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Explaining the intention to get vaccinated against COVID-19: General attitudes towards vaccination and predictors from health behavior theories

Sieverding, Monika; Zintel, Stephanie; Schmidt, Laura; Arbogast, Anna Lisa; von Wagner, Christian; (2023) Explaining the intention to get vaccinated against COVID-19: General attitudes towards vaccination and predictors from health behavior theories. Psychology, Health and Medicine , 28 (1) pp. 161-170. 10.1080/13548506.2022.2058031. Green open access

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Abstract

The goal of our study was to examine the intention to get vaccinated using predictors from the 5C Model of vaccination attitudes, the Theory of Planned Behavior (TPB) and the Health Belief Model (HBM). Between August and November 2020, an online survey was delivered to 1428 participants in the UK and Germany (mean age = 40.6; 57% women), assessing socio-demographic and health factors, general vaccination attitudes, TBP and HBM variables, and COVID-19 vaccination intention. Vaccination intentions did not differ by country or survey period. Predictors of intention with the highest explanatory power in a relative weight analysis were confidence, collective responsibility (5C) perceived behavioral control, social norms, attitudes (especially negative affect & TPB cognitions), and perceived benefits (HBM). Women reported lower intention, although the effect size was small. Predictors from the TPB and HBM were effective to explain the intention to receive COVID-19 vaccines over and above socio-demographic variables, health-related factors and general vaccination attitudes. The results are interpreted in the context of current vaccination campaigns. Messages promoting sense of autonomy and control over the decision to get vaccinated, approval from significant others and reassurance that getting vaccinated will not be associated with fear or other negative feelings are important facilitators of vaccine uptake.

Type: Article
Title: Explaining the intention to get vaccinated against COVID-19: General attitudes towards vaccination and predictors from health behavior theories
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13548506.2022.2058031
Publisher version: https://doi.org/10.1080/13548506.2022.2058031
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: COVID-19, Vaccination intention, 5C model, Theory of planned behavior, Health belief model
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10150361
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