Determinants of COVID-19 vaccine acceptance in a high infection-rate country: a cross-sectional study in Russia

Background: COVID-19 vaccine development is proceeding at an unprecedented pace. Once COVID-19 vaccines become widely available, it will be necessary to maximize public vaccine acceptance and coverage. Objective: This research aimed to analyze the predictors of COVID-19 vaccine acceptance in Russia. Methods: A cross-sectional online survey was conducted among Russian adults from September 26th to November 9th, 2020. Predictors of the intent to take up COVID-19 vaccination were explored using logistic regression. Results: Out of 876 participants, 365 (41.7%) would be willing to receive the vaccine if it became available. Acceptance increased for a vaccine with verified safety and effectiveness (63.2%). Intention to receive the COVID-19 vaccine was relatively higher among males (aOR=2.37, 95% CI 1.41-4.00), people with lower monthly income (aOR=2.94, 95%CI 1.32-6.57), and with positive trust in the healthcare system (aOR=2.73, 95% CI 1.76-4.24). The Russian people were more likely to accept the COVID-19 vaccine if they believed that the vaccine reduces the risk of virus infection (aOR=8.80, 95%CI 5.21-14.87) or relieves the complications of the disease (aOR=10.46, 95%CI 6.09-17.96). Other barriers such as being unconcerned about side-effects (aOR=1.65, 95%CI 1.03-2.65) and the effectiveness and safety of the vaccination (aOR=2.55, 95%CI 1.60-4.08), also affected acceptance. Conclusions: The study showed the usefulness of the health belief model constructs in understanding the COVID-19 vaccination acceptance rate in the Russian population. This rate was influenced by sociodemographic and health-related characteristics, and health beliefs. These findings might help guide future efforts for policymakers and stakeholders to improve vaccination rates by enhancing trust in the healthcare system.

Download Full-text

Willingness to Vaccinate against COVID-19 among Healthcare Workers: An Online Survey in 10 Countries in the Eastern Mediterranean Region

Global Journal of Health Science ◽

10.5539/gjhs.v13n9p42 ◽

2021 ◽

Vol 13 (9) ◽

pp. 42

Author(s):

Yasir Ahmed Mohammed Elhadi ◽

Azza Mehanna ◽

Yusuff Adebayo Adebisi ◽

Haider M. El Saeh ◽

Saddam Abdulhakem Alnahari ◽

...

Keyword(s):

Mediterranean Region ◽

Healthcare Workers ◽

Online Survey ◽

Health Workers ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Cross Sectional Study ◽

Cross Sectional ◽

Vaccine Acceptance ◽

To Receive

BACKGROUND: Willingness of healthcare workers to be vaccinated is an important factor to be considered for a successful COVID-19 vaccination programme. This study aims to understand the willingness of health workers to receive a COVID-19 vaccine and its associated concerns across 10 countries in the Eastern Mediterranean Region (EMR). METHOD: A cross-sectional study was conducted in January 2021 among healthcare workers in EMR using an online survey. Data were analyzed using IBM SPSS software package version 20.0. RESULTS: A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. More than half of the respondents (58.0%) were willing to receive a COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not willing to take COVID-19 vaccine while 16.3 % were undecided. The top three reasons for not willing to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). CONCLUSION: Overall, the study revealed suboptimal acceptance of COVID-19 vaccine among the respondents in the EMR. Significant refusal of COVID-19 vaccine among healthcare professionals can reverse hard-won progress in building public trust in vaccination program. The findings suggest the need to develop tailored strategies to address concerns identified in the study in order to ensure optimal vaccine acceptance among healthcare workers in the EMR.

Download Full-text

COVID-19 Vaccination Intent and Willingness to Pay in Bangladesh: A Cross-Sectional Study

Vaccines ◽

10.3390/vaccines9050416 ◽

2021 ◽

Vol 9 (5) ◽

pp. 416

Author(s):

Russell Kabir ◽

Ilias Mahmud ◽

Mohammad Tawfique Hossain Chowdhury ◽

Divya Vinnakota ◽

Shah Saif Jahan ◽

...

