Factors Influencing COVID-19 Vaccination Demand and Intent in Resource-Limited Settings: Based on Health Belief Model.
COVID-19
Ethiopia
demand
health belief model
intention
willingness-to-pay
Journal
Risk management and healthcare policy
ISSN: 1179-1594
Titre abrégé: Risk Manag Healthc Policy
Pays: England
ID NLM: 101566264
Informations de publication
Date de publication:
2021
2021
Historique:
received:
15
04
2021
accepted:
10
06
2021
entrez:
8
7
2021
pubmed:
9
7
2021
medline:
9
7
2021
Statut:
epublish
Résumé
Vaccination is, without doubt, one of the most outstanding health interventions in reducing unprecedented damages of coronavirus disease (COVID-19). Globally, several vaccines have been produced to be effective against COVID-19. This survey aimed to assess the demand and intent towards the COVID-19 vaccine among the general population in Ethiopia. Also, factors influencing their demand, intention, and willingness to pay for the COVID-19 vaccine were described, which is poorly understood in resource-limited settings. Subjects were 1160 individuals who completed an online questionnaire from February to March 2021. The study used the health belief model (HBM) to evaluate participants' intention to receive and willingness to pay (WTP) regarding the COVID-19 vaccine. Chi-square and binary logistic regression were conducted to identify the prevalence and associated factors of demand and WTP. Multinomial regression was done to examine the intent to receive a vaccine. In total 1116 responses were collected. The results indicated a moderate level of demand and WTP among participants (64.7% and 56.0%, respectively). Further, the researchers examined participants' readiness towards COVID-19 vaccination, where 46.6% of participants had a definite intent, and close to half of the participants are unsure (32.8%) or unwilling (20.7%) to get vaccinated. Among other factors, items under perceived susceptibility and perceived benefits constructs in the HBM have been associated with participants' demand, willingness to vaccinate, and WTP. This study demonstrates the usefulness of the HBM model in evaluating the demand, intention, and willingness of participants to pay for COVID-19. Improving public awareness of the vulnerability should be a major point of attention to reduce the barriers, and improve demand and intention for COVID-19. Moreover, public health messages should be tailored to enhance vaccine literacy.
Sections du résumé
BACKGROUND
BACKGROUND
Vaccination is, without doubt, one of the most outstanding health interventions in reducing unprecedented damages of coronavirus disease (COVID-19). Globally, several vaccines have been produced to be effective against COVID-19. This survey aimed to assess the demand and intent towards the COVID-19 vaccine among the general population in Ethiopia. Also, factors influencing their demand, intention, and willingness to pay for the COVID-19 vaccine were described, which is poorly understood in resource-limited settings.
METHODS
METHODS
Subjects were 1160 individuals who completed an online questionnaire from February to March 2021. The study used the health belief model (HBM) to evaluate participants' intention to receive and willingness to pay (WTP) regarding the COVID-19 vaccine. Chi-square and binary logistic regression were conducted to identify the prevalence and associated factors of demand and WTP. Multinomial regression was done to examine the intent to receive a vaccine.
RESULTS
RESULTS
In total 1116 responses were collected. The results indicated a moderate level of demand and WTP among participants (64.7% and 56.0%, respectively). Further, the researchers examined participants' readiness towards COVID-19 vaccination, where 46.6% of participants had a definite intent, and close to half of the participants are unsure (32.8%) or unwilling (20.7%) to get vaccinated. Among other factors, items under perceived susceptibility and perceived benefits constructs in the HBM have been associated with participants' demand, willingness to vaccinate, and WTP.
CONCLUSION
CONCLUSIONS
This study demonstrates the usefulness of the HBM model in evaluating the demand, intention, and willingness of participants to pay for COVID-19. Improving public awareness of the vulnerability should be a major point of attention to reduce the barriers, and improve demand and intention for COVID-19. Moreover, public health messages should be tailored to enhance vaccine literacy.
Identifiants
pubmed: 34234590
doi: 10.2147/RMHP.S315043
pii: 315043
pmc: PMC8253933
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2743-2756Informations de copyright
© 2021 Seboka et al.
Déclaration de conflit d'intérêts
The authors declare that they have no competing interests in this work.
Références
Nat Hum Behav. 2021 Mar;5(3):337-348
pubmed: 33547453
Nat Med. 2021 Feb;27(2):225-228
pubmed: 33082575
Health Secur. 2020 Jul/Aug;18(4):338-344
pubmed: 32706599
Psychother Psychosom. 2020;89(6):386-392
pubmed: 32810855
Nicotine Tob Res. 2021 Mar 05;:
pubmed: 33751125
Acta Biomed. 2020 Mar 19;91(1):157-160
pubmed: 32191675
PLoS One. 2019 Apr 30;14(4):e0215904
pubmed: 31039175
Lancet Reg Health Eur. 2021 Feb;1:100012
pubmed: 33954296
Am J Prev Med. 2021 Jun;60(6):766-773
pubmed: 33773862
N Engl J Med. 2021 Feb 18;384(7):e23
pubmed: 33406324
BMJ. 2021 Jan 29;372:n281
pubmed: 33514535
Econ Disaster Clim Chang. 2020 Jul 23;:1-27
pubmed: 32838120
BMJ. 2020 Nov 2;371:m4074
pubmed: 33139247
Hum Vaccin Immunother. 2020 Sep 1;16(9):2204-2214
pubmed: 32730103
Innov Pharm. 2012;3(2):1-11
pubmed: 22844651
J Health Commun. 2020 Oct 2;25(10):808-815
pubmed: 33719888
Vaccine. 2021 Feb 12;39(7):1080-1086
pubmed: 33461833
Indian J Public Health. 2020 Jun;64(Supplement):S156-S167
pubmed: 32496248
Front Microbiol. 2020 Jul 14;11:1526
pubmed: 32760367
PLoS Negl Trop Dis. 2020 Dec 17;14(12):e0008961
pubmed: 33332359
Vaccines (Basel). 2021 Apr 21;9(5):
pubmed: 33919254
Vaccine. 2016 Dec 20;34(52):6707-6714
pubmed: 27773475
Bull World Health Organ. 2015 May 1;93(5):339-346C
pubmed: 26229205
PLoS One. 2021 May 24;16(5):e0251963
pubmed: 34029345
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Jan;63(1):32-39
pubmed: 31802154