Abstract
Background: Vaccination for the novel coronavirus disease 2019 (COVID-19) provides an effective approach for the general improvement of social safety and individual health. However, to date, few studies have analyzed the continuous vaccination for COVID-19 vaccine and its impact process. This research explores factors that theoretically affect the public’s continuous vaccination for COVID-19 vaccine at every stage and constructs a theoretical model to analyze the entire impact process of continuous vaccination based on the Health Action Process Approach (HAPA) Model, the Expectation Confirmation Model (ECM) and the vaccine hesitancy (VH) theory.Methods: The respondents in this study were individuals in China who have been vaccinated. In addition, structural equation modeling technology was used to analyze the influence of factors on the continuous vaccination for COVID-19 vaccine and the whole impact process.Results: First, perceived efficacy has a positive significant impact on vaccination intention, but the positive effects of outcome expectancy and risk perception on vaccination intention are not significant. Second, social positive cues have a positive significant influence on vaccination intention. Third, VH has a negative significant influence on vaccination intention. Four, vaccination behavior produces a positive significant effect on perceived usefulness and satisfaction, respectively. Five, perceived usefulness exerted a positive significant impact on satisfaction and continuous vaccination, respectively. Six, satisfaction has no positive significant influence on continuous vaccination.Conclusions: Our theoretical model, which is the main contribution of this research, indicates that individual continuous vaccination is a process from motivation to intention, and from intention to behavior, and then from behavior to continuous behavior.