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Perception of COVID-19 Vaccination Based on Health Belief Model and the Acceptance of COVID-19 Booster Vaccination

Risma Arlyani Dewi  -  Faculty of Nursing, Universitas Jember, Indonesia
*Jon Hafan Sutawardana  -  Medical-Surgical Nursing Department, Faculty of Nursing, Universitas Jember, Indonesia
Ana Nistiandani  -  Medical-Surgical Nursing Department, Faculty of Nursing, Universitas Jember, Indonesia
Open Access Copyright (c) 2023 Nurse Media Journal of Nursing
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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Abstract

Background: The COVID-19 booster vaccination proposes a spike in cases due to new infection variants. According to the Health Belief Model (HBM), vaccination acceptance is a health change behavior measured by perception. However, more information is needed about the relationship between public perception and future acceptance of the COVID-19 booster vaccination.

Purpose: This research aimed to analyze the relationship between the perception of COVID-19 vaccination based on the HBM and the acceptance of COVID-19 booster vaccination.

Methods: The research used observational analytics design with a cross-sectional approach conducted at the community of a public health center in Jember Regency, Indonesia. Purposive sampling was used to recruit 387 respondents. The inclusion criteria were people aged >18 who had received a complete primary vaccination. The research instruments consisted of some questionnaires: respondent characteristics, perceptions of COVID-19 vaccination based on the HBM, and the acceptance of COVID-19 booster vaccination. Data were analyzed using Chi-square and a logistic regression test.

Results: The results showed that most respondents accepted the COVID-19 booster vaccine (67.4%). There was a significant relationship between perception’s subscales of COVID-19 vaccination, such as perceived susceptibility (p=0.001), perceived severity (p=0.001), perceived benefits (p=0.001), perceived barriers (p=0.001), cues to action (p=0.001) and the acceptance of the COVID-19 booster vaccination. Cues to action were the most dominant factor related to the acceptance of the COVID-19 booster vaccination (OR=5.265; 95%CI=3.073-9.022; p<0.001).

Conclusion: Positive perceptions of all HBM subscales, which showed a good perception in the community, indicated the high acceptance of the COVID-19 booster vaccine. For clinical practice, this research can be developed by surveying patients who have comorbidities.
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Keywords: COVID-19 booster vaccine; COVID-19 vaccination; Health Belief Model; COVID-19
Funding: Universitas Jember Fakultas Keperawatan

Article Metrics:

