scholarly journals Sociodemographic and psychological determinants of influenza vaccine intention among recipients of autologous and allogeneic haematopoietic stem cell transplant: a cross-sectional survey of UK transplant recipients using a modified health belief model

BMJ Open ◽  
2018 ◽  
Vol 8 (8) ◽  
pp. e021222 ◽  
Author(s):  
Paul D E Miller ◽  
Alice S Forster ◽  
Thushan I de Silva ◽  
Hayley Leonard ◽  
Chloe Anthias ◽  
...  

ObjectivesStudies exploring vaccination rates among haematopoietic stem cell transplant (HSCT) recipients have focused on physician factors that limit uptake. Understanding the patient factors that determine vaccination intention is crucial to delivering a successful vaccination programme. Using a modified health belief model (mHBM), we conducted a cross-sectional survey with the objective of exploring the sociodemographic and psychological factors that determined autologous and allogeneic HSCT recipients’ intention to receive the seasonal inactivated influenza vaccine (SIIV) during the 2015–2016 influenza season.SettingThe setting of our study was three tertiary level, UK National Health Service (NHS) autologous and allogeneic HSCT centres.ParticipantsEligible patients were aged 16 years or over and recipients of autologous or allogeneic HSCT for any disease indication, with no absolute contraindication to receiving the SIIV during the next influenza season, and having not received the SIIV since transplant. 93 participants from 3 UK NHS HSCT centres completed an anonymous study-specific questionnaire. 78.5% were recipients of allogeneic and 21.5% autologous HSCT.Results23.7% of participants expressed low intent to receive the SIIV. Patients aged over 65 (OR 0.02, 95% CI 0.01 to 0.57, p=0.02) and those who had not received the SIIV prior to HSCT (OR 0.04, 95% CI 0.02 to 0.56, p=0.02) were less likely to have high intent. A multivariate logistic regression model incorporating constructs of the mHBM was statistically significant (p<0.001) and explained 74.7% of variation in SIIV intention. More patients felt that a recommendation from their HSCT team than their general practitioner would prompt them to receive the SIIV, and this was most pronounced in those who had low intent.ConclusionsThe mHBM may provide a useful structure for addressing low vaccine intent among HSCT recipients and further interventional studies are warranted. We would encourage HSCT and general practitioners to discuss SIIV intention as a routine part of care.

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 864
Author(s):  
Ilias Mahmud ◽  
Russell Kabir ◽  
Muhammad Aziz Rahman ◽  
Angi Alradie-Mohamed ◽  
Divya Vinnakota ◽  
...  

We examined the intention and predictors of accepting the COVID-19 vaccine in Saudi Arabia. We conducted a nation-wide, cross-sectional online survey between February and March 2021. A total of 1387 people (≥18 years) participated. Only 27.3% adults had a definite and 30.2% had a probable vaccination intent; 26.8% and 15.6% had a probable and definite negative vaccination intent. Older people (≥50 years) (p < 0.01), healthcare workers/professionals (p < 0.001), and those who received flu vaccine (p < 0.001) were more likely to have a positive intent. People from Riyadh were less likely to receive the vaccine (p < 0.05). Among the health belief model constructs, perceived susceptibility to and severity of COVID-19 (p < 0.001), and perceived benefit of the vaccine (p < 0.001) were positively associated with vaccination intent, whereas perceived barriers had a negative association (p < 0.001). Individuals were more likely to receive the vaccine after obtaining complete information (p < 0.001) and when the vaccine uptake would be more common amongst the public (p < 0.001).


2021 ◽  
Author(s):  
Ilias Mahmud ◽  
Mohammad Tawfique Hossain Chowdhury ◽  
Divya Vinnakota ◽  
Shah Saif Jahan ◽  
Ehsanul Hoque Apu ◽  
...  

