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Keywords = Drivers of COVID-19 Vaccination Acceptance Scale

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20 pages, 322 KiB  
Article
The Fear of SARS-CoV-2 Infection versus the Perception of COVID-19 Vaccination amongst Older Adults in Urban Areas (CoV-VAC-PL Study): A Polish Community-Based Study
by Mateusz Cybulski, Andrei Shpakou and Urszula Cwalina
Vaccines 2024, 12(3), 223; https://doi.org/10.3390/vaccines12030223 - 21 Feb 2024
Viewed by 1743
Abstract
Background: The COVID-19 pandemic not only adversely impacted physical health but also affected older adults’ mental health. The first news on COVID-19 vaccination made a major breakthrough to the effect of improving older adults’ mood, notwithstanding the fact that vaccinated individuals in this [...] Read more.
Background: The COVID-19 pandemic not only adversely impacted physical health but also affected older adults’ mental health. The first news on COVID-19 vaccination made a major breakthrough to the effect of improving older adults’ mood, notwithstanding the fact that vaccinated individuals in this age group accounted only for 40.6% of the overall vaccination rollout in Poland. This study was aimed at assessing the level of anxiety regarding COVID-19 amongst older adults in Poland and assessing the attitude of older adults toward COVID-19 vaccination. Methods: The study sample encompassed a population of 800 individuals aged 60 years and older randomly picked up from a representative sample of all the residents in 16 voivodeship cities (50 individuals from each of the cities). The research method used in this study was a diagnostic survey, and its technique was based on an author-designed questionnaire and four standardised psychometric scales: the Fear of COVID-19 Scale (FCV-19S), Coronavirus Anxiety Scale (CAS), the Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID-19S), and the Scale to Measure the Perception of SARS-CoV-2 Vaccines Acceptance (the VAC-COVID-19 Scale). Results: The degree of fear of SARS-CoV-2 among seniors equalled 1.03 ± 1.95 in terms of the CAS and 15.61 ± 5.75 in terms of the FCV-19S. Attitudes towards COVID-19 vaccination have proven positive (DrVac-COVID-19S—61.23 ± 12.35; VAC-COVID-19—44.31 ± 7.20). Females scored higher than males to the extent of the scales under consideration. The older the respondents were, the higher the scale score. A group of individuals with higher educational status was characterized by substantially higher scores covering the Knowledge subscale (p < 0.001) and the Autonomy subscale (p = 0.038), as well as a higher total score in terms of the DrVac-COVID-19S (p < 0.001). A group of positive factors including the reasons for COVID-19 vaccination in terms of the VAC-COVID-19 Scale was the only case to prove statistically insignificant relationships between the population size of the city the respondents came from and the scale values under consideration (p = 0.790). Statistically significant relationships were proven between SARS-CoV-2 contraction and fear of COVID-19 as measured by means of the CAS (p < 0.001) as well as between SARS-CoV-2 contraction and the Values subscale (p = 0.017) and the Knowledge subscale (p < 0.001) within the framework of the DrVac-COVID-19S scale and the total score in terms of the DrVac-COVID-19S scale (p = 0.023). No relationship was detected between the Autonomy subscale scores in terms of the DrVac-COVID-19S and the Knowledge subscale scores in terms of the DrVac-COVID-19S. The remaining scales were correlated to the extent of statistical significance. Conclusions: A subjective fear of COVID-19 was measured to be low or moderate within the group under study depending on the scale under consideration, proving declining trends as compared to the results arising from previously conducted studies. Seniors have more often had positive attitudes toward COVID-19 vaccination. The relationship between all of the sociodemographic features under consideration and the feeling of COVID-19 anxiety and between educational status, place of residence, SARS-CoV-2 contraction, COVID-19 vaccination, and the overall attitude toward COVID-19 vaccination indicator was proven to be statistically significant (depending on the scale under consideration). Furthermore, the correlation between the overall results arising from the standardised psychometric scales applied to this study was indicated to be statistically significant. Full article
20 pages, 2375 KiB  
Article
COVID-19 Vaccine Refusal and Delay among Adults in Italy: Evidence from the OBVIOUS Project, a National Survey in Italy
by Davide Gori, Angelo Capodici, Giusy La Fauci, Marco Montalti, Aurelia Salussolia, Giorgia Soldà, Zeno Di Valerio, Francesca Scognamiglio, Maria Pia Fantini, Julie Leask, Heidi J. Larson, Stefania Profeti, Federico Toth, Jacopo Lenzi and on behalf of the other researchers of the OBVIOUS BOARD
Vaccines 2023, 11(4), 839; https://doi.org/10.3390/vaccines11040839 - 13 Apr 2023
Cited by 18 | Viewed by 4472
Abstract
Background: Vaccine hesitancy was defined by the World Health Organization (WHO) in 2019 as a major threat to global health. In Italy, reluctance to receive vaccines is a widespread phenomenon that was amplified during the COVID-19 pandemic by fear and mistrust in government. [...] Read more.