  1. Al-Mohaithef, M., & Padhi, B. K. (2020). Determinants of COVID-19 vaccine acceptance in Saudi Arabia: A web-based national survey. Journal of Multidisciplinary Healthcare, 13, 1657–1663. https://doi.org/10.2147/JMDH.S276771
  2. Arumsari, W., Desty, R. T., & Kusumo, W. E. G. (2021). Gambaran penerimaan vaksin COVID-19 di Kota Semarang [Description of acceptance of the COVID-19 vaccine in Semarang city]. Indonesian Journal of Health Community, 2(1), 35. https://doi.org/10.31331/ijheco.v2i1.1682
  3. Burke, P. F., Masters, D., & Massey, G. (2021). Enablers and barriers to COVID-19 vaccine uptake: An international study of perceptions and intentions. Vaccines, 39(January), 5116–5128. https://doi.org/10.1016/j.vaccine.2021.07.056
  4. Dolgin, E. (2021). Omicron is supercharging the COVID vaccine booster debate. Nature, 1–8. https://doi.org/10.1038/d41586-021-03592-2
  5. Efendi, D., Kurniasari, M. D., Huda, M. H., Farid, R. I., Rias, Y. A., Prawira, Y., Putri, N. D., Utami, A. R., Asmarini, T. A., Lestari, P. L., Mais, P., & Babaka, A. (2022). Non-comorbid respiratory factor and work of breathing in pediatric covid-19 patient: How is their synergistic correlation with the level of care? Nurse Media Journal of Nursing, 12(3), 390–403. https://doi.org/10.14710/nmjn.v12i3.45340
  6. Erawan, M. A. S. P., Zaid, K. P., & Lestari, A. Y. (2021). Predicting Covid - 19 vaccination intention : The role of Health Belief Model of Muslim societies in Yogyakarta. Al-Sihah : Public Health Science Journal, 13(July), 36–50. https://doi.org/10.24252/al-sihah.v13i1.20647
  7. Glanz, K., Rimer, B. K., & Viswanath, K. (2015). Health behavior: Theory, research, and practice. In Medicine (5th ed., p. 571). Jossey-Bass
  8. Jain, V. K., Iyengar, K. P., & Ish, P. (2021). Elucidating causes of COVID-19 infection and related deaths after vaccination. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 15(5), 1–6. https://doi.org/10.1016/j.dsx.2021.102212
  9. Karlsson, L. C., Soveri, A., Lewandowsky, S., Karlsson, L., Karlsson, H., Nolvi, S., Karukivi, M., Lindfelt, M., & Antfolk, J. (2021). Fearing the disease or the vaccine: The case of COVID-19. Personality and Individual Differences, 172, 110590. https://doi.org/10.1016/j.paid.2020.110590
  10. Lai, X., Zhu, H., Wang, J., Huang, Y., Jing, R., Lyu, Y., Zhang, H., Feng, H., Guo, J., & Fang, H. (2021). Public perceptions and acceptance of covid-19 booster vaccination in China: A cross-sectional study. Vaccines, 9(12), 1461. https://doi.org/10.3390/vaccines9121461
  11. Lasmita, Y. (2021). Analysis of acceptance of COVID-19 vaccination in the community. Equatorial Public Health Journal, 9(4), 195–204. https://doi.org/10.29406/jkmk.v9i4.3056
  12. Liaumin, L., Rahman, R., & Lade Albar Khalza. (2021). Penerimaan masyarakat terhadap vaksin COVID-19 berdasarkan teori Health Belief Model di kecamatan Poasia kota Kendari. [Community acceptance of the COVID-19 vaccine based on the Health Belief Model theory in Poasia district, Kendari city]. Hospital Majapahit Journal, 13(2), 129–141. https://ejournal.stikesmajapahit.ac.id/index.php/HM/article/view/738
  13. Lin, Y., Hu, Z., & Zhao, Q. (2020). Understanding COVID-19 vaccine demand and hesitancy : A nationwide online survey in China. LOS Neglected Tropical Diseases 28(11), 1–22. https://doi.org/10.1371/journal.pntd.0008961
  14. Liu, H., Chen, S., Liu, M., Nie, H., & Lu, H. (2020). Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: A systematic review and meta-analysis. Aging and Disease, 11(3), 668. https://doi.org/10.14336/AD.2020.0502
  15. Mailani, F., Muthia, R., Huriani, E., Krisdianto, B. F., & Oktarina, E. (2022). The challenges of Intensive Care Unit nurses caring for COVID-19 patients in Indonesia: A qualitative study. Nurse Media Journal of Nursing, 12(2), 233–248. https://doi.org/10.14710/nmjn.v12i2.46250
  16. Ministry of Health The Republic of Indonesia [MoHRI]. (2022). Vaksinasi COVID-19 nasional [National COVID-19 vaccines]. Ministry of Health The Republic of Indonesia. https://vaksin.kemkes.go.id/#/vaccines
