Behavioral intention and its predictors toward COVID-19 vaccination among people most at risk of exposure in Ethiopia: applying the theory of planned behavior model

Adella, Getachew Asmare; Abebe, Kelemu; Atnafu, Natnael; Asnake, Gedion; Yeshambel, Addisu; Alem, Eyasu; Abebe, Endeshaw Chekol; Asmamaw, Tadesse

doi:10.1080/21645515.2021.2011651

Cited by 11 publications

(17 citation statements)

References 38 publications

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“…Study participants who had good knowledge about the COVID-19 vaccine were 3.6 times more likely to intend to take the COVID-19 vaccine compared with their counterparts. This was in line with studies done in Dessie, Butajira, and Ethiopia at the national level ( 19 , 21 , 22 ). This might be because knowing is a prerequisite to developing intention.…”

Section: Discussionsupporting

confidence: 92%

“…This finding was consistent with studies done in Dessie (59.4%), Gondar (54.8%), and the Kingdom of Saudi Arabia (52%) ( 18 , 19 , 25 ). It was lower than the findings of research conducted in Saudi Arabia (64.7%) and Ethiopia (64.9%) ( 20 , 21 ). The disparities may be because of a difference in study design that is institutionally based in this study whereas web-based national survey in the previous studies.…”

Section: Discussioncontrasting

confidence: 73%

“…Study participants who had college and above level of education were 1.5 times more likely to intend to take the COVID-19 vaccine compared with those who had a primary level of education. This finding was supported by studies done in Ethiopia at a national level, Gondar, and the Kingdom of Saudi Arabia ( 18 , 21 , 22 , 25 ). This is because education raises public awareness of the vaccine's health benefits.…”

Section: Discussionsupporting

confidence: 68%

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Knowledge, attitude, and intention to accept COVID-19 vaccine among patients with chronic diseases in southern Ethiopia: Multi-center study

Adella

Abebe

Atnafu

et al. 2022

Front. Public Health

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BackgroundMost of the COVID-19 fatal cases and severe illnesses like acute respiratory distress syndrome occur in older adults and other people who have underlying medical comorbidities. Understanding patients with chronic disease' knowledge, attitudes, and intention to take the COVID-19 vaccine and related factors are necessary to control the mortality of COVID-19 infection. Therefore, this study aimed to assess knowledge, attitudes, and intention to take the COVID-19 vaccine among patients with chronic disease in Southern Ethiopia.Methods and materialsA facility-based cross-sectional study was conducted among 409 patients with chronic diseases having a follow-up at the hospitals of the Southern region of Ethiopia from November 14, 2021, to December 24, 2021. A structured, interviewer-administered questionnaire was used to collect data. Bivariate and multivariable logistic regression was conducted to show the association of variables with knowledge, attitude, and intention to take the COVID-19 vaccine. The associations of variables were declared with the use of a 95% CI and P-value < 0.05.ResultsOverall, 79.2, 70.9, and 58.2% of participants had good knowledge, favorable attitude, and intent to take the COVID-19 vaccine, respectively. Age ≥49 years old (AOR = 1.643; 95% CI = 1.008–3.060) and college and above level of education (AOR = 3.002; 95% CI = 1.897–5.021) were found to be significantly associated with knowledge about COVID-19 vaccine. College and above level of education (AOR = 1.510; 95% CI = 1.002–3.975) and good knowledge (AOR = 3.560; 95% CI = 1.481–6.120) were found to be significantly associated with intention to take COVID-19 vaccine.Conclusion and recommendationIntention to take the COVID-19 vaccine was low among patients with chronic diseases to achieve herd immunity. Therefore, a holistic and multi-sectoral partnership is necessary for a successful COVID-19 vaccination campaign. Further health education and communication are very crucial methods to improve vaccine acceptance and lastly to achieve herd immunity.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 73%

Section: Discussionsupporting

confidence: 68%

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Knowledge, attitude, and intention to accept COVID-19 vaccine among patients with chronic diseases in southern Ethiopia: Multi-center study

Adella

Abebe

Atnafu

et al. 2022

Front. Public Health

Self Cite

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“…It was stated that 86.1% of the adult population in France practice preventive behavior, 75 and 93.33% of dental nurse students in Iran practice hand washing with soap and water and use sanitizer. 76 The EPPM constructs such as perceived efficacy, perceived fear and perceived severity, response efficacy, and perceived susceptibility were positively associated with COVID-19 preventive behaviors. 75 – 78 It was evidenced that 15% of the adult population in Nigeria had a high threat and efficacy domain 78 to practice preventive behavior, and among the adult population in Iran 54.6% of the participants were engaged in danger control and high-perceived efficacy.…”

