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Social Determinants on Attitudes Towards Vaccine

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Dear Colleagues,

It is generally known that vaccination is one of the most effective interventions to prevent multiple infectious diseases. However, with the incidents of vaccine happen frequently, vaccine hesitancy has become a common phenomenon around the world. It seriously affects the people’s confidence towards vaccine, thus posing a great threat to public health. As a risk choice closely related to health, vaccination is influenced by many social determinants, such as personal economic status, kinds of jobs, social support, social environment, source of vaccine information and so on. Therefore, this Special Issue aims to collect the latest developments in social determinants and vaccine research, including the relationship between social determinants and vaccination, what kind of social determinants are the positive/negative factors of vaccination, and how to effectively improve the vaccination rate through the intervention of social determinants. Potential topics for submissions include but are not limited to:

Relationship between social determinants and attitudes towards vaccine;
How social determinants affect the vaccine acceptance/hesitancy;
Interventions that change social determinants, thereby promoting vaccination.

Dr. Yibo Wu
Dr. Wai-Kit Ming
Guest Editors

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Vaccines is an international peer-reviewed open access monthly journal published by MDPI.

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Keywords

vaccine hesitancy
vaccine acceptance
vaccine confidence and trust
social determinants
social support
social environments
demographics
public health

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Research

10 pages, 519 KiB

Open AccessArticle

Exploration into the Influencing Factors for the Intention of the Public to Vaccinate against Infectious Diseases Based on the Theory of Planned Behavior—Example of the COVID-19 Vaccine

by Zeming Li, Zihan Li and Xinying Sun

Vaccines 2023, 11(6), 1092; https://doi.org/10.3390/vaccines11061092 - 12 Jun 2023

Cited by 2 | Viewed by 1249

Abstract

Objectives: The coronavirus disease 2019 (COVID-19) was applied as an example, and the Theory of Planned Behavior (TPB) was used as a conceptual model. This study aimed to explore the impact of subjective norms (SNs), attitude towards the behavior (ATT), and perceived behavioral control (PBC) on the intention of the public for regular vaccination during COVID-19. The outcomes can provide certain recommendations for relevant policymakers in developing targeted health education intervention programs in the event of similar events. Methods: An online survey was performed between 17 April and 14 May 2021, via the online survey platform “WENJUANXING”. The multistage stratified cluster sampling was employed, and 2098 participants (1114 males; 53.10%) with a mean age of 31.22 years (SD = 8.29) completed the survey. The survey covered the factors influencing the public’s intention to receive future regular vaccinations during COVID-19 based on TPB. The effects of different variables on the public’s vaccination intention were analyzed using hierarchical stepwise regression. Results: The public’s intention to receive the COVID-19 vaccine (i.e., behavioral intention) in the future was taken as the dependent variable. Gender, age, marital status, education level, per capita monthly household income, vaccine-related knowledge, whether the COVID-19 vaccine was received, subjective norms (SNs), attitude towards the behavior (ATT), and perceived behavioral control (PBC) were used as independent variables. In this way, a hierarchical stepwise multiple regression model was developed. It can be seen from the final model that gender, age, vaccine-related knowledge, vaccination, attitude, SNs, and PBC were all influential factors in the public’s intention to get vaccinated in the future, with R² = 0.399 and adjusted R² = 0.397 (p < 0.001). Conclusion: TPB explains the intention of the public to receive future vaccinations to a large extent, and ATT and SNs are the most important influencing factors. It is suggested that vaccine intervention programs be developed to enhance public awareness and acceptance of vaccination. This can be achieved in three aspects, namely, improving the ATT of the public, SNs, and PBC. Furthermore, the influence of gender, age, vaccine knowledge, and previous vaccination behavior on vaccination intention should be taken into account. Full article

(This article belongs to the Special Issue Social Determinants on Attitudes Towards Vaccine)

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15 pages, 804 KiB

Open AccessArticle

Impact of Media Use on Chinese Public Behavior towards Vaccination with the COVID-19 Vaccine: A Latent Profile Analysis

by Fangmin Gong, Zhuliu Gong, Zhou Li, Hewei Min, Jinzi Zhang, Xialei Li, Tongtong Fu, Xiaomin Fu, Jingbo He, Zhe Wang, Yujia Wang and Yibo Wu

Vaccines 2022, 10(10), 1737; https://doi.org/10.3390/vaccines10101737 - 17 Oct 2022

Cited by 4 | Viewed by 1697

Abstract

(1) Background: research on vaccines has received extensive attention during epidemics. However, few studies have focused on the impact of media use on vaccination behavior and the factors influencing vaccination in groups with different media use degrees; (2) Method: Based on seven items related to media use, a total of 11,031 respondents were categorized by the frequency of media use by using latent profile analysis (LPA). Binary regression analysis was used to study the factors that influence the vaccination behaviors of people with different media use frequencies; (3) Results: All respondents were classified into the following three groups: media use low frequency (9.7%), media use general (67.1%), and media use high frequency (23.2%). Media use low frequency (β = −0.608, p < 0.001) was negatively associated with COVID-19 vaccination behavior. In the media use low frequency, analysis showed that “aged 41 years or older” β = 1.784, p < 0.001), had religious belief (β = 0.075, p < 0.05), were ethnic minorities (β = 0.936, p < 0.01) and had friends support (β = 0.923, p < 0.05) were associated with a preference to accept the COVID-19 vaccine. In the media use general, those who aged 41 years old and older (β = 1.682, p < 0.001), had major depression (β = 0.951, p < 0.05), had friends support (β = 0.048, p < 0.001) would be more likely to receive COVID-19 vaccination. However, respondents who live in towns (β = −0.300, p < 0.01) had lower behaviors to receive vaccination for COVID-19. In the media use high frequency, the respondents who aged 41 or older (β = 1.010, p < 0.001), were ethnic minorities (β = 0.741, p < 0.001), had moderate depression (β = 1.003, p < 0.05) would receive the vaccination for COVID-19 positively; (4) Conclusions: The more occluded the media use is, the less likely the respondents are to get vaccinated against COVID-19. Vaccination behavior is influenced by different factors in groups with different frequencies of media use. Therefore, the government and appropriate departments should make individualized and targeted strategies about COVID-19 vaccination and disseminate the vaccination information to different media use groups. Full article

(This article belongs to the Special Issue Social Determinants on Attitudes Towards Vaccine)

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