scholarly journals Explaining COVID-19 Vaccine Rejection Using Social Cognitive Theory in Qassim, Saudi Arabia

Vaccines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1304
Author(s):  
Aseel Ali AlSaeed ◽  
Unaib Rabbani

Acceptance of COVID-19 vaccines needs a health promotion approach to address various social, environmental and personal factors leading to vaccine hesitancy. We assessed the vaccine hesitancy rate and applied social cognitive theory (SCT) to understand COVID-19 vaccine rejection in Qassim, Saudi Arabia. A cross-sectional study was conducted among visitors of 10 randomly selected primary health care centers in Buraidah, Saudi Arabia. Data was collected by a self-administrated questionnaire. The variables were grouped into six constructs of SCT. Logistic regression was used to assess the predictors of vaccine rejection. Out of 486 participants included in the study, 30.5% rejected the vaccine. The most common reason for vaccine rejection was uncertainty about the vaccine’s effectiveness (78%). Among various constructs of SCT, reciprocal determinism (nationality, income and suffering from COVID-19 infection), behavioral capability (knowledge about vaccine safety), self-efficacy (registered for vaccine), and observational learning (getting the vaccine after friends and family members) were significant predictors. Expectation and reinforcement constructs did not show significant association. There was high vaccine rejection in Qassim, KSA. This calls for further improving the mass education strategies. Social cognitive theory can be used to predict vaccine rejection and to develop strategies to increase the utilization of COVID-19 vaccines in Saudi Arabia.

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Noura Altulahi ◽  
Shouq AlNujaim ◽  
Azzam Alabdulqader ◽  
Abdullah Alkharashi ◽  
Assaf AlMalki ◽  
...  

Abstract Background The coronavirus disease 2019 (COVID-19) has spread worldwide, and the vaccine remains the ultimate cornerstone to overcoming its long-term impact. Vaccine hesitancy might obstruct the effort to achieve herd immunity and eradicate the virus. We assessed Saudi Arabian individuals’ willingness, beliefs, and barriers regarding the COVID-19 vaccine and their adherence to preventive measures during and after the pandemic. Methods A self-administered electronic validated questionnaire was distributed among the five major regions in Saudi Arabia between November and December 2020. The questionnaire addressed the sociodemographic data, beliefs, potential barriers, parents’ acceptance of COVID-19 vaccination for their children, and adherence to protective measures during and after the pandemic. Results Of 8,056 participants, 4,218 (52.4%) of a non-representative sample were willing to be vaccinated against COVID-19. Being a young adult, male, having less than a high school degree, being a smoker, having a chronic disease, and having a history of seasonal influenza vaccine uptake were positive predictors of COVID-19 vaccine acceptance. Hesitant participants reported concerns about vaccine side effects and safety as the main barriers to accepting the COVID-19 vaccine. Some refusers (26.1%) declared that they would reconsider vaccination only if the safety and effectiveness of the vaccine were reported by more studies. Conclusions Our study revealed a promising willingness to accept the vaccine among the population, with positive beliefs and attitudes toward COVID-19 vaccination. However, a considerable proportion of the population was reluctant to accept the vaccine. Thus, publicly providing information about vaccine safety and implementing health education programs is crucial for increasing the public’s confidence in the vaccine.


2020 ◽  
Vol 30 (2) ◽  
Author(s):  
Amar Kanekar ◽  
Manoj Sharma ◽  
Russell Bennett

Young adults engage themselves in unsafe sexual behaviors exposing themselves to getting aSTD and/or HIV/AIDS. The purpose of this study was to use social cognitive theory in predicting safer sex behaviors among college students. A cross-sectional study design was implemented among a sample of 180 sexually active college students. More than half of the survey responders were monogamous and less than a quarter had two sexual partners. A step-wise multiple regressions model indicated a statistically significant predictive model with self-efficacy, situational perceptions and self-control towards safer sex as significant predictors (48% predicted variance) of self-reported sexual behaviors.


