Using an extended protection motivation theory to explain vaccine hesitancy: a cross-sectional study among Chinese adults

Liu, Minqi; Cui, Tingting; Wang, Qiang; Han, Ying; Yue-hong, Han; Yang, Liuqing; Shi, Nannan; Yi, Youqin; Jin, Hui

doi:10.1080/21645515.2022.2026136

Cited by 15 publications

(12 citation statements)

References 45 publications

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“…There was a slightly higher agreement with willingness to be vaccinated observed in males (45.6%) compared to females (43.6%) [ 25 , 51 , 85 ]. This trend was further supported by a lower number of male participants being unwilling to be vaccinated (43.5%) than females (52.4%) [ 25 , 85 , 86 , 90 , 91 ]. Five studies reported the difference in willingness to be vaccinated between participants with a previous history of vaccination.…”

Section: Resultsmentioning

confidence: 84%

“…Intent to vaccinate against influenza in the current or following season was reported by 34 publications, 17 of which reported data on participants willing to be vaccinated, whereas 19 reported on participants unwilling to be vaccinated (2 publications reported data for participants willing and unwilling to be vaccinated) [ 18 , 19 , 20 , 21 , 23 , 24 , 25 , 28 , 29 , 34 , 37 , 39 , 40 , 42 , 44 , 48 , 49 , 51 , 53 , 61 , 71 , 73 , 75 , 83 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 ]. Of the 17 publications investigating participant’s willingness to be vaccinated, 44.6% of participants agreed that they would be willing to vaccinate against influenza in the current or following season.…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies reported on data collected from 2020 onwards, of which a single longitudinal study investigated a change in knowledge, attitudes, and intent to be vaccinated during the COVID-19 pandemic [ 17 , 19 , 20 , 25 , 28 , 36 , 38 , 49 , 61 , 62 , 71 , 78 , 86 , 87 , 88 , 92 ]. Domnich et al 2021 combined two cross-sectional questionnaires from 2020 and 2021 to compare the change in attitudes towards the influenza vaccine [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…To elucidate reasons for low vaccination coverage rates, this review aimed to understand the attitudes and perceived barriers of the adult general population toward influenza vaccine uptake from a global viewpoint. Data identified in this review suggested that approximately 50% of the adults surveyed intended to receive the vaccination in the following/upcoming influenza season [ 18 , 19 , 20 , 21 , 23 , 24 , 25 , 28 , 29 , 34 , 37 , 39 , 40 , 42 , 44 , 48 , 49 , 51 , 53 , 61 , 71 , 73 , 75 , 83 , 85 , 86 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 ]. The most frequently agreed upon barrier to uptake was a perceived lack of knowledge of the influenza vaccine, while trust in healthcare services was the most agreed upon promoter for vaccine uptake.…”

Section: Discussionmentioning

confidence: 99%

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Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

et al. 2023

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Influenza is a common respiratory infection associated with a substantial clinical, humanistic, and economic burden globally. Vaccines are essential to prevent and control influenza and are recommended by public-health agencies, such as the WHO and US CDC; however, vaccination rates vary considerably across the globe. This review aimed to investigate the perceived barriers and attitudes to influenza vaccination in the global population, in order to identify strategies that may improve influenza vaccination coverage. A structured literature search was undertaken to identify studies that reported on patient-reported attitudes towards influenza vaccination, focused on the adult general population in 16 prespecified countries. Eighty studies were included in this review. Negative attitude towards healthcare were found to be the most agreed upon barrier to vaccine uptake (31.1% agreement). The most agreed promoter of influenza vaccination was trust in healthcare services (62.0% agreement). Approximately 50% of participants intended to receive the influenza vaccine in the following season. To improve influenza vaccination coverage, healthcare workers must strengthen the foundation of substantial trust in healthcare services and provide educational materials that improve influenza vaccination knowledge among the adult general population.