Background: Vaccine hesitancy was defined by the World Health Organization (WHO) in 2019 as a major threat to global health. In Italy, reluctance to receive vaccines is a widespread phenomenon that was amplified during the COVID-19 pandemic by fear and mistrust in government. This study aims to depict different profiles and characteristics of people reluctant to vaccinate, focusing on the drivers of those who are in favor of and those who are opposed to receiving the COVID-19 vaccine. Methods: A sample of 10,000 Italian residents was collected. A survey on COVID-19 vaccination behavior and possible determinants of vaccine uptake, delay, and refusal was administered to participants through a computer-assisted web interviewing method. Results: In our sample, 83.2% stated that they were vaccinated as soon as possible (“vaccinators”), 8.0% delayed vaccination (“delayers”), and 6.7% refused to be vaccinated (“no-vaccinators”). In general, the results show that being female, aged between 25 and 64, with an education level less than a high school diploma or above a master’s degree, and coming from a rural area were characteristics significantly associated with delaying or refusing COVID-19 vaccination. In addition, it was found that having minimal trust in science and/or government (i.e., 1 or 2 points on a scale from 1 to 10), using alternative medicine as the main source of treatment, and intention to vote for certain parties were characteristics associated with profiles of “delayers” or “no-vaccinators”. Finally, the main reported motivation for delaying or not accepting vaccination was fear of vaccine side effects (55.0% among delayers, 55.6% among no-vaccinators). Conclusion: In this study, three main profiles of those who chose to be vaccinated are described. Since those who are in favor of vaccines and those who are not usually cluster in similar sociodemographic categories, we argue that findings from this study might be useful to policy makers when shaping vaccine strategies and choosing policy instruments. Full article
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17 pages, 921 KiB  
Article
COVID-19 Vaccine Uptake and Hesitancy among Pregnant and Lactating Women in Saudi Arabia
by Hayfa A. AlHefdhi, Syed Esam Mahmood, Manar Ahmed I. Alsaeedi, Haifa’ Hisham A. Alwabel, Mariam Salem Alshahrani, Ebtihaj Yahya Alshehri, Rawan Ahmed O. Alhamlan and Maram Nawar Alosaimi
Vaccines 2023, 11(2), 361; https://doi.org/10.3390/vaccines11020361 - 5 Feb 2023
Cited by 4 | Viewed by 2761
Abstract
Introduction: Pregnant and breastfeeding women comprise a high-risk group for the development of severe COVID-19. Therefore, vaccination is highly recommended for perinatal women; however, vaccination levels for this group remain inadequate. This study explores the percentage of COVID-19 vaccination among Saudi pregnant and [...] Read more.