2020 ◽  
Vol 30 (2) ◽  
Author(s):  
Garrett Miller ◽  
Manoj Sharma ◽  
David Brown ◽  
Mohammad Shahbazi

The purpose of this study was to use social cognitive theory to predict the frequency and intention for not smoking among middle school students. The study utilized a cross-sectional design (n=163) and administered a 38-item valid and reliable questionnaire. Frequency for smoking was predicted by environment not supportive to smoking (p < 0.0001) and emotional coping (p < 0.001) (Adjusted R2= 0.20). Intent to smoke was predicted by emotional coping (p < 0.0001); environment not supportive to smoking (p < 0.001), expectations for not smoking (p < 0.003), and self-control for not smoking (p <0.017) (Adjusted R2= 0.36).


2020 ◽  
Author(s):  
N Badillo-Camacho ◽  
S Torres-Castro ◽  
MF Bernal-Orozco ◽  
NM Torres-Carrillo ◽  
M Altamirano-Martínez ◽  
...  

Abstract Background: Eating habits and physical activity are important factors for the development and prevention of non-communicable diseases. Therefore, the objective of this study was to analyse the beliefs, behaviours, and experiences of dietary and physical activity habits based on the constructs of the Social Cognitive Theory (SCT). Methods: An exploratory study with a qualitative methodology and a phenomenological study design was conducted using focus groups, in-depth interviews, and indirect non-participatory observation. The sessions were audio-recorded and transcribed with prior written informed consent. Data analysis was performed using a hybrid approach.Results: Workers reported that they do not eat vegetables or fruits daily; however, the consumption of fast food and sugary drinks was frequent. Participants’ behaviour is influenced by environmental factors such as reinforcements (economic bonus and company meetups & events), barriers (workplace policies) and facilitators (availability of drinking water, free tortillas , dining rooms, and recreational areas); and personal factors, such as low self-control when when choosing foods from the grains group (e.g. Mexican pastries, noodles and breads), and emotional confrontation (e.g. few workers try to use strategies to confront their emotions and avoid them from affecting their eating and physical activity). On the other hand, participants indicated not feeling capable of eating specific foods due to their taste, for example vegetables, and doing physical activity due to factors such as time. Finally, other key elements influencing workers’ behaviours were observational learning (participants eating behaviour and physical activity are influenced by their coworkers and family’s behaviours), social support (coworkers and family) and outcome expectations (participants’ hoping to improve their health by eating healthy and physical activity behaviours).Conclusions: Workers’s eating behaviour and physical activity could be modified if different influencing factors are simultaneously addressed. These findings will contribute to the development of worksite health programs, based on the SCT, to address the key factors that could improve workers’ eating behaviours and physical activity. Keywords: Eating habits, physical activity, adults, workers, workplace programs, qualitative research, Social Cognitive Theory.


Author(s):  
Youssef Ali Alqahtani ◽  
Khalid Hussein Almutairi ◽  
Yahya Mohammed Alqahtani ◽  
Ahmed Hussein Almutlaq ◽  
Anas Ali Asiri

Objectives: Vaccination is the provision of a vaccine to initiate immunity trough stimulating immune system to develop protection from a certain disease. When a sufficiently large proportion of a population has been vaccinated, herd immunity initiated. The effectiveness of vaccination has been widely studied and verified. Although the harsh vaccine safety systems, some parents remain minded regarding the safety of the childhood vaccines and immunization schedule. These hesitations pushed some parents to not allow their children to receive some or all the scheduled vaccines.  The aim of the study is to assess the general population awareness regarding vaccines and to detect prevalence of vaccine hesitancy in Aseer region, southern of Saudi Arabia. Methods: A descriptive cross-sectional approach was used targeting all parents in Aseer region. Data were collected using structured questionnaire which developed by the researchers after intensive literature review and expert’s consultation. The questionnaire data included parents’ socio-demographic data, parents’ awareness regarding child vaccines safety and efficacy, parents’ attitude and adherence to children vaccination and hesitancy towards vaccines. Results: The survey included 796 participants whose ages ranged from 18 to 55 years old. Two thirds (63.4%) of the participants were females. Regarding vaccination adherence and hesitancy among participants, more than three quarters were completely adherent to the child vaccination schedule and only 3.9% were non adherent. As for participants awareness regarding child vaccination safety and efficacy, 89.3% of the respondents agreed on that vaccination keep child healthy, 84.2% reported that child vaccine is safe and effective, 83.4% said that all Saudi scheduled vaccines are effective. Conclusion: In conclusion, the study revealed that vaccine hesitancy among participants was not low and should be considered irrespective of their high awareness level. The recorded antivaccine action was mostly related to vaccines safety not efficacy. Keywords: Vaccine hesitancy, antivaccine movement, parents, awareness, adherence


