Fear of COVID-19 and Perceived COVID-19 Infectability Supplement Theory of Planned Behavior to Explain Iranians' Intention to Get COVID-19 Vaccinated

被引:69
作者
Yahaghi, Rafat [1 ]
Ahmadizade, Safie [1 ]
Fotuhi, Razie [1 ]
Taherkhani, Elham [1 ]
Ranjbaran, Mehdi [1 ]
Buchali, Zeinab [1 ]
Jafari, Robabe [1 ]
Zamani, Narges [1 ]
Shahbazkhania, Azam [1 ]
Simiari, Hengame [1 ]
Rahmani, Jalal [1 ]
Yazdi, Nahid [1 ]
Alijani, Hashem [1 ]
Poorzolfaghar, Leila [1 ]
Rajabi, Fatemeh [1 ]
Lin, Chung-Ying [2 ,3 ,4 ]
Brostrom, Anders [5 ,6 ]
Griffiths, Mark D. [7 ]
Pakpour, Amir H. [1 ,5 ]
机构
[1] Qazvin Univ Med Sci, Social Determinants Hlth Res Ctr, Res Inst Prevent Noncommunicable Dis, Qazvin 3419759811, Iran
[2] Natl Cheng Kung Univ, Coll Med, Inst Allied Hlth Sci, Tainan 70101, Taiwan
[3] Natl Cheng Kung Univ, Coll Med, Dept Occupat Therapy, Tainan 70101, Taiwan
[4] Natl Cheng Kung Univ, Natl Cheng Kung Univ Hosp, Coll Med, Dept Publ Hlth, Tainan 70101, Taiwan
[5] Jonkoping Univ, Sch Hlth & Welf, Dept Nursing, SE-55111 Jonkoping, Sweden
[6] Linkoping Univ Hosp, Dept Clin Neurophysiol, SE-58183 Linkoping, Sweden
[7] Nottingham Trent Univ, Psychol Dept, Int Gaming Res Unit, Nottingham NG1 4FQ, England
关键词
COVID-19; fear; Iran; perceived infectability; theory of planned behavior; vaccine; SNIEHOTTA; PRESSEAU; RETIRE; HESITANCY; TIME;
D O I
10.3390/vaccines9070684
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
One of the most efficient methods to control the high infection rate of the coronavirus disease 2019 (COVID-19) is to have a high coverage of COVID-19 vaccination worldwide. Therefore, it is important to understand individuals' intention to get COVID-19 vaccinated. The present study applied the Theory of Planned Behavior (TPB) to explain the intention to get COVID-19 vaccinated among a representative sample in Qazvin, Iran. The TPB uses psychological constructs of attitude, subjective norm, and perceived behavioral control to explain an individual's intention to perform a behavior. Fear and perceived infectability were additionally incorporated into the TPB to explain the intention to get COVID-19 vaccinated. Utilizing multistage stratified cluster sampling, 10,843 participants (4092 males; 37.7%) with a mean age of 35.54 years (SD = 12.00) completed a survey. The survey assessed TPB constructs (including attitude, subjective norm, perceived behavioral control, and intention related to COVID-19 vaccination) together with fear of COVID-19 and perceived COVID-19 infectability. Structural equation modeling (SEM) was performed to examine whether fear of COVID-19, perceived infectability, and the TPB constructs explained individuals' intention to get COVID-19 vaccinated. The SEM demonstrated satisfactory fit (comparative fit index = 0.970; Tucker-Lewis index = 0.962; root mean square error of approximation = 0.040; standardized root mean square residual = 0.050). Moreover, perceived behavioral control, subjective norm, attitude, and perceived COVID-19 infectability significantly explained individuals' intention to get COVID-19 vaccinated. Perceived COVID-19 infectability and TPB constructs were all significant mediators in the relationship between fear of COVID-19 and intention to get COVID-19 vaccinated. Incorporating fear of COVID-19 and perceived COVID-19 infectability effectively into the TPB explained Iranians' intention to get COVID-19 vaccinated. Therefore, Iranians who have a strong belief in Muslim religion may improve their intention to get COVID-19 vaccinated via these constructs.
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页数:15
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