Keyword(s):

General Population ◽

Willingness To Pay ◽

Health Beliefs ◽

Health Belief ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Sociodemographic Variables ◽

Belief Model ◽

To Receive

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.

Download Full-text

COVID-19 Vaccine Acceptance among Health Care Workers in the United States

Vaccines ◽

10.3390/vaccines9020119 ◽

2021 ◽

Vol 9 (2) ◽

pp. 119 ◽

Cited By ~ 12

Author(s):

Rahul Shekhar ◽

Abu Baker Sheikh ◽

Shubhra Upadhyay ◽

Mriganka Singh ◽

Saket Kottewar ◽

...

Keyword(s):

Final Analysis ◽

The United States ◽

Cross Sectional Study ◽

Care Providers ◽

Cross Sectional ◽

Vaccine Acceptance ◽

Care Workers ◽

Vaccination Acceptance ◽

Study Population ◽

To Receive

Background: Acceptance of the COVID-19 vaccine will play a major role in combating the pandemic. Healthcare workers (HCWs) are among the first group to receive vaccination, so it is important to consider their attitudes about COVID-19 vaccination to better address barriers to widespread vaccination acceptance. Methods: We conducted a cross sectional study to assess the attitude of HCWs toward COVID-19 vaccination. Data were collected between 7 October and 9 November 2020. We received 4080 responses out of which 3479 were complete responses and were included in the final analysis. Results: 36% of respondents were willing to take the vaccine as soon as it became available while 56% were not sure or would wait to review more data. Only 8% of HCWs do not plan to get vaccine. Vaccine acceptance increased with increasing age, education, and income level. A smaller percentage of female (31%), Black (19%), Lantinx (30%), and rural (26%) HCWs were willing to take the vaccine as soon as it became available than the overall study population. Direct medical care providers had higher vaccine acceptance (49%). Safety (69%), effectiveness (69%), and speed of development/approval (74%) were noted as the most common concerns regarding COVID-19 vaccination in our survey.

Download Full-text

Factors Associated With the Experience of Cognitive Training Apps for the Prevention of Dementia: Cross-sectional Study Using an Extended Health Belief Model

Journal of Medical Internet Research ◽

10.2196/31664 ◽

2022 ◽

Vol 24 (1) ◽

pp. e31664

Author(s):

Jaegyeong Lee ◽

Jung Min Lim

Keyword(s):

Health Belief Model ◽

Cognitive Training ◽

Online Survey ◽

Mobile Apps ◽

Health Belief ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Belief Model

Background The prevalence and economic burden of dementia are increasing dramatically. Using information communication technology to improve cognitive functions is proven to be effective and holds the potential to serve as a new and efficient method for the prevention of dementia. Objective The aim of this study was to identify factors associated with the experience of mobile apps for cognitive training in middle-aged adults. We evaluated the relationships between the experience of cognitive training apps and structural variables using an extended health belief model. Methods An online survey was conducted on South Korean participants aged 40 to 64 years (N=320). General characteristics and dementia knowledge were measured along with the health belief model constructs. Statistical analysis and logistic regression analysis were performed. Results Higher dementia knowledge (odds ratio [OR] 1.164, P=.02), higher perceived benefit (OR 1.373, P<.001), female gender (OR 0.499, P=.04), and family history of dementia (OR 1.933, P=.04) were significantly associated with the experience of cognitive training apps for the prevention of dementia. Conclusions This study may serve as a theoretical basis for the development of intervention strategies to increase the use of cognitive training apps for the prevention of dementia.