2021 ◽  
Vol 11 (4) ◽  
pp. 1462-1473
Author(s):  
Ramdan M. Elkalmi ◽  
Eman Dyab ◽  
Azyyati Mohd Suhaimi ◽  
Ali Qais Blebil ◽  
Mohamed Hassan Elnaem ◽  
...  

Vaccine hesitancy has surfaced globally within the last few decades, and the fears and misconceptions of people about vaccine safety and effectiveness have been identified as key factors for their under-utilization. The familiarity, attitudes, and religious beliefs of the public and of future healthcare practitioners regarding vaccination are extensive areas needing exploration. The present exploratory cross-sectional study was designed, planned and carried out on students enrolled in health science and non-health science courses in one of the public universities of Malaysia. A research instrument that had been formulated, validated and subjected to reliability testing was used to collect the data, which were analyzed using descriptive and inferential statistics. A response rate of 80.8% (n = 202) was obtained: the majority were female (n = 161, 79.7%), and had been vaccinated before (n = 190, 97.5%), while a mere 2% did not support vaccination for reasons pertaining to safety issues. The vaccine familiarity score was 10.79 ± 1.4, which significantly differed among the study disciplines (p < 0.001). The mean of the total attitude score was 14.95 ± 1.5, with no significant difference among demographics being noted. The mean of the total religious beliefs score was 24.29 ± 2.8 and significantly differed based on gender (p = 0.040) and study disciplines (p < 0.001). The current findings showed that the participants were familiar with vaccines and had generally positive attitudes and positive religious beliefs toward vaccination; thus, one can expect that their inclusion in immunization campaigns will generate positive outcomes of the immunization program. Although the current research reported few knowledge gaps, these may be handled with the introduction of a specialized immunization course at an undergraduate level.


2021 ◽  
Vol 12 (2) ◽  
pp. 239
Author(s):  
Nadhifa Salsabilla ◽  
Muji Sulistyowati

Konsumsi makanan cepat saji pada remaja dianggap sebagai hal sepele yang biasa dilakukan. Namun, dampak yang akan dirasakan berupa gangguan kesehatan dalam jangka waktu pendek maupun jangka panjang, seperti obesitas. Salah satu sekolah di Surabaya yang memiliki angka kejadian obesitas cukup tinggi yakni SMAN 2 Surabaya. Tujuan penelitian ini untuk menganalisis faktor perilaku yang berhubungan dengan konsumsi makanan cepat saji pada remaja menggunakan studi aplikasi Social Cognitive Theory. Penelitian ini merupakan penlitian observasional analitik dengan desain penelitian cross sectional. Populasi penelitian ini adalah siswa kelas X dan XI SMAN 2 Surabaya dengan penarikan sampel menggunakan stratified random sampling sebanyak 102 orang. Pengumpulan data menggunakan kuisioner yang dibagikan secara online. Variabel independen penelitian ini adalah karakteristik individu, self efficacy, pengetahuan, self regulation, dukungan keluarga, dukungan teman sebaya, dan paparan informasi. Sedangkan variabel dependen yaitu tindakan konsumsi makanan cepat saji pada remaja. Pengolahan dan analisis data menggunakan uji Kruskal Wallis. Hasil penelitian menunjukkan bahwa terdapat hubungan antara uang saku (p = 0,015), self regulation (p = 0,047), dan dukungan orangtua (p = 0,038) (p<0,05). Namun, pada variabel lainnya tidak terdapat hubungan dengan tindakan mengonsumsi makanan cepat saji. Penelitian ini diharapkan dapat memberikan kontribusi kepada pihak sekolah maupun Puskesmas setempat dalam melakukan pencegahan obesitas pada remaja.


