TY - JOUR T1 - COVID-19 Booster Vaccine Hesitancy among Hemodialysis Patients in Saudi Arabia Using the Health Belief Model: A Multi-Centre Experience. AU - Alobaidi,Sami, AU - Alsolami,Enad, AU - Sherif,Abdalla, AU - Almahdy,Mohammed, AU - Elmonier,Rady, AU - Alobaidi,Waad Y, AU - Akl,Ahmed, Y1 - 2022/12/31/ PY - 2022/11/11/received PY - 2022/12/26/revised PY - 2022/12/28/accepted PY - 2023/1/21/entrez PY - 2023/1/22/pubmed PY - 2023/1/22/medline KW - CKD KW - COVID-19 vaccination KW - Saudi Arabia KW - booster KW - health belief model KW - hemodialysis KW - intention to vaccinate JF - Vaccines JO - Vaccines (Basel) VL - 11 IS - 1 N2 - OBJECTIVE: Vaccination hesitance for the COVID-19 booster dosage among hemodialysis patients is an important barrier in reducing morbidity and mortality linked to COVID-19 infection. Hence, this study aimed to explore the predictors of the third (booster) dose of COVID-19 vaccine intention among CKD patients on hemodialysis from the Kingdom of Saudi Arabia (KSA). METHODS: This study was a multi-center cross-sectional study conducted at four dialysis centers in KSA from 13 February 2022 to 21 June 2022. The data was collected by the nephrologist in charge of the unit using a structured study questionnaire, which consisted of four parts; socio-demographic and clinical variables, questions about COVID-19 infection and subjective assessment of health state, COVID-19 booster dose vaccination intention and confidence in vaccines and preferences, and a health belief model. The study population consisted of 179 hemodialysis patients. RESULTS: Participants in the study had conflicting health beliefs about their vulnerability to COVID-19 infection and the severity of the COVID-19 infection. Study participants expressed positive health beliefs about the advantages of the COVID-19 booster dose, and reported less perceived obstacles in receiving the vaccine. The influence of cues on action among the study population was high. A total of 140 (78.2%) hemodialysis patients expressed their intention to receive the COVID-19 booster dose. Patients who reported poor health in the self-rating of their health status had a substantially higher definite intention to take the COVID-19 booster dose, according to the chi-square test (11.16, df = 3, p = 0.01). There was a significant association between the constructs in the HBM model and COVID-19 vaccine (booster) intention. Marital status (OR = 1.67, CI 1.07-2.58) was found to be the strongest predictors of a definite intention to receive a COVID-19 booster dose. Confidence in the locally manufactured vaccine (OR = 0.33, CI 0.17-0.60), education (OR = 0.62, CI 0.41-0.93), and rating of health status (OR = 0.43 CI 0.25-0.74) were the strongest significant correlates of having no definite intention to take the COVID-19 vaccination. CONCLUSIONS: HBM constructs were found to be significantly associated with vaccination intention, which can be considered while planning policies to promote COVID-19 booster vaccination among hemodialysis patients. The study results could be utilized in drafting policies to improve COVID-19 booster dose vaccination uptake among hemodialysis population. SN - 2076-393X UR - https://www.unboundmedicine.com/medline/citation/36679940/COVID_19_Booster_Vaccine_Hesitancy_among_Hemodialysis_Patients_in_Saudi_Arabia_Using_the_Health_Belief_Model:_A_Multi_Centre_Experience_ DB - PRIME DP - Unbound Medicine ER -