, both, or neither. A total of 400 participants, aged 65 and above, were selected through proportional stratified random sampling from five major Korean regions for a survey conducted between November 24th and December 15th, 2023. The results indicated no significant differences in general characteristics across these groups. However, regarding the health beliefs showed significant differences in perceived susceptibility and self-efficacy between the influenza-only and co-administration groups. Higher levels of perceived susceptibility and self-efficacy were associated with choosing co-administration. Contrary to previous studies focusing on safety concerns as a primary factor in vaccine hesitancy, this study highlights the role of individual health-related beliefs, particularly perceived susceptibility and self-efficacy, as critical in influencing the decision for co-administration among the elderly in Korea.

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“…To our knowledge, no study currently exists examining determinants from both the HBM and COM-B models for COVID-19 vaccination uptake in young adults. Studies examining the HBM (15,(21)(22)(23)(24)(25) and COM-B (26) models in general adult population for COVID-19 vaccination uptake found that higher perceived severity, susceptibility, bene ts, cues to action, capability, opportunity and motivation, and lower perceived barriers predicted greater COVID-19 vaccine uptake.…”

Section: Introductionmentioning

confidence: 99%

Behavioral, cognitive and emotional determinants of getting vaccinated for COVID-19 and the mediating role of institutional trust among young adults in Cyprus

Konstantinou,

Kyprianidou,

Christodoulou

et al. 2023

Preprint

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Background Vaccination uptake is a complex behavior, influenced by numerous factors. Behavioral science theories are commonly used to explain the psychosocial determinants of an individual’s health behavior. This study examined the behavioural, cognitive, and emotional determinants of COVID-19 vaccination intention based on well-established theoretical models: Acceptance and Commitment Therapy (ACT), Capability, Opportunity, Motivation, and Behaviour (COM-B) and the Health Belief Model (HBM). Additionally, it examined the mediating role of institutional trust in the relationship between determinants of these models and vaccination intentions. Methods A cross-sectional study was conducted from January to May 2022, where university students in Cyprus completed an online survey. Results A total of 484 University students in Cyprus completed an online survey, with 23.8% reporting being vaccinated with fewer than three vaccination doses and/or no intention to vaccinate further. Hierarchical logistic regression analysis showed that higher scores in institutional trust, perceived severity, motivation, physical and psychological capability were significantly associated with higher odds of vaccination intention. Higher psychological flexibility and not being infected with COVID-19 were also associated with higher odds of vaccination intention, but not in the final model when all determinants were included. Additionally, significant indirect effects of psychological capability, motivation and perceived severity on vaccination intention were found to be mediated by institutional trust. Conclusions When tackling COVID-19 vaccination hesitancy, behavioural, cognitive, and emotional aspects should be considered. Stakeholders and policymakers are advised to implement targeted vaccination programs in young people while at the same time building trust and improving their capabilities and motivation towards getting vaccinated.

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Intention to receive COVID-19 vaccine and its health belief model (HBM)-based predictors: A systematic review and meta-analysis

Cited by 15 publications

References 35 publications

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)

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)

Assessing the determinants of influenza and COVID-19 vaccine co-administration decisions in the elderly

Behavioral, cognitive and emotional determinants of getting vaccinated for COVID-19 and the mediating role of institutional trust among young adults in Cyprus

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