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Determinants of COVID-19 Vaccine Acceptance among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model.
Vaccines (Basel). 2021 Nov 25; 9(12)V

Abstract

Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In fully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination rates in many populations.

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Authors+Show Affiliations

Patwary MM
Environment and Sustainability Research Initiative, Khulna 9208, Bangladesh. Environmental Science Discipline, Life Science School, Khulna University, Khulna 9208, Bangladesh.
Bardhan M
Environment and Sustainability Research Initiative, Khulna 9208, Bangladesh. Environmental Science Discipline, Life Science School, Khulna University, Khulna 9208, Bangladesh.
Disha AS
Environment and Sustainability Research Initiative, Khulna 9208, Bangladesh. Environmental Technology and Engineering, University of Chemistry and Technology, 16628 Prague, Czech Republic.
Hasan M
Department of Environmental Science and Disaster Management, Bangabandhu Sheikh Mujibur Rahman Science and Technology University, Gopalganj 8100, Bangladesh.
Haque MZ
Environment and Sustainability Research Initiative, Khulna 9208, Bangladesh. Environmental Science Discipline, Life Science School, Khulna University, Khulna 9208, Bangladesh.
Sultana R
Environmental Science Discipline, Life Science School, Khulna University, Khulna 9208, Bangladesh.
Hossain MR
Institute of Disaster Management, Khulna University of Engineering & Technology, Khulna 9203, Bangladesh.
Browning MHEM
Department of Parks, Recreation and Tourism Management, Clemson University, Clemson, SC 29634, USA.
Alam MA
Department of Global Health Policy, Graduate School of Medicine, The University of Tokyo, Tokyo 113-0033, Japan.
Sallam M
Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman 11942, Jordan. Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman 11942, Jordan.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34960138

Citation

Patwary, Muhammad Mainuddin, et al. "Determinants of COVID-19 Vaccine Acceptance Among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model." Vaccines, vol. 9, no. 12, 2021.
Patwary MM, Bardhan M, Disha AS, et al. Determinants of COVID-19 Vaccine Acceptance among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model. Vaccines (Basel). 2021;9(12).
Patwary, M. M., Bardhan, M., Disha, A. S., Hasan, M., Haque, M. Z., Sultana, R., Hossain, M. R., Browning, M. H. E. M., Alam, M. A., & Sallam, M. (2021). Determinants of COVID-19 Vaccine Acceptance among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model. Vaccines, 9(12). https://doi.org/10.3390/vaccines9121393
Patwary MM, et al. Determinants of COVID-19 Vaccine Acceptance Among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model. Vaccines (Basel). 2021 Nov 25;9(12) PubMed PMID: 34960138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of COVID-19 Vaccine Acceptance among the Adult Population of Bangladesh Using the Health Belief Model and the Theory of Planned Behavior Model. AU - Patwary,Muhammad Mainuddin, AU - Bardhan,Mondira, AU - Disha,Asma Safia, AU - Hasan,Mehedi, AU - Haque,Md Zahidul, AU - Sultana,Rabeya, AU - Hossain,Md Riad, AU - Browning,Matthew H E M, AU - Alam,Md Ashraful, AU - Sallam,Malik, Y1 - 2021/11/25/ PY - 2021/10/30/received PY - 2021/11/19/revised PY - 2021/11/22/accepted PY - 2021/12/28/entrez PY - 2021/12/29/pubmed PY - 2021/12/29/medline KW - Bangladesh KW - Health Belief Model KW - Theory of Planned Behavior KW - coronavirus KW - vaccine acceptance JF - Vaccines JO - Vaccines (Basel) VL - 9 IS - 12 N2 - Vaccination is undoubtedly one of the most effective strategies to halt the COVID-19 pandemic. The current study aimed to investigate the acceptance of COVID-19 vaccination and its associated factors using two health behavior change frameworks: the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). A total of 639 Bangladeshi adults (mean age: 24 years) participated in a cross-sectional online study between July and August 2021. The questionnaire covered questions regarding vaccine intentions, sociodemographic features, health status, perceived trust in/satisfaction with health authorities, reasons for vaccine hesitancy, and factors related to the health behavior change frameworks. Hierarchical logistic regression was employed to determine associations between these predictors and vaccine acceptance. The intention to get a COVID-19 vaccination was expressed among 85% of the participants. In fully adjusted models, students and respondents with more normal body weights reported higher intentions to get vaccinated. Respondents were also more likely to seek vaccination if they reported greater levels of perceived susceptibility, benefits, and cues to action, as well as lower levels of barriers and self-efficacy. Fear of future vaccine side effects was the most common reason for COVID-19 vaccine hesitancy and was expressed by 94% of the vaccine-hesitant respondents. These factors should be considered by health authorities in Bangladesh and perhaps other countries when addressing the plateauing COVID-19 vaccination rates in many populations. SN - 2076-393X UR - https://www.unboundmedicine.com/medline/citation/34960138/Determinants_of_COVID_19_Vaccine_Acceptance_among_the_Adult_Population_of_Bangladesh_Using_the_Health_Belief_Model_and_the_Theory_of_Planned_Behavior_Model_ DB - PRIME DP - Unbound Medicine ER -