The use of Health Belief Model (HBM) to explain factors underlying people to take the COVID-19 vaccine in Indonesia

Adiyoso, Wignyo; Alhabsji, Wilopo Taher; Mondry, Mondry; nurbaiti, beti; Suprapto, Firre An

doi:10.1016/j.jvacx.2023.100297

Cited by 7 publications

(4 citation statements)

References 60 publications

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“…However, studies conducted in the US were almost equivalent 57.6%, and a study conducted in Indonesia 66.8%. 34 , 35 This finding was smaller than that of a cross-sectional study of diabetic patients at Woldia Comprehensive Specialized Hospital, northern Ethiopia (82.6%) and the community-based study conducted at Hawassa City about COVID-19 vaccine acceptance (73.5%). 36 , 37 This difference might be due to the differences in the health status of the study population.…”

Section: Discussionmentioning

confidence: 71%

Barriers and Intention to Get Vaccinated for COVID-19 and Associated Factors Among Adults in Southwest Ethiopia: A Theory of Planned Behavior Approach

Sisay,

Getahun,

Getachew

et al. 2023

IDR

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Background Different vaccines have been approved for use against coronavirus disease and distributed globally in different regions. Efforts should be made on the vaccination to control the spread and impacts of the coronavirus pandemic. However, the general population’s attitudes and intention to uptake coronavirus disease 2019 (COVID-19) vaccinations were poor. Objective This study aimed to assess the barriers to and intention to be vaccinated against COVID-19 and the associated factors among adults in the Jimma zone, Ethiopia. Methods A community-based cross-sectional study with multistage sampling was conducted with 621 participants from 16 April to 17 May 2022. Multivariable logistic regression was used to identify factors associated with the outcome of interest. Statistical p-value ≤0.05 was set at p ≤ 0.05. Qualitative data were supplemented with quantitative results. Results The majority of the study participants (382 [61.5%]) intended to uptake the COVID-19 vaccine. In this study, travel history (Adjusted Odds Ratio (AOR) = 2.18, 95% CI 1.23–3.87), vaccination history (AOR = 2.64, 95% CI 1.69–4.12), perceptions of infection prevention for COVID-19 (AOR = 1.97, 95% CI 1.28–3.03), subjective norm (AOR = 2.27, 95% CI 1.52–3.39), and perceived behavioral control (PBC) (AOR = 2.30, 95% CI 1.55–3.41) were significantly associated with the intention to be vaccinated against COVID-19. Conclusion More than half of the adult participants intended to be vaccinated against COVID-19. The study participant’s traveling history, vaccination history, perception of infection prevention for COVID-19, subjective norms, and Perceived Behavioral Control were significantly associated with the intention to be vaccinated.

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Section: Discussionmentioning

confidence: 71%

Barriers and Intention to Get Vaccinated for COVID-19 and Associated Factors Among Adults in Southwest Ethiopia: A Theory of Planned Behavior Approach

Sisay,

Getahun,

Getachew

et al. 2023

IDR

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“…Starting from Hochbaum's research in 1958 studying the things that influence the decision of a thoracic x-ray to detect tuberculosis (4). HBM continues to develop and has been widely used in research assessing health behavior including preventive behavior such as vaccination and behavior in the midst of the Covid-19 pandemic (5)(6)(7) . Vaccination is a main strategy to reduce the impact of the polio outbreak.…”

Section: International Journal Of Medical Science and Dental Health (...mentioning

confidence: 99%

Cues to Action Predictors of the Completeness Polio Vaccination in Sub Pin Polio in Bireuen District

Auliyanti,

Saputra,

Yani

et al. 2024

ijmsdh

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Background: The finding of a single positive case of polio in Pidie District of Aceh Province at the end of 2022 alarmed Indonesia and globally, leading to increased attention to polio prevention and elimination. The government launched a mass polio vaccination program called Sub PIN Polio for all children aged 0-12 years with 2 doses of polio vaccine. In the first round of polio vaccination in Aceh Province, 1,179,441 or 96.8% of children were vaccinated and 1,153,413 or 94.7% of children were vaccinated with second dose. One of the districts with high polio vaccination outreach is Bireuen District with 96.9% in the first round and 96.0% in the second round. There are many factors underlying the high polio vaccination coverage in Bireuen district. This study aims to analyze factors associated with the completeness of Polio vaccination in Polio Sub NID in Bireuen District using Health Belief Model approach, which is known as cues to action. Research Methods: The research was observational analytic with cross sectional design. The population in this study included all mothers with children were targeted for Polio vaccination at Polio Sub NID in 3 vaccine service posts / health centers in Bireuen District which called Puskesmas Juli, Juli 2, and Jeunib with a total sample 389 respondents. Statistical analysis used was Partial Least Square with SmartPLS 3.0 application. Results: Hypothesis analysis showed the cues to action variable (t = 9.649, p = 0.000) had a direct significant relationship with polio vaccination completeness in Sub PIN Polio and education demographic factor also had a direct significant relationship with cues to action variable (t = 4.643, p = 0.000) and indirect significant relationship with polio vaccination completeness variable in Sub PIN Polio (t = 3.812, p = 0.000). Conclusion: This study offers recommendations for the government in establishing public health policies related to the design of vaccination or other immunization program interventions.

