Acceptance of the COVID-19 vaccine based on the health belief model: a multicenter national survey among medical care workers in China

Wang, Hao; Huang, Yiman; Su, Xiaoyou; Xiao, Weijun; Si, Mingyu; Wang, Wenjun; Gu, Xiao-Fen; Ma, Li; Li, Li; Zhang, Shaokai; Yang, Chunxia; Yu, Yan-Qin; Qiao, You‐Lin

doi:10.1080/21645515.2022.2076523

Cited by 18 publications

(18 citation statements)

References 55 publications

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“…As this study shows there is a statistically signi cant association between coping with suspected cases of COVID-19 and acceptance to take the vaccine (P-value <0.05), this is consistent with a study in Egypt, revealed that directly dealing with COVID-19 patients triples the chance of acceptance [40] , as in China, the respondents who are more susceptible to COVID-19 infection were likely to get the COVID-19 vaccine [42] . This suggests that those who have not dealt with COVID-19 patients are less likely to accept it.…”

Section: Resultssupporting

confidence: 90%

“…[41] . where another Chinese study had acceptance rate of (82.5%) [42] , this shows high-income countries have high acceptance of the vaccine possibly due to higher perception of COVID-19 infection as well as trust in the health o cials [43] . Our acceptance result agreed with a study conducted in Saudi Arabia (64.9%) [44] , in contrast Lebanon and Egypt had lower acceptance rate of (58%), (21%) respectively [45,40] .…”

Section: Resultsmentioning

confidence: 85%

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Knowledge, Attitudes and Acceptance towards COVID-19 Vaccination among Health Care Workers in Mukalla city-YEMEN: an analytical cross-sectional study

Bnqadeem

Alsabban

Bokir

et al. 2022

Preprint

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Background COVID-19 vaccination is one of the greatest public health interventions to reduce the burden of the COVID-19 pandemic. Yemen began on April 2021 to vaccinate healthcare workers for COVID-19 with the vaccine. However, the media's negative portrayal of vaccines safety and efficacy has led to concerns regarding the acceptance of the vaccine. Therefore, our study aimed to assess knowledge, attitudes and acceptance towards COVID-19 Vaccination among HCWs in Mukalla city-Yemen. Methods An analytical cross-sectional study was conducted using convenience sampling method in Mukalla city among healthcare workers from April 2022 to May 2022. Data were collected by a self-administered questionnaire. A Chi-square test was used to assess the association between independent variables (demographic) and dependent variables (knowledge, attitude and acceptance). Correlation between knowledge and attitude levels with rate of acceptance was assessed using Pearson correlation coefficient. Results 449 respondents were included in the final analysis, of which 237 (52.8%) were males and 212 (47.2%) were females, with a mean age ± SD of 31.0 ± 7.6 years. The overall results regarding knowledge, attitude, and acceptance rates of the COVID-19 vaccines were 65.3% 63.7% and 68.8% (with an efficacy of 90%), respectively. Acceptance was statistically associated with participants’ job, vaccination state, whether they were dealing with suspected cases of COVID-19 and their source of COVID-19 related information (p-value < 0.05). level of acceptance was moderately correlated with attitude level (r = 0.527). Conclusion Healthcare workers were found to have a moderate level of knowledge and attitude toward COVID-19 vaccination. However, acceptance rate was scaling down according to vaccine efficacy. Many demographic characteristics were significantly associated with acceptance of COVID-19 vaccination.

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Section: Resultssupporting

confidence: 90%

Section: Resultsmentioning

confidence: 85%

Knowledge, Attitudes and Acceptance towards COVID-19 Vaccination among Health Care Workers in Mukalla city-YEMEN: an analytical cross-sectional study

Bnqadeem

Alsabban

Bokir

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…Shmueli 33 showed that among the general population, higher levels of perceived severity was associated with greater odds of accepting the COVID-19 vaccine [OR 2.36; 95% CI (1.58-3.51)] after adjusting for demographics. Additionally, among a healthcare worker population, Wang et al 34 showed greater cues to action through acceptance of workplace COVID-19 vaccine messaging and perceived benefit were associated with higher likelihood to get the COVID-19 vaccine. Differences in our results could be explained by our population consisting of a greater number of minorities.…”