Introduction: Pregnant and breastfeeding women comprise a high-risk group for the development of severe COVID-19. Therefore, vaccination is highly recommended for perinatal women; however, vaccination levels for this group remain inadequate. This study explores the percentage of COVID-19 vaccination among Saudi pregnant and lactating women, as well as their attitudes toward it. Methods: We conducted a cross-sectional questionnaire-based survey on a sample of Saudi pregnant and breastfeeding women. The study included pregnant and lactating women. Results: The percentage of COVID-19 vaccine uptake was 78.2%. A total of 45 (21.8%) out of 206 women did not receive the vaccine. The overall vaccine hesitancy was 21.8%. Breastfeeding women were 2.86 more likely not to receive the vaccine as compared to pregnant women. Being a mother of over five children increased the vaccine uptake among our participating women (n = 20, 90%; p < 0.01). The majority of the subjects had taken the Pfizer vaccine (81.98%, 132/161). The availability of the COVID-19 vaccine was the most common factor for choosing a particular vaccine. Protection from infection (60.2%, 97/161) was reported as the main driver for vaccine uptake. The most common reason perceived for delaying COVID-19 vaccination was being worried about the side effects (176, 85.44%) on one’s own body and the effects on the unborn child (130, 63.1%). Conclusion: We uncovered high levels of hesitancy, primarily induced by concerns about adverse effects and social media-related misinformation. These high levels of vaccine uptake are likely due to the large-scale obligatory vaccination program provided in Saudi Arabia, which was well-structured and far reaching. Our results provide further support for the so-called “protection motivation theory” in boosting vaccine acceptance. Counseling and educating pregnant and breastfeeding women about COVID-19 vaccination is the need of the hour. Full article
(This article belongs to the Special Issue State of the art SARS-CoV-2 Research in Europe and Asia)
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11 pages, 538 KiB  
Article
Parental Attitudes, Intentions, Decisions, and Psychological Wellbeing Regarding COVID-19 Vaccination: Preschool, School-Age, and Adolescent Caregivers
by Liang-Jen Wang, Kuang-Che Kou, Kuo-Shu Tang, Yu Lee, Yi-Chun Chen, Mao-Hung Lo, Ing-Kit Lee, Seng-Kee Chuah, Chien-Te Lee, Chia-Te Kung, Chih-Chi Wang and Shao-Ju Chien
Vaccines 2022, 10(12), 2114; https://doi.org/10.3390/vaccines10122114 - 10 Dec 2022
Cited by 1 | Viewed by 2075
Abstract
The vaccination of all children may be one of the most important public health measures for preventing a wider spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the community. Therefore, the purpose of this study was to investigate the attitude, [...] Read more.
The vaccination of all children may be one of the most important public health measures for preventing a wider spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in the community. Therefore, the purpose of this study was to investigate the attitude, intention, decision making, and psychological well-being among the caregivers of children who received SARS-CoV-2 vaccination in Taiwan. The caregivers of children (98 preschool children, 191 school-age children, and 154 adolescents) who received COVID-19 vaccination were invited to fill in the following questionnaires: Adopting Self-Protective Behavior Scale, Drivers of COVID-19 Vaccination Acceptance Scale, Impact of Event Scale, Chinese Health Questionnaire, and Parental Bonding Instrument. Compared to the caregivers of adolescents, the caregivers of preschool children exhibited more protective behaviors toward the COVID-19 pandemic. The caregivers of preschool children also displayed a higher emotional impact than those of adolescents and took a greater interest in the family’s opinion about vaccination. Finally, we found that COVID-19 ideological invasion and protective parenting style were significantly related to the prevalence of mental illness among caregivers. The results of this study can be used as an important reference for vaccination health care and policy formulation for adolescents with regard to COVID-19. Full article
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19 pages, 317 KiB  
Article
Assessment of COVID-19 Anxiety Levels and Attitudes to COVID-19 Vaccine among Older Adults in Poland: A Pilot Study
by Mateusz Cybulski, Zyta Beata Wojszel, Aleksandra Wojszel, Sara Jahel, Paulina Sliwinska and Elzbieta Krajewska-Kulak
Vaccines 2022, 10(11), 1918; https://doi.org/10.3390/vaccines10111918 - 13 Nov 2022
Cited by 3 | Viewed by 2042
Abstract
Background: The fear of being infected with the SARS-CoV-2 has become widespread, especially among older adults. Information campaigns to promote mass vaccination against COVID-19 are a key element in controlling and preventing the spread of the COVID-19 pandemic. However, their success primarily depends [...] Read more.