Download Full-text

Pharmacists’ Perception of the Coronavirus Pandemic (COVID-19) in Jordan: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111541 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11541

Author(s):

Tamara Al-Daghastani ◽

Odate Tadros ◽

Shereen Arabiyat ◽

Deema Jaber ◽

Husam AlSalamat

Keyword(s):

Online Survey ◽

Vaccine Development ◽

Primary Source ◽

Cross Sectional Study ◽

Survey Study ◽

Sources Of Information ◽

Cross Sectional ◽

Protection Measures ◽

Second Wave

Objectives: To analyze the role of pharmacists during the COVID-19 pandemic, to measure pharmacists’ attitude toward COVID-19 safety measures (wearing masks, wearing gloves, isolation shield, good hygiene, etc.), and explore their perspectives regarding a second wave of the virus. Methods: This cross-sectional online survey study was conducted in Jordan during the COVID-19 outbreak in July 2020 to discuss Jordanian pharmacists’ awareness of safety at their workplace during the COVID-19 outbreak, their sources of information, and their predictions for COVID-19 vaccination. Results: The participants (n = 311) were all pharmacists mostly aged between 23–30 years old (45%) and female (83%). The primary source of information about COVID-19 was social networking (38.9%). Pharmacists were committed to social distancing (86.5%) and wearing masks (76.2%). They expressed levels of agreement to their role in decreasing COVID-19 spread (94.2%) and correcting false information (94.5%); they expressed levels of expectation toward concern about a second COVID-19 wave (83%) that would be more severe than the previous one (43.4%). Pharmacists expected that an influenza vaccine might be helpful in decreasing severity and spread of the COVID-19 pandemic (56.9%). Pharmacists expected COVID-19 vaccine development within 6 months of administering our study survey (84.9%) and that vaccination might be effective in preventing COVID-19 (93%) infection. Conclusion: Pharmacists expressed positive roles on COVID-19 spread through exemplary actions, self-commitment to protection measures, and public health awareness. Social media as a source of health information should be cautiously investigated, and pharmacists should always refer to evidence-based sources. The role of pharmacists is particularly important for the upcoming era of COVID-19 vaccination administration and awareness.

Download Full-text

Intention of Healthcare Workers to Receive COVID-19 Vaccine: A Cross-Sectional Survey in 10 Countries in Eastern Mediterranean Region

10.1101/2021.03.20.21253892 ◽

2021 ◽

Author(s):

Yasir Ahmed Mohammed Elhadi ◽

Azza Mehanna ◽

Yusuff Adebayo Adebisi ◽

Mohammad Yasir Essar ◽

Haider M El Saeh ◽

...

Keyword(s):

Mediterranean Region ◽

Healthcare Workers ◽

Online Survey ◽

Health Workers ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Cross Sectional ◽

To Receive

Background: Healthcare workers intention to be vaccinated is an important factor to be consider for successful COVID-19 vaccination programme. Our study aimed to understand the intention of health workers to receive COVID-19 vaccine and associated concerns across 10 countries in Eastern Mediterranean Region (EMRO). Method: A cross-sectional study was conducted in January 2021 among healthcare workers using an online survey. A total of 2806 health workers (physicians, nurses and pharmacists) completed and returned the informed consent along with the questionnaire electronically. Data were analyzed using IBM SPSS software package version 20.0. Results: More than half of the respondents (58.0%) intend to receive COVID-19 vaccine, even if the vaccination is not mandatory for them. On the other hand, 25.7% of respondents were not intending to undertake COVID-19 vaccination while 16.3 % answered undecided. The top three reasons for not intending to be vaccinated were unreliability of COVID-19 vaccine clinical trials (62.0%), fear of the side effects of the vaccine (45.3%), and that COVID-19 vaccine will not give immunity for a long period of time (23.1%). Conclusion: Overall, our study revealed suboptimal acceptance of COVID-19 vaccine among healthcare workers in the 10 countries in EMRO.

Download Full-text

Smart technology for healthcare: Exploring the antecedents of adoption intention of healthcare wearable technology

Health Psychology Research ◽

10.4081/hpr.2019.8099 ◽

2019 ◽

Vol 7 (1) ◽

Cited By ~ 2

Author(s):

Ka Yin Chau ◽

Michael Huen Sum Lam ◽

Man Lai Cheung ◽

Ejoe Kar Ho Tso ◽

Stuart W. Flint ◽

...

