DOI QR코드

DOI QR Code

Influencing Factors of COVID-19 Vaccination Intention among College Students: Based on Andersen's Model

대학생의 코로나19 백신 접종의도의 영향요인: 앤더슨 모형의 적용

  • Bae, Suyeon (College of Nursing, The Catholic University) ;
  • Kim, Heeju (College of Nursing, The Catholic University)
  • Received : 2021.09.04
  • Accepted : 2021.12.08
  • Published : 2021.12.31

Abstract

Purpose: This study aimed to investigate COVID-19 vaccination intention among college students in Korea and verify the factors influencing vaccination. Methods: From April 28 to May 3, 2021, an online survey was conducted on a total of 323 college students. Measures included the 5C scale and the vaccine literacy scale. A logistic regression analysis was performed to identify the factors associated with COVID-19 vaccination intention among students. Results: Among the respondents, 47.7% had the intention to receive the vaccine following the government vaccination plan. Influencing factors of intention to COVID-19 vaccination included the higher level of confidence and collective responsibility and the lower level of constraints and calculation. However, vaccine literacy, socio-demographics, the influence of others, the contents and main source of information about the COVID-19 vaccine, health status and COVID-19-related experiences did not influence the intention to vaccination. The content analysis on self-reported reasons for the decreased vaccination intention resulted in three main categories, including "anxiety about the vaccine", "distrust in the government" and "no need of vaccination." Conclusion: In order to increase COVID-19 vaccination acceptance among college students and form herd immunity, it is necessary to increase the trust in vaccines and emphasize the importance of herd immunity.