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“…The other layer of challenge relates to possible reverse causality. That is, as Schmelz and Bowles acknowledged, those determined to oppose vaccination might “unwittingly” decide to distrust public institutions and deny the efficacy of vaccination [ 8 , 28 ]. Our framework addresses these concerns.…”

Section: Our Aimmentioning

confidence: 99%

“…Similarly, beliefs about specific medical treatments affect willingness to take the treatments, as demonstrated by works based on the health belief model. The health belief model classifies beliefs related to a treatment into several dimensions, such as perceived benefits and perceived barriers, and helps in investigating the impact of each dimension on willingness to take the treatment [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. Thus, in addition to the development process of medical treatments itself, public confidence in the developed medical treatments is essential to public health because it affects the public’s willingness to take the treatments.…”

Section: Introductionmentioning

confidence: 99%

Updated beliefs and shaken confidence: evidence from vaccine hesitancy caused by experiencing “COVID arm”

Fukai,

Kawata,

Nakabayashi

2023

BMC Infect Dis

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Background Public health depends largely on people’s knowledge, beliefs, or behaviors regarding their health and medical treatments. Although works based on the health belief model have shown that public beliefs about medical treatments affect willingness to take the treatments, little is known about the effects of changes in beliefs on attitudes toward treatment. How one’s past experiences relate to one’s beliefs about a given medical treatment is worth considering. Methods We implemented an online panel survey in February 2021 and March 2022 in Japan before and after COVID-19 vaccines were administered to the public within the country. We exploited delayed localized hypersensitivity reactions to COVID-19 vaccines, namely, “COVID arm”, as an exogenous shock to investigate the relationship between past negative experiences and current beliefs about medical treatments or science. “COVID arm” was an unexpected side effect and thus likely caused updated beliefs about the vaccine. Out of the nonprobability sample of 15,000 respondents in the first wave in February 2021, 9,668 respondents also responded to the second wave conducted in March 2022. Outcome variables were whether experiencing “COVID arm” affected the respondents’ 1) confidence in vaccine safety, 2) willingness to take the next dose of COVID-19 vaccines, 3) acknowledgment of the importance of vaccination, and 4) confidence in science. We measured the impact of experience with “COVID arm” on changes in the probability that survey respondents would respond affirmatively to questions posed about the issues listed above. Results Experiencing “COVID arm” significantly lowered confidence in the safety of vaccination by 4.3 percentage points, which was approximately 6% of the sample mean for the first wave, and lowered the probability of taking a second dose of the COVID-19 vaccine by 1.5 percentage points. These adverse impacts were observed after conditioning background characteristics and prior confidence in vaccination. Experiencing “COVID arm” affected neither the acknowledged importance of vaccination nor confidence in science in a statistically significant way. Conclusions An unexpected and uncomfortable shock regarding beliefs about a treatment decreases willingness to take the treatment. An appropriate public health policy should account for this effect. Trial registration The survey was preregistered with the American Economic Association’s RCT Registry (Fukai et al., 2022).

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The use of Health Belief Model (HBM) to explain factors underlying people to take the COVID-19 vaccine in Indonesia

Cited by 7 publications

References 60 publications

Barriers and Intention to Get Vaccinated for COVID-19 and Associated Factors Among Adults in Southwest Ethiopia: A Theory of Planned Behavior Approach

Barriers and Intention to Get Vaccinated for COVID-19 and Associated Factors Among Adults in Southwest Ethiopia: A Theory of Planned Behavior Approach

Cues to Action Predictors of the Completeness Polio Vaccination in Sub Pin Polio in Bireuen District

Updated beliefs and shaken confidence: evidence from vaccine hesitancy caused by experiencing “COVID arm”

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