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Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

et al. 2023

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“…The explanation of the factors determining the COVID-19 vaccine was based on structural equation modelling (SEM). This method has already been employed in studies on vaccine attitudes [ 60 , 61 ]. The latent variable Y was defined as the reception of a vaccine by a respondent, which was verified with a dedicated question in the questionnaire (‘Are you fully vaccinated against COVID-19?’).…”

Section: Methodsmentioning

confidence: 99%

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

Wróblewski

Meler

Stankowska

et al. 2022

IJERPH

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This study focuses on factors that shape vaccine attitudes and behaviours in the context of a low-trust society. Our analysis focuses on the Polish vaccination programme against COVID-19, primarily on (1) the evaluation of the information campaign, (2) trust in the institutions, (3) trust in other people, (4) attitudes toward vaccine safety and efficacy, (5) attitudes toward restrictions related to vaccination (e.g., restricted access to certain services for unvaccinated persons) and the introduction of mandatory vaccination, (6) the evaluation of the government’s actions during the pandemic, and (7) political preferences. The study was conducted with a sample of 1143 adult residents in Poland (CATI). The explanation of the factors determining the COVID-19 vaccine was based on structural equation modelling (SEM). The model showed that the declared fact of vaccination was largely determined by a positive attitude toward restrictions related to vaccination and trust in vaccines. The formation of the provaccine attitude was to an extent determined by the assessment of the government’s campaign and actions during pandemic. While institutional trust had a positive effect on support for the ruling coalition (0.56), the latter on its own had the opposite effect (−0.61) on the formation of provaccine attitude. In the group who both trust institutions and support the parties currently in power, there are more of those who simultaneously reject the restrictions and mandatory vaccination and remain sceptical about the safety and efficacy of COVID-19 vaccines than those who both trust in the vaccine safety and efficacy and accept the restrictions and mandatory vaccination. This indicates that in the context of strong political polarisation, ideological affiliations may play a greater role in shaping vaccine attitudes and behaviours than institutional trust.

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The acceptance of SARS‐CoV‐2 rapid antigen self‐testing: A cross‐sectional study in China

Yuan

Li³

et al. 2022

Journal of Medical Virology

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Compared with the nucleic acid amplification test (NATT), the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) rapid antigen self‐testing (RAST) has advantages in speed and convenience. However, little is known about people's acceptance and influencing factors for SARS‐CoV‐2 RAST. A cross‐sectional study was conducted from April 21 to 30, 2022 in China. The χ2 test and multivariate logistic regressions were used to identify the influencing factors. The structural equation model was used to test the extended protective motivation theory (PMT) model hypotheses. Among the total of 5107 participants, 62.5% were willing to accept the SARS‐CoV‐2 RAST. There were significant differences in acceptance among different residences (p < 0.001), educational level (p < 0.001), occupation (p < 0.001), monthly income (p < 0.001), travel frequency (p < 0.05), and feelings about NATT (p < 0.001). Response efficacy (β = 0.05; p = 0.025) and self‐efficacy (β = 0.84; p < 0.001) had a positive effect, while response cost showed a negative effect (β = −0.07; p < 0.001). The public's major concerns about SARS‐CoV‐2 RAST are its reliability, testing method, price, and authority. Overall, a moderate intention to use SARS‐CoV‐2 RAST was found among the Chinese population. The extended PMT can be used for the prediction of intention to accept the RAST. We need to take measures to increase people's acceptance of SARS‐CoV‐2 RAST.

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Using an extended protection motivation theory to explain vaccine hesitancy: a cross-sectional study among Chinese adults

Cited by 15 publications

References 45 publications

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

Understanding the Barriers and Attitudes toward Influenza Vaccine Uptake in the Adult General Population: A Rapid Review

An Analysis of Factors Shaping Vaccine Attitudes and Behaviours in a Low-Trust Society Based on Structural Equation Modelling—The Case of Poland’s Vaccination Programme against COVID-19

The acceptance of SARS‐CoV‐2 rapid antigen self‐testing: A cross‐sectional study in China

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