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Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?
Front Public Health. 2021; 9:711066.FP

Abstract

This study aimed to determine the prevalence and investigate the constellations of psychological determinants of the COVID-19 vaccine hesitancy among the Bangladeshi adult population utilizing the health belief model-HBM (perceived susceptibility to and severity of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action), the theory of planned behavior-TPB (attitude toward COVID-19 vaccine, subjective norm, perceived behavioral control, and anticipated regret), and the 5C psychological antecedents (confidence, constraints, complacency, calculation, and collective responsibility). We compared the predictability of these theoretical frameworks to see which framework explains the highest variance in COVID-19 vaccine hesitancy. This study adopted a cross-sectional research design. We collected data from a nationally representative sample of 1,497 respondents through both online and face-to-face interviews. We employed multiple linear regression analysis to assess the predictability of each model of COVID-19 vaccine hesitancy. We found a 41.1% prevalence of COVID-19 vaccine hesitancy among our study respondents. After controlling the effects of socio-economic, demographic, and other COVID-19 related covariates, we found that the TPB has the highest predictive power (adjusted R 2 = 0.43), followed by the 5C psychological antecedents of vaccination (adjusted R 2 = 0.32) and the HBM (adjusted R 2 = 0.31) in terms of explaining total variance in the COVID-19 vaccine hesitancy among the adults of Bangladesh. This study provides evidence that theoretical frameworks like the HBM, the TPB, and the 5C psychological antecedents can be used to explore the psychological determinants of vaccine hesitancy, where the TPB has the highest predictability. Our findings can be used to design targeted interventions to reduce vaccine hesitancy and increase vaccine uptake to prevent COVID-19.

Authors+Show Affiliations

Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.Department of Population Science, Jatiya Kabi Kazi Nazrul Islam University, Mymensingh, Bangladesh.Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.Ovibashi Karmi Unnayan Program, Dhaka, Bangladesh.Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.Department of Population Sciences, University of Dhaka, Dhaka, Bangladesh.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34490193

Citation

Hossain, Mohammad Bellal, et al. "Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: what Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?" Frontiers in Public Health, vol. 9, 2021, p. 711066.
Hossain MB, Alam MZ, Islam MS, et al. Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults? Front Public Health. 2021;9:711066.
Hossain, M. B., Alam, M. Z., Islam, M. S., Sultan, S., Faysal, M. M., Rima, S., Hossain, M. A., & Mamun, A. A. (2021). Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults? Frontiers in Public Health, 9, 711066. https://doi.org/10.3389/fpubh.2021.711066
Hossain MB, et al. Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: what Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults. Front Public Health. 2021;9:711066. PubMed PMID: 34490193.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults? AU - Hossain,Mohammad Bellal, AU - Alam,Md Zakiul, AU - Islam,Md Syful, AU - Sultan,Shafayat, AU - Faysal,Md Mahir, AU - Rima,Sharmin, AU - Hossain,Md Anwer, AU - Mamun,Abdullah Al, Y1 - 2021/08/16/ PY - 2021/05/17/received PY - 2021/07/19/accepted PY - 2021/9/7/entrez PY - 2021/9/8/pubmed PY - 2021/9/10/medline KW - Bangladesh KW - COVID-19 KW - health belief model KW - psychological antecedents KW - theory of planned behavior KW - vaccine hesitancy SP - 711066 EP - 711066 JF - Frontiers in public health JO - Front Public Health VL - 9 N2 - This study aimed to determine the prevalence and investigate the constellations of psychological determinants of the COVID-19 vaccine hesitancy among the Bangladeshi adult population utilizing the health belief model-HBM (perceived susceptibility to and severity of COVID-19, perceived benefits of and barriers to COVID-19 vaccination, and cues to action), the theory of planned behavior-TPB (attitude toward COVID-19 vaccine, subjective norm, perceived behavioral control, and anticipated regret), and the 5C psychological antecedents (confidence, constraints, complacency, calculation, and collective responsibility). We compared the predictability of these theoretical frameworks to see which framework explains the highest variance in COVID-19 vaccine hesitancy. This study adopted a cross-sectional research design. We collected data from a nationally representative sample of 1,497 respondents through both online and face-to-face interviews. We employed multiple linear regression analysis to assess the predictability of each model of COVID-19 vaccine hesitancy. We found a 41.1% prevalence of COVID-19 vaccine hesitancy among our study respondents. After controlling the effects of socio-economic, demographic, and other COVID-19 related covariates, we found that the TPB has the highest predictive power (adjusted R 2 = 0.43), followed by the 5C psychological antecedents of vaccination (adjusted R 2 = 0.32) and the HBM (adjusted R 2 = 0.31) in terms of explaining total variance in the COVID-19 vaccine hesitancy among the adults of Bangladesh. This study provides evidence that theoretical frameworks like the HBM, the TPB, and the 5C psychological antecedents can be used to explore the psychological determinants of vaccine hesitancy, where the TPB has the highest predictability. Our findings can be used to design targeted interventions to reduce vaccine hesitancy and increase vaccine uptake to prevent COVID-19. SN - 2296-2565 UR - https://www.unboundmedicine.com/medline/citation/34490193/Health_Belief_Model_Theory_of_Planned_Behavior_or_Psychological_Antecedents:_What_Predicts_COVID_19_Vaccine_Hesitancy_Better_Among_the_Bangladeshi_Adults DB - PRIME DP - Unbound Medicine ER -