Abstract Aim: This article reports the intent to receive a COVID-19 vaccine, its predictors and willingness to pay in Bangladesh. Subject and Methods: We did a cross-sectional survey of 697 adults in January 2021. A structured questionnaire was used to assess vaccination intent. Questionnaire included potential socio-demographic variables and health belief model constructs which may predict vaccination intent.Results: Among the participants, 25.5% demonstrated a definite intent, 43% probable intent, 24% probable negative, and 7.5% a definite negative intention. Multivariable logistic regression analyses suggest association between definite intent and previous COVID-19 infection (OR: 2.86; 95% CI: 1.71 – 4.78), perceiving COVID-19 as serious (OR: 1.93; 1.04 – 3.59), the belief that vaccination would make them feel less worried about COVID-19 (OR: 4.42; 2.25 – 8.68), and concerns about vaccine affordability (OR: 1.51; 1.01 – 2.25). Individuals afraid of the side effects (OR: 0.34; 0.21 – 0.53) and would take the vaccine if the vaccine were taken by many in public (OR: 0.44; 0.29 – 0.67) are less likely to have a definite intent. A definite negative intent is associated with the concern that the vaccine may not be halal (OR: 2.03; 1.04 – 3.96). 68.4% are willing to pay for vaccine. The median amount they are willing to pay is $7.08. Conclusion: Adequate monitoring to stop the spreading of misinformation, and further research work to understand challenges in making a new vaccine acceptable by the population are needed.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 416
Author(s):  
Russell Kabir ◽  
Ilias Mahmud ◽  
Mohammad Tawfique Hossain Chowdhury ◽  
Divya Vinnakota ◽  
Shah Saif Jahan ◽  
...  

This article reports the intent to receive a SARS-COV-2 vaccine, its predictors and willingness to pay in Bangladesh. We carried out an online cross-sectional survey of 697 adults from the general population of Bangladesh in January 2021. A structured questionnaire was used to assess vaccination intent. The questionnaire included sociodemographic variables and health belief model constructs which may predict vaccination intent. Among the participants, 26% demonstrated a definite intent, 43% probable intent, 24% probable negative, and 7% a definite negative intention. Multivariable logistic regression analyses suggest an association between definite intent and previous COVID-19 infection (OR: 2.86; 95% CI: 1.71–4.78), perceiving COVID-19 as serious (OR: 1.93; 1.04–3.59), the belief that vaccination would make them feel less worried about catching COVID-19 (OR: 4.42; 2.25–8.68), and concerns about vaccine affordability (OR: 1.51; 1.01–2.25). Individuals afraid of the side effects (OR: 0.34; 0.21–0.53) and those who would take the vaccine if the vaccine were taken by many others (OR: 0.44; 0.29–0.67) are less likely to have a definite intent. A definite negative intent is associated with the concern that the vaccine may not be halal (OR: 2.03; 1.04–3.96). Furthermore, 68.4% are willing to pay for the vaccine. The median amount that they are willing to pay is USD 7.08. The study findings reveal that the definite intent to receive the SARS-CoV-2 vaccination among the general population varies depending on their COVID-19-related health beliefs and no significant association was found with sociodemographic variables.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kojo Kakra Twum ◽  
Daniel Ofori ◽  
Gloria Kakrabah-Quarshie Agyapong ◽  
Andrews Agya Yalley

Purpose This study examines the factors influencing intention to vaccinate against COVID-19 in a developing country context using the theory of planned behaviour (TPB) and health belief model (HBM). Design/methodology/approach Through a cross-sectional survey design, the study adopted a quantitative approach to data collection and analysis. The study used an online survey to collect data from 478 respondents eligible to take the COVID-19 vaccine in Ghana. Findings Attitude, social norm, perceived behavioural control, perceived susceptibility and cues to action were found to be predictors of COVID-19 vaccination intention. The results also showed that perceived severity, perceived benefits and perceived barriers did not predict COVID-19 vaccination intention. Practical implications To enhance the effectiveness of COVID-19 social marketing campaigns, social marketing theories such as the TPB and HBM can aid in assessing the intention of the target population to take the vaccines. An assessment of vaccination intention will help understand disease threat perception and behavioural evaluation. The consideration of the effect of demography on vaccination intention will aid in developing effective campaigns to satisfy the needs of segments. Originality/value This study adds to the limited research on understanding citizens’ intention to vaccinate against COVID-19 by combining the TPB and HBM to predict vaccination intention. The study contributes towards the use of social marketing practices to enhance the efficacy of vaccination campaigns.