Background: The fear of being infected with the SARS-CoV-2 has become widespread, especially among older adults. Information campaigns to promote mass vaccination against COVID-19 are a key element in controlling and preventing the spread of the COVID-19 pandemic. However, their success primarily depends on vaccination coverage in a given population. The aim of this study was to assess the severity of COVID-19 anxiety and attitudes towards COVID-19 vaccines among older adults in Poland. Methods: This pilot study was conducted among a total of 127 older participants, including 108 students (85%) of Third Age Universities in Bialystok and 19 patients (15%) of the Department and Clinic of Geriatrics of the Hospital of the Ministry of Internal Affairs and Administration in Bialystok. The study used a diagnostic survey based on an author-designed questionnaire and four standardized psychometric tools: The Fear of COVID-19 Scale (FCV-19S), Coronavirus Anxiety Scale (CAS), The Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S), and Scale to Measure the Perception of SARS-CoV-2 Vaccines Acceptance (The VAC-COVID-19 Scale). Results: COVID-19 vaccination coverage in the study group was 88.2%, with three doses in most cases. We found a negative vaccination status only in women taking part in the study. Men scored significantly higher on DrVac-COVID19S and its Value subscale, and markedly lower on FCV-19S. We did not observe significant differences in the scales’ scores between age groups. Respondents recruited from the Third Age Universities had significantly higher scores than geriatric clinic patients in the Knowledge subscale of DrVac-COVID19S. In the case of FCV-19S, no correlation with the results obtained in other scales used in the study was found. Additionally, no correlation was found between CAS scores and the following scales: DrVac-COVID19S (total), DrVac-COVID19S Knowledge (K) subscale, DrVac-COVID19S Autonomy (A) subscale and VAC-COVID-19-Scale-positive subscale. The other scales were strongly correlated with each other—the correlations were statistically significant. Conclusions: Subjective COVID-19 anxiety in the study group was moderate. Seniors were more likely to show positive vaccine attitudes, as confirmed by the percentage of respondents vaccinated against COVID-19 with at least one dose. However, there is still a percentage of unvaccinated individuals in the population of seniors; therefore, measures should be taken to motivate this age group and encourage preventive vaccination against COVID-19. Furthermore, representative studies on COVID-19 anxiety and attitudes towards the COVID-19 vaccine among Polish seniors are needed to determine a more precise prevalence of these phenomena and potential correlations on a national level. Full article
13 pages, 292 KiB  
Article
Fear of COVID-19 and Vaccine Hesitancy among Pregnant Women in Poland: A Cross-Sectional Study
by Kinga Janik, Kinga Nietupska, Grazyna Iwanowicz-Palus and Mateusz Cybulski
Vaccines 2022, 10(10), 1700; https://doi.org/10.3390/vaccines10101700 - 11 Oct 2022
Cited by 11 | Viewed by 2780
Abstract
Introduction: Pregnant women are particularly vulnerable to anxiety and stress, and the COVID-19 pandemic has definitely contributed to anxiety in this group. Researchers continue their work on COVID-19 vaccine formulations to reduce the spread of the SARS-CoV-2 virus and minimise the impact of [...] Read more.
Introduction: Pregnant women are particularly vulnerable to anxiety and stress, and the COVID-19 pandemic has definitely contributed to anxiety in this group. Researchers continue their work on COVID-19 vaccine formulations to reduce the spread of the SARS-CoV-2 virus and minimise the impact of the pandemic. Despite the increased prevalence and severity of anxiety among pregnant women during the COVID-19 pandemic, their attitudes towards COVID-19 vaccine vary. The aim of this study was to assess the levels of anxiety experienced by pregnant women due to COVID-19 and their attitudes to vaccination. Materials and methods: A total of 595 women voluntarily participated in the study. The respondents were divided into two groups: the study group (n = 288), which consisted of women who were pregnant at the time of the survey, and the control group (n = 307), which included women of reproductive age (18–49 years). The study used a diagnostic survey method with a web-based questionnaire consisting of the author’s survey questionnaire and the following standardised tools: the Scale to Measure the Perception of SARS-CoV-2 Vaccines Acceptance (VAC-COVID-19 SCALE), the Fear of COVID-19 Scale (FCV-19S), the Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S) and the Coronavirus Anxiety Scale (CAS). Results: The level of COVID-related anxiety differed depending on the tool used. Mild anxiety was reported for CAS, while FCV-19S showed its moderate levels. Both pregnant women and women of reproductive age showed high scores in VAC-COVID-19 and DrVac-COVID19S. The mean VAC-COVID-19 scores were 41.44 in the study group and 44.26 in the control group, and the mean DrVac-COVID19S scores were 51.25 in pregnant women and 55.85 in women of reproductive age. This indicates a high level of acceptance of and positive attitudes toward vaccinations. Conclusions: Pregnant women showed moderate coronavirus anxiety. Women in both the study group and the control group showed mostly positive attitudes towards COVID-19 vaccination. Full article
(This article belongs to the Special Issue People’s Perception on COVID-19 Vaccine and Its Accessibility)
13 pages, 271 KiB  
Article
Second Wave of the Study of Taiwanese Caregivers of Children with ADHD in the COVID-19 Pandemic: Intentions to Vaccinate Their Children for COVID-19, and Related Factors
by Ching-Shu Tsai, Liang-Jen Wang, Ray C. Hsiao and Cheng-Fang Yen
Vaccines 2022, 10(5), 753; https://doi.org/10.3390/vaccines10050753 - 11 May 2022
Cited by 9 | Viewed by 2554
Abstract
The second wave of the Study of Taiwanese Caregivers of Children with Attention-Deficit/Hyperactivity Disorder (ADHD) in the COVID-19 Pandemic was conducted at the time of a severe COVID-19 outbreak. The aims of this study were to compare the level of the intentions of [...] Read more.