Section: Discussionmentioning

confidence: 92%

Application of behavioral change theory and models on COVID-19 preventive behaviors, worldwide: A systematic review

2023

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Objective: This systematic review aimed to assess the global application of behavioral change theory and models on COVID-19 preventive behaviors. Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses procedure. Databases such as PubMed/MIDLINE, Web of Science, Scopus, EMB ASE, World Health Organization libraries, and Google Scholar were used to search all published articles in the area of application of behavioral change theory and model on COVID-19 preventive behavior until October 1, 2022. Studies published in another language other than English were excluded. Two independent reviewers did the article selection and quality check. A third reviewer asked if any disagreement were found. Result: Seventeen thousand four hundred thirty-six total articles were retrieved from all sources after the removal of duplicated articles and those not evaluating the outcome of interest were excluded. Finally, 82 articles done using behavioral change theory and model on COVID-19 preventive behaviors were included. The health belief model (HBM) and theory of planned behavior (TPB) were most commonly used in COVID-19 preventive behaviors. The constructs of most behavioral theories and models were significantly associated with COVID-19 preventive behaviors such as hand washing, face mask use, vaccine uptake, social isolation, self-quarantine, social distance, and use of sanitizers. Conclusion: This systematic review summarizes comprehensive evidence on the application of behavioral change theory and model on COVID-19 preventive behaviors globally. A total of seven behavioral change theories and models were included. The HBM and TPBs were most commonly used for COVID-19 preventive behaviors. Therefore, the application of behavioral change theory and models is recommended for developing behavioral change interventional strategies.

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“…Being male was the most commonly reported factor associated with increased acceptability of the COVID-19 vaccine [ 21 – 28 ]. Other factors that were associated with COVID-19 vaccine acceptance included higher level of education [ 21 , 25 , 28 – 34 ], working in a health-related occupation especially as a medical doctor [ 26 , 35 ], greater knowledge of COVID-19 or fear of contracting the virus (including having flu-like symptoms, being tested for COVID-19, or relatives who had contracted the virus) [ 36 – 39 ]. Also, possessing positive perceptions towards vaccine sources and the pharmaceutical industry [ 40 ] and higher income [ 39 ] were reported as facilitators of vaccine acceptance.…”

Section: Resultsmentioning

confidence: 99%

COVID-19 vaccine hesitancy in Africa: a scoping review

Ackah

Woo

Stallwood

et al. 2022

glob health res policy

132

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Background Vaccination against the novel coronavirus is one of the most effective strategies for combating the global Coronavirus disease (COVID-19) pandemic. However, vaccine hesitancy has emerged as a major obstacle in several regions of the world, including Africa. The objective of this rapid review was to summarize the literature on COVID-19 vaccine hesitancy in Africa. Methods We searched Scopus, Web of Science, African Index Medicus, and OVID Medline for studies published from January 1, 2020, to March 8, 2022, examining acceptance or hesitancy towards the COVID-19 vaccine in Africa. Study characteristics and reasons for COVID-19 vaccine acceptance were extracted from the included articles. Results A total of 71 articles met the eligibility criteria and were included in the review. Majority (n = 25, 35%) of the studies were conducted in Ethiopia. Studies conducted in Botswana, Cameroun, Cote D’Ivoire, DR Congo, Ghana, Kenya, Morocco, Mozambique, Nigeria, Somalia, South Africa, Sudan, Togo, Uganda, Zambia, Zimbabwe were also included in the review. The vaccine acceptance rate ranged from 6.9 to 97.9%. The major reasons for vaccine hesitancy were concerns with vaccine safety and side effects, lack of trust for pharmaceutical industries and misinformation or conflicting information from the media. Factors associated with positive attitudes towards the vaccine included being male, having a higher level of education, and fear of contracting the virus. Conclusions Our review demonstrated the contextualized and multifaceted reasons inhibiting or encouraging vaccine uptake in African countries. This evidence is key to operationalizing interventions based on facts as opposed to assumptions. Our paper provided important considerations for addressing the challenge of COVID-19 vaccine hesitancy and blunting the impact of the pandemic in Africa.

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Behavioral intention and its predictors toward COVID-19 vaccination among people most at risk of exposure in Ethiopia: applying the theory of planned behavior model

Cited by 11 publications

References 38 publications

Knowledge, attitude, and intention to accept COVID-19 vaccine among patients with chronic diseases in southern Ethiopia: Multi-center study

Knowledge, attitude, and intention to accept COVID-19 vaccine among patients with chronic diseases in southern Ethiopia: Multi-center study

Application of behavioral change theory and models on COVID-19 preventive behaviors, worldwide: A systematic review

COVID-19 vaccine hesitancy in Africa: a scoping review

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