Management ◽  
2019 ◽  
Author(s):  
Alexander Stajkovic ◽  
Kayla Sergent

In conceptualizations presented in social cognitive theory (SCT), humans are not passive objects shaped and shepherded by contingent consequences of an environment. People are agentic; they proactively make their way through the intricacies and dualities of life. To attain desired outcomes, people make judgments about the interplay among environment, personal factors, and consequences of their behavior. SCT conceptualizes these cognitive appraisals in terms of triadic, reciprocal, and asymmetric influences among the environment, person, and behavior. The belief system formed by the model’s cognitive dynamics is shaped by one’s current working conception of the world. This belief system guides behavior adaptively toward desirable pursuits and away from undesirable consequences. As people set goals, devise accordant courses of action, and anticipate outcomes, they act on this thread of beliefs. People operate on the environment, they monitor and analyze their actions, reflect on the consequences, and react to course-correct. These behaviors rely on self-awareness, self-reflection, and adaptive self-regulation. To explain and predict the fluent vagaries of social life, nuanced conceptions of interactive factors are conferred by SCT in the triadic model. A transformative contributor to adaptive self-regulation in SCT is perceived self-efficacy. Self-efficacy is a malleable belief formed by personal appraisal of how well a person can execute courses of action required to deal successfully with a given prospect. Self-efficacy does not signify people believe they can walk on water; it simply implies they believe they can enact the potential they already have. Even when people have acquired the knowledge and ability to succeed, cherished outcomes are forsaken if they harbor doubt in their capacity to self-regulate.


Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 443
Author(s):  
Kaiyi Han ◽  
Mark R. Francis ◽  
Ruiyun Zhang ◽  
Qian Wang ◽  
Aichen Xia ◽  
...  

Understanding the public’s attitude towards COVID-19 vaccination and their acceptance could help facilitate the COVID-19 rollout. This study aimed to assess the acceptance and willingness to pay (WTP) for the COVID-19 vaccine among migrants in Shanghai, China. A cross-sectional study was conducted among 2126 migrants in Shanghai for the period 1–20 November 2020. Convenience sampling was used to recruit respondents in workplaces with large numbers of migrant workers. Multivariable (ordered) logistic regressions were used to examine factors associated with acceptance and WTP of the COVID-19 vaccine. Most (89.1%) migrants would accept COVID-19 vaccination. Over 90.0% perceived the COVID-19 vaccine as important, while only 75.0% and 77.7% perceived vaccines safe and effective. Socio-demographic factors were not significantly associated with vaccine acceptance, but confidence in the importance (OR 8.71, 95% CI 5.89–12.89), safety (OR 1.80, 95% CI 1.24–2.61) and effectiveness (OR 2.66, 95% CI 1.83–3.87) of COVID-19 vaccine was significantly positively associated with vaccine acceptance. The top reasons for vaccine hesitancy were lack of vaccine information and confidence. The proportion of those definitely willing to get the COVID-19 vaccine was 20% lower if paid by themselves than free vaccination. Migrants were willing to pay a median amount of USD 46 for the COVID-19 vaccine. Results show that a high acceptance of the COVID-19 vaccine was universal among migrants in Shanghai. Concerns about vaccine safety, effectiveness and high costs of the COVID-19 vaccine may hinder their uptake. Effective health communication to build confidence in the COVID-19 vaccine and subsidies toward the costs of these vaccines are needed to improve uptake.


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