The second wave of the Study of Taiwanese Caregivers of Children with Attention-Deficit/Hyperactivity Disorder (ADHD) in the COVID-19 Pandemic was conducted at the time of a severe COVID-19 outbreak. The aims of this study were to compare the level of the intentions of caregivers of children with ADHD to vaccinate their children between the first and second waves of study, as well as to examine the COVID-19 pandemic and non-COVID-19 pandemic factors related to caregivers’ intentions. In total, 252 caregivers of children with ADHD completed the structured questionnaires, including the Drivers of COVID-19 Vaccination Acceptance Scale; the Risk Perception of the COVID-19 Scale; caregivers’ Difficulties in Asking Their Children to Adopt Self-Protective Behavior Scale; the Brief Symptom Rating Scale; the Parental Bonding Instrument; the Swanson, Nolan, and Pelham version IV Scale; and the questionnaires for the intentions to vaccinate their children and child’s medication use for treating ADHD. The results demonstrated that 82.5% of caregivers reported their willingness to vaccinate their children definitely or under doctors’ recommendation; the level of intentions to vaccinate significantly increased compared with that of caregivers in the first wave of the study. Caregivers’ drivers of COVID-19 vaccination uptake, namely, values, impact, and autonomy but not knowledge; being male caregivers; being caregivers of girls; and the older age of the children were positively associated with caregiverscaregivers’ intentions. The specific intervention programs for enhancing caregivers’ intentions should be specified according to the sex and age of caregivers and of the children with ADHD. The Drivers of COVID-19 Vaccination Uptake should be also the target of intervention for enhancing caregivers’ intentions through strengthening caregivers’ acceptance of the COVID-19 vaccines’ values, positive impact and autonomy to vaccinate their children. Full article
19 pages, 756 KiB  
Article
Measurement Invariance of the Drivers of COVID-19 Vaccination Acceptance Scale: Comparison between Taiwanese and Mainland Chinese-Speaking Populations
by Ya-Chin Yeh, I-Hua Chen, Daniel K. Ahorsu, Nai-Ying Ko, Kuan-Lin Chen, Ping-Chia Li, Cheng-Fang Yen, Chung-Ying Lin, Mark D. Griffiths and Amir H. Pakpour
Vaccines 2021, 9(3), 297; https://doi.org/10.3390/vaccines9030297 - 22 Mar 2021
Cited by 53 | Viewed by 6307
Abstract
The impacts of novel coronavirus disease-2019 (COVID-19) on human life continue to be serious. To control the spread of COVID-19, the production of effective vaccines is likely to be one of the best solutions. However, vaccination hesitancy may decrease individuals’ willingness to get [...] Read more.
The impacts of novel coronavirus disease-2019 (COVID-19) on human life continue to be serious. To control the spread of COVID-19, the production of effective vaccines is likely to be one of the best solutions. However, vaccination hesitancy may decrease individuals’ willingness to get vaccinated. The Drivers of COVID-19 Vaccination Acceptance Scale (DrVac-COVID19S) was recently developed to help healthcare professionals and researchers better understand vaccination acceptance. The present study examined whether DrVac-COVID19S is measurement invariant across different subgroups (Taiwanese vs. mainland Chinese university students; males vs. females; and health-related program majors vs. non-health-related program majors). Taiwanese (n = 761; mean age = 25.51 years; standard deviation (SD) = 6.42; 63.5% females) and mainland Chinese university students (n = 3145; mean age = 20.72 years; SD = 2.06; 50.2% females) were recruited using an online survey between 5 January and 21 February 2021. Factor structure and measurement invariance of the two DrVac-COVID19S scales (nine-item and 12-item) were tested using confirmatory factor analysis (CFA). The findings indicated that the DrVac-COVID19S had a four-factor structure and was measurement invariant across the subgroups. The DrVac-COVID19S’s four-factor structure was supported by the CFA results is a practical and valid instrument to quickly capture university students’ willingness to get COVID-19 vaccination. Moreover, the DrVac-COVID19S can be used to compare university students’ underlying reasons to get COVID-19 vaccination among different subgroups. Full article
(This article belongs to the Special Issue Vaccination and Public Health Version II: COVID-19 Vaccination)
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