Author(s):  
Teris Cheung ◽  
Joseph T.F. Lau ◽  
Johnson Z. Wang ◽  
Phoenix Mo ◽  
C.K. Siu ◽  
...  

Background: Human papillomavirus (HPV) is one of the most common sexually transmitted infections nationwide. Methods: This is the first cross-sectional survey assessing physicians’ and nurses’ knowledge of HPV and recording their attitudes to HPV vaccination in Hong Kong. Survey questions were derived from the Health Belief Model. Results: 1152 clinicians (170 physicians and 982 nurses) aged 21 and 60 participated in this study. A multiple stepwise regression model was used to examine associations between cognitive factors (clinicians’ attitudes) and subjects’ intention to HPV vaccine uptake. Results showed that only 30.2% of physicians and 21.2% nurses found vaccinating for HPV acceptable. Conclusions: Perceived self-efficacy was the only significant background and cognitive variable associated with physicians’ and nurses’ accepting HPV vaccines. Further, when nurses found HPV vaccination acceptable, cues to action was featured as a significant background variable in their choice.


2020 ◽  
Vol 14 (S 01) ◽  
pp. S7-S13
Author(s):  
Arlette Suzy Setiawan ◽  
Cucu Zubaedah

Abstract Objective The aim of this article is to analyze parental perception on child’s dental visit postponement using health belief model (HBM) during the pandemic of COVID-19. Materials and Methods Cross-sectional survey design was chosen with a purposive sample recruited online by distributing questionnaires consisting 26 items of HBM construct. Data were analyzed descriptively by SPSS version 22. Result A total 111 respondents participated in the study. Respondents perception were found indifferent in perceived susceptible (X̄ = 3.07), perceived severity (X̄ = 2.99), and perceived barrier (X̄ = 3.38). Whilst confirmed in perceived benefit (X̄ = 2.54), cue of action (X̄ = 2.05), self-efficacy (X̄ = 2.08), and locus of control (X̄ = 2.88). Conclusion This study provided evidence that HBM is applicable to children's dental visit postponement during the pandemic of COVID-19.


Vaccines ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 696
Author(s):  
Elsie Yan ◽  
Daniel W. L. Lai ◽  
Vincent W. P. Lee

Vaccination is one of the most effective ways to stop the spread of COVID-19. Understanding factors associated with intention to receive COVID-19 vaccines is the key to a successful vaccination programme. This cross-sectional study explored the rate of vaccination intention and identified its predictors using the health belief model (HBM) in the general population in Hong Kong during the pandemic. Data were collected between December 2020 and January 2021 via telephone surveys. Hierarchical logistic regression analysis was used to identify factors associated with intention to receive COVID-19 vaccines. A total of 1255 adults (>18 years, 53% female) completed the telephone survey. Overall, 42% indicated an intention to vaccinate, 31.5% showed vaccine hesitancy, and 26.5% reported refusal to receive any COVID-19 vaccines. Individuals who were men, older in age, working, with past experiences of other pandemics, less concerned with the vaccine safety, with poorer knowledge about COVID-19, and having greater levels of perceived susceptibility, self-efficacy, cues to action, and acceptance of governmental preventive measures related to COVID-19 were significantly more likely to report an intention to vaccinate. The low intention among the Hong Kong population reflects the importance of developing effective vaccination promotion campaigns with the predictors identified in this study.


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