Keyword(s):

Structural Equation ◽

Online Survey ◽

Health Belief ◽

Wearable Technology ◽

Cross Sectional Study ◽

Perceived Usefulness ◽

Technological Advancement ◽

Cross Sectional ◽

Intention To Adopt ◽

Adoption Intention

Technological advancement and personalized health information has led to an increase in people using and responding to wearable technology in the last decade. These changes are often perceived to be beneficial, providing greater information and insights about health for users, organizations and healthcare and government. However, to date, understanding the antecedents of its adoption is limited. Seeking to address this gap, this cross-sectional study examined what factors influence users’ adoption intention of healthcare wearable technology. We used self-administrated online survey to explore adoption intentions of healthcare wearable devices in 171 adults residing in Hong Kong. We analyzed the data by Partial least squares – structural equation modelling (PLS-SEM). The results reveal that perceived convenience and perceived irreplaceability are key predictors of perceived usefulness, which in turn strengthens users’ adoption intention. Additionally, the results also reveal that health belief is one of the key predictors of adoption intention. This paper contributes to the extant literature by providing understanding of how to strengthen users’ intention to adopt healthcare wearable technology. This includes the strengthening of perceived convenience and perceived irreplaceability to enhance the perceived usefulness, incorporating the extensive communication in the area of healthcare messages, which is useful in strengthening consumers’ adoption intention in healthcare wearable technology.

Download Full-text

Constructs of health belief and disabling distal upper limb pain

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2016.07.003 ◽

2016 ◽

Vol 13 (1) ◽

pp. 91-97 ◽

Cited By ~ 1

Author(s):

Daniel Whibley ◽

Ross MacDonald ◽

Gary J. Macfarlane ◽

Gareth T. Jones

Keyword(s):

Health Beliefs ◽

Upper Limb ◽

Health Belief ◽

Cross Sectional Study ◽

Pain Severity ◽

Clinical Population ◽

Sectional Study ◽

Cross Sectional ◽

Arm Pain ◽

The Relationship

AbstractBackgroundMusculoskeletal pain in the distal upper limb is common and is a cause of disability and healthcare consultation. At the time of presentation individuals reporting similar pain severities may report different levels of related disability. The biopsychosocial model proposes that health beliefs may help explain this difference. The aim of this cross-sectional study was to identify underlying constructs of health belief in those referred to physiotherapy with pain in the distal upper limb and investigate whether these constructs moderated the relationship between pain severity and extent of disability.MethodHealth beliefs were assessed using an instrument included in a questionnaire completed before randomisation to the Arm Pain Trial (ISRCTN79085082). Ordinal responses to statements about health beliefs were used to generate a polychoric correlation matrix. The output from this matrix was then used for Exploratory Factor Analysis to determine underlying constructs. The moderating influence of the identified health belief constructs was then tested using interaction terms in linear regression models.Results476 trial participants contributed data, age range 18–85 (mean 48.8, SD 13.7), 54% female. Five health belief constructs were identified: beliefs about hereditary factors, beliefs about movement and pain, beliefs about locus of control, beliefs about the role of lifecourse/lifestyle factors, and beliefs about prognosis. The only health belief construct found to moderate the pain-disability relationship was beliefs about prognosis, with greater pessimism resulting in higher levels of disability at mild-to-moderate levels of pain severity (B –0.17,95% CI –0.30, –0.036).ConclusionThis exploratory cross-sectional study identified five constructs of health belief from responses to a previously used set of statements investigating fear avoidance and illness beliefs in a clinical population with pain in the distal upper limb. Of these constructs, beliefs about prognosis were found to moderate the relationship between pain and disability.ImplicationsAt the time of referral to physiotherapy it may be beneficial to assess patients’ perception of prognosis. For those with higher than expected disability for the presenting level of pain, and pessimism about prognosis, focused reassurance may play an important part in initial consultation. Longitudinal study is required to support the findings from this study and investigate whether a causal relationship exists. Future investigations should confirm the health belief constructs proposed.

