Tags

Type your tag names separated by a space and hit enter

Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study.
J Med Internet Res. 2021 09 06; 23(9):e29329.JM

Abstract

BACKGROUND

The control of vaccine hesitancy and the promotion of vaccination are key protective measures against COVID-19.

OBJECTIVE

This study assesses the prevalence of vaccine hesitancy and the vaccination rate and examines the association between factors of the health belief model (HBM) and vaccination.

METHODS

A convenience sample of 2531 valid participants from 31 provinces and autonomous regions of mainland China were enrolled in this online survey study from January 1 to 24, 2021. Multivariable logistic regression was used to identify the associations of the vaccination rate and HBM factors with the prevalence of vaccine hesitancy after other covariates were controlled.

RESULTS

The prevalence of vaccine hesitancy was 44.3% (95% CI 42.3%-46.2%), and the vaccination rate was 10.4% (9.2%-11.6%). The factors that directly promoted vaccination behavior were a lack of vaccine hesitancy (odds ratio [OR] 7.75, 95% CI 5.03-11.93), agreement with recommendations from friends or family for vaccination (OR 3.11, 95% CI 1.75-5.52), and absence of perceived barriers to COVID-19 vaccination (OR 0.51, 95% CI 0.35-0.75). The factors that were directly associated with a higher vaccine hesitancy rate were a high level of perceived barriers (OR 1.63, 95% CI 1.36-1.95) and perceived benefits (OR 0.51, 95% CI 0.32-0.79). A mediating effect of self-efficacy, influenced by perceived barriers (standardized structure coefficient [SSC]=-0.71, P<.001), perceived benefits (SSC=0.58, P<.001), agreement with recommendations from authorities (SSC=0.27, P<.001), and agreement with recommendations from friends or family (SSC=0.31, P<.001), was negatively associated with vaccination (SSC=-0.45, P<.001) via vaccine hesitancy (SSC=-0.32, P<.001).

CONCLUSIONS

It may be possible to increase the vaccination rate by reducing vaccine hesitancy and perceived barriers to vaccination and by encouraging volunteers to advocate for vaccination to their friends and family members. It is also important to reduce vaccine hesitancy by enhancing self-efficacy for vaccination, due to its crucial mediating function.

Links

Authors+Show Affiliations

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

Department of Preventive Medicine and Health Education, School of Public Health, Fudan University, Shanghai, China.

MeSH

COVID-19COVID-19 VaccinesChinaCross-Sectional StudiesHealth Belief ModelHumansInternetSARS-CoV-2VaccinationVaccines

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34280115

Citation

Chen, Hao, et al. "Health Belief Model Perspective On the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study." Journal of Medical Internet Research, vol. 23, no. 9, 2021, pp. e29329.

Chen H, Li X, Gao J, et al. Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study. J Med Internet Res. 2021;23(9):e29329.

Chen, H., Li, X., Gao, J., Liu, X., Mao, Y., Wang, R., Zheng, P., Xiao, Q., Jia, Y., Fu, H., & Dai, J. (2021). Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study. Journal of Medical Internet Research, 23(9), e29329. https://doi.org/10.2196/29329

Chen H, et al. Health Belief Model Perspective On the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study. J Med Internet Res. 2021 09 6;23(9):e29329. PubMed PMID: 34280115.

* Article titles in AMA citation format should be in sentence-case

TY - JOUR T1 - Health Belief Model Perspective on the Control of COVID-19 Vaccine Hesitancy and the Promotion of Vaccination in China: Web-Based Cross-sectional Study. AU - Chen,Hao, AU - Li,Xiaomei, AU - Gao,Junling, AU - Liu,Xiaoxi, AU - Mao,Yimeng, AU - Wang,Ruru, AU - Zheng,Pinpin, AU - Xiao,Qianyi, AU - Jia,Yingnan, AU - Fu,Hua, AU - Dai,Junming, Y1 - 2021/09/06/ PY - 2021/04/02/received PY - 2021/07/12/accepted PY - 2021/06/26/revised PY - 2021/7/20/pubmed PY - 2021/9/30/medline PY - 2021/7/19/entrez KW - COVID-19 pandemic KW - health belief model KW - vaccination behavior KW - vaccine hesitancy SP - e29329 EP - e29329 JF - Journal of medical Internet research JO - J Med Internet Res VL - 23 IS - 9 N2 - BACKGROUND: The control of vaccine hesitancy and the promotion of vaccination are key protective measures against COVID-19. OBJECTIVE: This study assesses the prevalence of vaccine hesitancy and the vaccination rate and examines the association between factors of the health belief model (HBM) and vaccination. METHODS: A convenience sample of 2531 valid participants from 31 provinces and autonomous regions of mainland China were enrolled in this online survey study from January 1 to 24, 2021. Multivariable logistic regression was used to identify the associations of the vaccination rate and HBM factors with the prevalence of vaccine hesitancy after other covariates were controlled. RESULTS: The prevalence of vaccine hesitancy was 44.3% (95% CI 42.3%-46.2%), and the vaccination rate was 10.4% (9.2%-11.6%). The factors that directly promoted vaccination behavior were a lack of vaccine hesitancy (odds ratio [OR] 7.75, 95% CI 5.03-11.93), agreement with recommendations from friends or family for vaccination (OR 3.11, 95% CI 1.75-5.52), and absence of perceived barriers to COVID-19 vaccination (OR 0.51, 95% CI 0.35-0.75). The factors that were directly associated with a higher vaccine hesitancy rate were a high level of perceived barriers (OR 1.63, 95% CI 1.36-1.95) and perceived benefits (OR 0.51, 95% CI 0.32-0.79). A mediating effect of self-efficacy, influenced by perceived barriers (standardized structure coefficient [SSC]=-0.71, P<.001), perceived benefits (SSC=0.58, P<.001), agreement with recommendations from authorities (SSC=0.27, P<.001), and agreement with recommendations from friends or family (SSC=0.31, P<.001), was negatively associated with vaccination (SSC=-0.45, P<.001) via vaccine hesitancy (SSC=-0.32, P<.001). CONCLUSIONS: It may be possible to increase the vaccination rate by reducing vaccine hesitancy and perceived barriers to vaccination and by encouraging volunteers to advocate for vaccination to their friends and family members. It is also important to reduce vaccine hesitancy by enhancing self-efficacy for vaccination, due to its crucial mediating function. SN - 1438-8871 UR - https://www.unboundmedicine.com/medline/citation/34280115/Health_Belief_Model_Perspective_on_the_Control_of_COVID_19_Vaccine_Hesitancy_and_the_Promotion_of_Vaccination_in_China:_Web_Based_Cross_sectional_Study_ DB - PRIME DP - Unbound Medicine ER -