Section: Discussionmentioning

confidence: 99%

Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center

Kupferwasser

Flores

Merino

et al. 2023

J Prim Care Community Health

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Objectives: Vaccine hesitancy among essential workers remains a significant public health challenge. We examined psychological constructs of perceived susceptibility, threat, and self-efficacy and their associations with COVID-19 vaccine hesitancy among a racially and ethnically diverse essential workforce population. Methods: We performed a cross-sectional survey of essential workers from September-December 2020 at a large Los Angeles safety-net medical center as part of a program offering free COVID-19 serology testing. Program participants completed a standardized survey at the time of phlebotomy. Hierarchical logistic regression was utilized to determine factors independently associated with vaccine hesitancy. Results: Among 1327 persons who had serology testing, 1235 (93%) completed the survey. Of these, 958 (78%) were healthcare workers. Based on expressed intent, 22% were vaccine-hesitant 78% were vaccine acceptors. In our multivariate model, vaccine hesitancy was associated with female gender [aOR = 2.09; 95% CI (1.44-3.05)], African American race [aOR = 4.32; (2.16-8.62)], LatinX ethnicity [aOR = 2.47; 95% CI (1.51-4.05)] and history of not/sometimes receiving influenza vaccination [aOR = 4.39; 95% CI (2.98-6.48)]. Compared to nurses, vaccine hesitancy was lower among physicians [aOR = 0.09; 95% CI (0.04-0.23)], non-nursing/non-physician healthcare workers [aOR = 0.55; 95% CI (0.33-0.92)], and non-healthcare care workers [aOR = 0.53; 95% CI (0.36-0.78)]. Conclusions: Among a racially/ethnically diverse group of safety net medical center essential workers, COVID-19 vaccine hesitancy was associated with racial/ethnic minority groups, employment type, and prior influenza vaccination hesitancy. Interestingly, we found no association with the Health Belief Model construct measures of perceived susceptibility, threat, and self-efficacy. Psychological constructs not assessed may be drivers of vaccine hesitancy in our population.

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“…And each dimension covered items on physical activity, diet, and medication of T2DM. The information dimension was developed based on the items from the diabetes knowledge questionnaires of the Diabetes Education Project in China of Project Hope, while items of motivation and behavioral skill dimensions were developed based on comprehensive literature reading and other scales that our research team had previously developed and employed based on IMB or similar models (35,36). Initially, a 55-item pool (15 items of information, 20 items of motivation, and 20 items of behavioral skill) was generated via literature review and group discussion.…”

Section: Scale Developmentmentioning

confidence: 99%

Development and validation of the diabetic self-management scale based on information-motivation-behavioral skills theory

Dai

Shu

Liu

et al. 2023

Front. Public Health

Self Cite

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BackgroundSelf-management is important for the blood sugar control of middle-aged and elderly Type 2 diabetes mellitus (T2DM) patients, of which diet, exercise, and drug compliance are the most common components. The Information-Motivation-Behavioral Skills Model (IMB) has been widely used in health behavior management and intervention.ObjectiveThe purpose of this study is to develop and validate the Diabetic Self-Management Scale (DSMS) based on the IMB model.MethodsSelf-report survey data was collected from middle-aged and elderly T2DM patients in Zhongmu City, Henan Province, China in November 2021 using convenience sampling. The original DSMS was developed through a literature review and summary of previous similar scales using an inductive approach. Item modification was finished by a panel of specialists. Exploratory factor analysis and confirmatory factor analysis were used to evaluate the reliability, convergent validity, discriminant validity, and criterion validity of DSMS.ResultsFour hundred and sixty nine T2DM patients completed the questionnaire survey. The final DSMS consists of 22 items with three dimensions, including information (five items), motivation (eight items), and behavior skills (nine items). The results of simple factor analysis showed that the KMO value was 0.839, Bartlett spherical test 2 = 3254.872, P < 0.001. The results of confirmatory factor analysis showed that 2/df = 2.261, RMSEA = 0.073, CFI = 0.937, TLI = 0.930, and SRMR = 0.096. The standardized factor loadings of 22 DSMS items were all above 0.6, and the CR values of 3 dimensions were all higher than 0.9. In addition, DSMS also showed good discriminant and criterion validity.ConclusionThe 22-item DSMS has good reliability and validity, and can be used to make diabetic self-management assessment regarding diet, physical activity, and medication among middle-aged and elderly Chinese T2DM patients. DSMS is of moderate length and easy to understand. It can be promoted in China in the future to understand the self-management status of middle-aged and elderly T2DM patients in China.

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Acceptance of the COVID-19 vaccine based on the health belief model: a multicenter national survey among medical care workers in China

Cited by 18 publications

References 55 publications

Knowledge, Attitudes and Acceptance towards COVID-19 Vaccination among Health Care Workers in Mukalla city-YEMEN: an analytical cross-sectional study

Knowledge, Attitudes and Acceptance towards COVID-19 Vaccination among Health Care Workers in Mukalla city-YEMEN: an analytical cross-sectional study

Characterization of COVID-19 Vaccine Hesitancy Among Essential Workforce Members of a Large Safety Net Urban Medical Center

Development and validation of the diabetic self-management scale based on information-motivation-behavioral skills theory

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