Download Full-text

The Influence of Health Beliefs, of Resources, of Vaccination History, and of Health Anxiety on Intention to Accept COVID-19 Vaccination

Frontiers in Psychology ◽

10.3389/fpsyg.2021.729803 ◽

2021 ◽

Vol 12 ◽

Author(s):

Adelina Mihaela Ştefănuţ ◽

Mona Vintilă ◽

Mihaela Tomiţă ◽

Eugenia Treglia ◽

Monica Alina Lungu ◽

...

Keyword(s):

Health Beliefs ◽

Health Anxiety ◽

Health Belief ◽

Cross Sectional Study ◽

Online Questionnaire ◽

Cross Sectional ◽

Convenience Sample ◽

Vaccination History ◽

Severity Of The Disease ◽

Belief Model

The aim of this study is to investigate whether Health Belief Model constructs, personal resources, vaccination history and health anxiety exert an influence on vaccination intention. To achieve this end, we carried out a cross-sectional study of 432 people drawn from a convenience sample who answered an online questionnaire. Multiple logistical regressions showed that perception of the severity of the disease, of the benefits of being vaccinated, of barriers, and of cues to action, along with the freeness and accessibility of the vaccine and general vaccination history, are significant predictors regarding vaccination intention.

Download Full-text

COVID-19 Vaccination Acceptance in China after It Becomes Available: A Cross-Sectional Study

Vaccines ◽

10.3390/vaccines9121398 ◽

2021 ◽

Vol 9 (12) ◽

pp. 1398

Author(s):

Qian Zhou ◽

Tian Tian ◽

Jie Ni ◽

Xiaoheng Zhao ◽

Hong Li ◽

...

Keyword(s):

Risk Perception ◽

Vaccine Development ◽

Herd Immunity ◽

Health Belief ◽

Cross Sectional Study ◽

Chinese Government ◽

Sectional Study ◽

Cross Sectional ◽

Vaccination Acceptance ◽

Belief Model

The outbreak of coronavirus disease 2019 (COVID-19) has led to numerous tragic deaths all over the world. Great efforts have been made by worldwide nations for COVID-19 targeted vaccine development since the disease outbreak. In January 2021, the Chinese government started to provide free vaccination among nationwide communities, which was optional for citizens. As no evidence has been provided so far regarding COVID-19 vaccination acceptance since the initiation of nationwide vaccination, this study aims to investigate COVID-19 vaccination acceptance among Chinese citizens as well as its associated factors as an attempt to bridge such gap embedded in the current literature. An anonymous cross-sectional study was conducted online in March and April 2021 among adults, with the survey questionnaire designed based on the framework of the health belief model (HBM). Information on socio-demographics, risk perception, past pandemic-related experience, awareness of vaccination as well as acceptance of COVID-19 vaccination were collected. Chi-squared test and multi-level regression were performed to distinguish the acceptance between different groups as well as to identify the significant predictors. A total of 3940 participants completed the survey, with 90.6% of the participants reporting strong willingness to get vaccinated. A list of factors were found to be significantly associated with individuals’ acceptance of vaccination, including the region of residence, ethnicity, annual income, whether or not they had experienced a major pandemic event in the past, risk perception of the COVID-19 as well as the awareness of receiving vaccination. Safety concerns about the vaccine (27.7%), concerns about receiving vaccination immediately after newly developed vaccines were released into the market (22.4%) as well as concerns about the potential side effects induced by vaccination (22.1%) were identified as the primary reasons of residents’ resistance against vaccination. Overall, residents demonstrated strong willingness to receive vaccination against COVID-19 in China. However, the improvement of vaccination-related knowledge among Chinese residents should be highlighted as a critical strategy to facilitate the penetration of nationwide vaccination in order to ultimately achieve the establishment of herd immunity in China.

Download Full-text