  17. Mondal, P., Sinharoy, A., & Su, L. (2021). Sociodemographic predictors of COVID-19 vaccine acceptance: A nationwide US-based survey study. Public Health, 198(June), 252–259. https://doi.org/10.1016/j.puhe.2021.07.028
  18. Neumann, S., Nirosha, B., Varghese, E., Sabat, I., Pita, P., & Werner, B. (2020). Once we have it, will we use it ? A European survey on willingness to be vaccinated against COVID‑19. The European Journal of Health Economics, 21(7), 977–982. https://doi.org/10.1007/s10198-020-01208-6
  19. Nursalam. (2020). Metodologi penelitian ilmu keperawatan: Suatu pendekatan praktis (edisi 5) [Nursing science research methodology: A practical approach (5th ed.)]. Salemba Medika. http://marefateadyan.nashriyat.ir/node/150
  20. Paul, E., Steptoe, A., & Fancourt, D. (2021). Attitudes towards vaccines and intention to vaccinate against COVID-19: Implications for public health communications. The Lancet Regional Health - Europe, 1, 100012. https://doi.org/10.1016/j.lanepe.2020.100012
  21. Rodriguez, M., López-Cepero, A., Ortiz-Martínez, A. P., Fernández-Repollet, E., & Pérez, C. M. (2021). Influence of health beliefs on covid-19 vaccination among individuals with cancer and other comorbidities in Puerto Rico. Vaccines, 9(9), 1–12. https://doi.org/10.3390/vaccines9090994
  22. Shmueli, L. (2021). Predicting intention to receive COVID-19 vaccine among the general population using the Health Belief Model and the theory of Planned Behavior Model. BMC Public Health, 21(1), 804. https://doi.org/10.1186/s12889-021-10816-7
  23. Sihidi, I. T., Romadhan, A. A., & Fitrah, D. (2022). Vaksin dan sentimen publik: Sebuah analisis. [Vaccines and public sentiment: An analysis]. Journal of Political Issues, 3, 107–114. https://doi.org/https://doi.org/10.33019/jpi.v3i2.72
  24. Vebrielna, N. (2021). Faktor-faktor yang berhubungan dengan penerimaan masyarakat terhadap vaksinasi COVID-19 di kota Padang tahun 2021 [Factors related to community acceptance of COVID-19 vaccination in Padang city in 2021] [Unpublished Thesis]. Faculty of Public Health Universitas Andalas, 22-214
  25. Wang, J., Jing, R., Lai, X., Zhang, H., Lyu, Y., Knoll, M. D., & Fang, H. (2020). Acceptance of covid-19 vaccination during the covid-19 pandemic in China. Vaccines, 8(3), 1–14. https://doi.org/10.3390/vaccines8030482
  26. Wong, L. P., Alias, H., Wong, P. F., Lee, H. Y., & Abubakar, S. (2020). The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay. Human Vaccines and Immunotherapeutics, 16(9), 2204–2214. https://doi.org/10.1080/21645515.2020.1790279
  27. Wong, M. C. S., Wong, E. L. Y., Huang, J., Cheung, A. W. L., Law, K., Chong, M. K. C., Ng, R. W. Y., Lai, C. K. C., Boon, S. S., Lau, J. T. F., Chen, Z., & Chan, P. K. S. (2020). Acceptance of the COVID-19 vaccine based on the health belief model: A population-based survey in Hong Kong. Vaccine, 39(7), 1148–1156. https://doi.org/10.1016/j.vaccine.2020.12.083
  28. World Health Organization [WHO]. (2021). Can booster doses contribute to control this pandemic: What research is needed ? World Health Organization. https://cdn.who.int/media/docs/default-source/blue-print/who-vaccines-research_13aug2021_final-for-web.pdf?sfvrsn=1e52ba60_7&download=true
  29. Worldmeter. (2022). COVID live - coronavirus statistic worldmeter. Worldmeter Coronavirus. https://www.worldometers.info/coronavirus/
  30. Yazia, V., Hasni, H., Mardhotillah, A., & Gea, T. E. W. (2020). Dukungan keluarga dan tingkat kecemasan orangtua dalam kepatuhan imunisasi dasar pada masa pandemi COVID-19 [Family support and parent anxiety in compliance with basic immunization in the COVID-19 pandemic]. Jurnal Keperawatan, 12(4), 1043–1050. https://doi.org/10.32583/keperawatan.v12i4.1107
  31. Zampetakis, L. A. (2021). The Health Belief Model predicts vaccination intentions against COVID- ­ 19 : A survey experiment approach. International Association of Applied Psychology, February, 1–16. https://doi.org/10.1111/aphw.12262

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Last update: 2024-07-16 12:53:12

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