Keywords

References

  1. Al-Sanafi, M., & Sallam, M. (2021). Psychological determinants of COVID-19 vaccine acceptance among healthcare workers in Kuwait: A cross-sectional study using the 5C and vaccine conspiracy beliefs scales. Vaccines, 9(7), 701. https://doi.org/10.3390/vaccines9070701
  2. Andersen, R., & Aday, L. A. (1978). Access to medical care in the US: realized and potential. Medical care, 16(7), 533-546. https://doi.org/10.1097/00005650-197807000-00001
  3. Bang, K. S., Sung, S. M., Koo, B. Y., Kim, M. J., Kim, Y. N., Kim, J. S., & Ryu, S. M. (2011). Female university students' HPV-related knowledge and influencing factors on HPV vaccination. Asian Oncology Nursing, 11(3), 186-192. https://doi.org/10.5388/jkon.2011.11.3.186
  4. Betsch, C., Schmid, P., Heinemeier, D., Korn, L., Holtmann, C., & Bohm, R. (2018). Beyond confidence: Development of a measure assessing the 5C psychological antecedents of vaccination. PloS one, 13(12). https://doi.org/10.1371/journal.pone.0208601
  5. Betsch, C., Schmid, P., Korn, L., Steinmeyer, L., Heinemeier, D., Eitze, S., Kupke, N. K., & Bohm, R. (2019). Psychological antecedents of vaccination: Definitions, measurement, and interventions. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 62(4), 400-409. https://doi.org/10.1007/s00103-019-02900-6
  6. Biasio, L. R., Bonaccorsi, G., Lorini, C., & Pecorelli, S. (2021). Assessing COVID-19 vaccine literacy: A preliminary online survey. Human Vaccines & Immunotherapeutics, 17(5), 1304-1312. https://doi.org/10.1080/21645515.2020.1829315
  7. Bradley, E. H., McGraw, S. A., Curry, L., Buckser, A., King, K. L., Kasl, S. V., & Andersen, R. (2002). Expanding the andersen model: The role of psychosocial factors in long-term care use. Health services research, 37(5), 1221-1242. https://doi.org/10.1111/1475-6773.01053
  8. Carter, A. (2021). Ask the expert: COVID-19 vaccines and chronic conditions. Retrieved October 7, 2021, from http://www.healthline.com/health/chronic-illness/ask-the-expert-covid-19-vaccines-and-chronic-conditions
  9. DeVon, H. A., Block, M. E., Moyle-Wright, P., Ernst, D. M., Hayden, S. J., Lazzara, D. J., Savoy, S. M., & Kostas-Polston, E. (2007). A psychometric toolbox for testing validity and reliability. Journal of Nursing scholarship, 39(2), 155-164. https://doi.org/10.1111/j.1547-5069.2007.00161.x
  10. Elo, S., & Kyngas, H. (2008). The qualitative content analysis process. Journal of advanced nursing, 62(1), 107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  11. Gallup Korea. (2021). Gallup korea daily opinion No. 442. Retrieved December 28, 2021, from https://www.gallup.co.kr/gallupdb/reportContent.asp?seqNo=1192
  12. Jennings, W., Stoker, G., Willis, H., Valgardsson, V., Gaskell, J., Devine, D., Mckay, L., & Mills, M. C. (2021). Lack of trust, conspiracy beliefs, and social media use predict COVID-19 vaccine hesitancy. Vaccines, 9(6), 593. https://doi.org/10.3390/vaccines9060593
  13. Kamano, H., Mori, T., Maeta, H., Taminato, T., Ishida, T., Kishimoto, N., Katami, T., Sato, M., Kamachi, K., & Mochida, Y. (2010). Analysis of Bordetella pertussis agglutinin titers during an outbreak of pertussis at a university in Japan. Japanese journal of infectious diseases, 63(2), 108-112.
  14. Kecojevic, A., Basch, C. H., Sullivan, M., Chen, Y.-T., & Davi, N. K. (2021). COVID-19 vaccination and intention to vaccinate among a sample of college students in New Jersey. Journal of Community Health, 46, 1059-1068 https://doi.org/10.1007/s10900-021-00992-3
  15. Kim, Y.B., Park, C.M., Kim, H.H., & Han, C.H. (2010). Health behavior and utilization of university health clinics. The Journal of Korean Society for School & Community Health Education, 11(1), 79-91.
  16. Koirala, A., Joo, Y. J., Khatami, A., Chiu, C., & Britton, P. N. (2020). Vaccines for COVID-19: The current state of play. Paediatric Respiratory Reviews, 35, 43-49. https://doi.org/10.1016/j.prrv.2020.06.010
  17. Korea Disease Control and Prevention Agency (KDCA). (2020). COVID-19 Regular briefing. Retrieved December 28, 2021, from http://www.kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&list_no=711226&cg_code=&act=view&nPage=48
  18. Korea Disease Control and Prevention Agency (KDCA). (2021). COVID-19 domestic occurrence status. Retrieved December 28, 2021, from http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&board_id=&gubun=
  19. Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2021). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine, 27, 225-228. https://doi.org/10.1038/s41591-020-1124-9
  20. Lee, H. Y., Kwon, M., Vang, S., DeWolfe, J., Kim, N. K., Lee, D. K., & Yeung, M. (2015). Disparities in human papillomavirus vaccine literacy and vaccine completion among asian american pacific islander undergraduates: Implications for cancer health equity. Journal of American College Health, 63(5), 316-323. https://doi.org/10.1080/07448481.2015.1031237
  21. Lin, Y., Hu, Z., Zhao, Q., Alias, H., Danaee, M., & Wong, L. P. (2020). Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China. PLOS Neglected Tropical Diseases, 14(12), e0008961. https://doi.org/10.1371/journal.pntd.0008961
  22. Lynn, M. R. (1986). Determination and quantification of content validity. Nurs Res, 35(6), 382-385.
  23. MacDonald, N. E. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161-4164. https://doi.org/10.1016/j.vaccine.2015.04.036
  24. Pastorino, R., Villani, L., Mariani, M., Ricciardi, W., Graffigna, G., & Boccia, S. (2021). Impact of COVID-19 pandemic on flu and COVID-19 vaccination intentions among university students. Vaccines, 9(2), 70. https://doi.org/10.3390/vaccines9020070
  25. Peduzzi, P., Concato, J., Kemper, E., Holford, T. R., & Feinstein, A. R. (1996). A simulation study of the number of events per variable in logistic regression analysis. Journal of Clinical Epidemiology, 49(12), 1373-1379. https://doi.org/10.1016/S0895-4356(96)00236-3
  26. Qiao, S., Tam, C. C., & Li, X. (2020). Risk exposures, risk perceptions, negative attitudes toward general vaccination, and COVID-19 vaccine acceptance among college students in South Carolina. medRxiv. https://doi.org/10.1101/2020.11.26.20239483
  27. Ratzan, S. C. (2011). Vaccine literacy: A new shot for advancing health. Journal of Health Communication, 16(3), 227-229. https://doi.org/10.1080/10810730.2011.561726
  28. Shekhar, R., Sheikh, A. B., Upadhyay, S., Singh, M., Kottewar, S., Mir, H., Barrett, E., & Pal, S. (2021). COVID-19 vaccine acceptance among health care workers in the united states. Vaccines, 9(2), 119. https://doi.org/10.3390/vaccines9020119
  29. Wang, J., Jing, R., Lai, X., Zhang, H., Lyu, Y., Knoll, M., & Fang, H. (2020). Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines, 8(3), 482. https://doi.org/10.3390/vaccines8030482
  30. Wang, X., Zhou, X., Leesa, L., & Mantwill, S. (2018). The effect of vaccine literacy on parental trust and intention to vaccinate after a major vaccine scandal. Journal of Health Communication, 23(5), 413-421. https://doi.org/10.1080/10810730.2018.1455771