Reasons for <scp>COVID</scp>‐19 vaccine hesitancy in individuals with chronic health conditions

Warren, Ann Marie; Perrin, Paul B.; Elliott, Timothy R.; Powers, Mark B.

doi:10.1002/hsr2.485

Cited by 13 publications

(8 citation statements)

References 7 publications

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“…The study also showed that respondents had trusted the information given or shared by their family members, friends, relatives, and health workers, had lesser vaccine hesitancy, while, mass media and social media, as a source of information, showed higher vaccine hesitancy. In tune with the previous studies, the findings confirmed the menace of fake news and misinformation created by social media and mass media, and have more trust in their surroundings and local level source information [67][68][69]. Beyond the findings of the source of information, this study has also highlighted that the majority of people who had 'no opinion', and 'strongly disagreed or disagreed' about the safety of the vaccine among pregnant women and children (below 18), its level and duration of side-effects, had shown higher vaccine hesitancy, than the respondents, who had strongly agreed or agreed with it [70][71][72].…”

Section: Plos Onesupporting

confidence: 85%

COVID-19 vaccine hesitancy among adults in India: A primary study based on health behavior theories and 5C psychological antecedents model

Aggarwal,

Singh,

Alam

et al. 2024

PLoS ONE

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Despite the significant success of India’s COVID-19 vaccination program, a sizeable proportion of the adult population remains unvaccinated or has received a single dose of the vaccine. Despite the recommendations of the Government of India for the two doses of the COVID-19 vaccine and the precautionary booster dose, many people were still hesitant towards the COVID-19 full vaccination. Hence, this study aimed to identify the primary behavioral and psychological factors contributing to vaccine hesitancy. Cross-sectional data was collected via a multi-stage sampling design by using a scheduled sample survey in the Gorakhpur district of Uttar Pradesh, India, between 15 July 2022 to 30 September 2022. This study has utilized three health behavior models—the Health Belief Model (HBM), the Theory of Planned Behavior (TPB), and the 5C Psychological Antecedents of vaccination, and employed bivariate and multivariable binary logistic regression model to assess the level of vaccine hesitancy and predictive health behavior of the respondents. Results indicate that among the constructs of the HBM and 5C Antecedents models, "perceived benefits", "confidence" and "collective responsibility" showed a lesser likelihood of COVID-19 vaccine hesitancy. However, in the TPB model constructs, a ‘negative attitude towards the vaccine’ showed a four times higher likelihood of COVID-19 vaccine hesitancy. From the future policy perspective, this study suggested that addressing the issue of ‘negative attitudes towards the vaccine’ and increasing the trust or confidence for the vaccine through increasing awareness about the benefits of the vaccination in India may reduce vaccine hesitancy.

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Section: Plos Onesupporting

confidence: 85%

COVID-19 vaccine hesitancy among adults in India: A primary study based on health behavior theories and 5C psychological antecedents model

Aggarwal,

Singh,

Alam

et al. 2024

PLoS ONE

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“…Individuals with a greater number of chronic health conditions had lower vaccine hesitancy ( Warren et al, 2022 ). Consistent with this finding, our study also found that individuals with diabetes and heart disease had lower vaccine hesitancy.…”

Section: Discussionmentioning

confidence: 99%

Determinants of COVID-19 vaccine Hesitancy: 2020 California Health Interview Survey

Moon¹,

Han²,

Kim³

2023

Preventive Medicine Reports

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“…Such perception was linked to their value of aging and lack of social support [ 40 ]. This highlights the importance of addressing people’s concerns about their health status for addressing vaccine hesitancy through enhancing confidence in vaccines, reshaping the value of aging, and enhancing social support [ 64 ].…”

Section: Discussionmentioning

confidence: 99%

Motivators and Demotivators for COVID-19 Vaccination Based on Co-Occurrence Networks of Verbal Reasons for Vaccination Acceptance and Resistance: Repetitive Cross-Sectional Surveys and Network Analysis

Liao,

Yuan,

Wong

et al. 2024

JMIR Public Health Surveill

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Background Vaccine hesitancy is complex and multifaced. People may accept or reject a vaccine due to multiple and interconnected reasons, with some reasons being more salient in influencing vaccine acceptance or resistance and hence the most important intervention targets for addressing vaccine hesitancy. Objective This study was aimed at assessing the connections and relative importance of motivators and demotivators for COVID-19 vaccination in Hong Kong based on co-occurrence networks of verbal reasons for vaccination acceptance and resistance from repetitive cross-sectional surveys. Methods We conducted a series of random digit dialing telephone surveys to examine COVID-19 vaccine hesitancy among general Hong Kong adults between March 2021 and July 2022. A total of 5559 and 982 participants provided verbal reasons for accepting and resisting (rejecting or hesitating) a COVID-19 vaccine, respectively. The verbal reasons were initially coded to generate categories of motivators and demotivators for COVID-19 vaccination using a bottom-up approach. Then, all the generated codes were mapped onto the 5C model of vaccine hesitancy. On the basis of the identified reasons, we conducted a co-occurrence network analysis to understand how motivating or demotivating reasons were comentioned to shape people’s vaccination decisions. Each reason’s eigenvector centrality was calculated to quantify their relative importance in the network. Analyses were also stratified by age group. Results The co-occurrence network analysis found that the perception of personal risk to the disease (egicentrality=0.80) and the social responsibility to protect others (egicentrality=0.58) were the most important comentioned reasons that motivate COVID-19 vaccination, while lack of vaccine confidence (egicentrality=0.89) and complacency (perceived low disease risk and low importance of vaccination; egicentrality=0.45) were the most important comentioned reasons that demotivate COVID-19 vaccination. For older people aged ≥65 years, protecting others was a more important motivator (egicentrality=0.57), while the concern about poor health status was a more important demotivator (egicentrality=0.42); for young people aged 18 to 24 years, recovering life normalcy (egicentrality=0.20) and vaccine mandates (egicentrality=0.26) were the more important motivators, while complacency (egicentrality=0.77) was a more important demotivator for COVID-19 vaccination uptake. Conclusions When disease risk is perceived to be high, promoting social responsibility to protect others is more important for boosting vaccination acceptance. However, when disease risk is perceived to be low and complacency exists, fostering confidence in vaccines to address vaccine hesitancy becomes more important. Interventions for promoting vaccination acceptance and reducing vaccine hesitancy should be tailored by age.

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Reasons for COVID‐19 vaccine hesitancy in individuals with chronic health conditions

Cited by 13 publications

References 7 publications

COVID-19 vaccine hesitancy among adults in India: A primary study based on health behavior theories and 5C psychological antecedents model

COVID-19 vaccine hesitancy among adults in India: A primary study based on health behavior theories and 5C psychological antecedents model

Determinants of COVID-19 vaccine Hesitancy: 2020 California Health Interview Survey

Motivators and Demotivators for COVID-19 Vaccination Based on Co-Occurrence Networks of Verbal Reasons for Vaccination Acceptance and Resistance: Repetitive Cross-Sectional Surveys and Network Analysis

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