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Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model : A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region

Ghazy, Ramy Mohamed ; Abdou, Marwa Shawky ; Awaidy, Salah ; Sallam, Malik LU ; Elbarazi, Iffat ; Youssef, Naglaa ; Fiidow, Osman Abubakar ; Mehdad, Slimane ; Hussein, Mohamed Fakhry and Adam, Mohammed Fathelrahman , et al. (2022) In International Journal of Environmental Research and Public Health 19(19).
Abstract

Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance... (More)

Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance among respondents. Overall, 2327 participants responded to the questionnaire. In total, 1468 received compulsory doses of vaccination. Of them, 739 (50.3%) received booster doses and 387 (26.4%) were willing to get the COVID-19 vaccine booster doses. Vaccine booster dose acceptance rates in low, middle, and high-income countries were 73.4%, 67.9%, and 83.0%, respectively (p < 0.001). Participants who reported reliance on information about the COVID-19 vaccination from the Ministry of Health websites were more willing to accept booster doses (79.3% vs. 66.6%, p < 0.001). The leading causes behind booster dose rejection were the beliefs that booster doses have no benefit (48.35%) and have severe side effects (25.6%). Determinants of booster dose acceptance were age (odds ratio (OR) = 1.02, 95% confidence interval (CI): 1.01–1.03, p = 0.002), information provided by the Ministry of Health (OR = 3.40, 95% CI: 1.79–6.49, p = 0.015), perceived susceptibility to COVID-19 infection (OR = 1.88, 95% CI: 1.21–2.93, p = 0.005), perceived severity of COVID-19 (OR = 2.08, 95% CI: 137–3.16, p = 0.001), and perceived risk of side effects (OR = 0.25, 95% CI: 0.19–0.34, p < 0.001). Booster dose acceptance in EMR is relatively high. Interventions based on HBM may provide useful directions for policymakers to enhance the population’s acceptance of booster vaccination.

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publication status
published
subject
keywords
booster dose acceptance, COVID-19 vaccine, East Mediterranean region, health belief model, vaccine hesitancy
in
International Journal of Environmental Research and Public Health
volume
19
issue
19
article number
12136
publisher
MDPI AG
external identifiers
  • scopus:85139937211
  • pmid:36231447
ISSN
1661-7827
DOI
10.3390/ijerph191912136
language
English
LU publication?
yes
id
e6d1a82a-638f-4179-9cdc-d78e4281658c
date added to LUP
2022-12-14 13:58:48
date last changed
2024-07-07 17:34:37
@article{e6d1a82a-638f-4179-9cdc-d78e4281658c,
  abstract     = {{<p>Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance among respondents. Overall, 2327 participants responded to the questionnaire. In total, 1468 received compulsory doses of vaccination. Of them, 739 (50.3%) received booster doses and 387 (26.4%) were willing to get the COVID-19 vaccine booster doses. Vaccine booster dose acceptance rates in low, middle, and high-income countries were 73.4%, 67.9%, and 83.0%, respectively (p &lt; 0.001). Participants who reported reliance on information about the COVID-19 vaccination from the Ministry of Health websites were more willing to accept booster doses (79.3% vs. 66.6%, p &lt; 0.001). The leading causes behind booster dose rejection were the beliefs that booster doses have no benefit (48.35%) and have severe side effects (25.6%). Determinants of booster dose acceptance were age (odds ratio (OR) = 1.02, 95% confidence interval (CI): 1.01–1.03, p = 0.002), information provided by the Ministry of Health (OR = 3.40, 95% CI: 1.79–6.49, p = 0.015), perceived susceptibility to COVID-19 infection (OR = 1.88, 95% CI: 1.21–2.93, p = 0.005), perceived severity of COVID-19 (OR = 2.08, 95% CI: 137–3.16, p = 0.001), and perceived risk of side effects (OR = 0.25, 95% CI: 0.19–0.34, p &lt; 0.001). Booster dose acceptance in EMR is relatively high. Interventions based on HBM may provide useful directions for policymakers to enhance the population’s acceptance of booster vaccination.</p>}},
  author       = {{Ghazy, Ramy Mohamed and Abdou, Marwa Shawky and Awaidy, Salah and Sallam, Malik and Elbarazi, Iffat and Youssef, Naglaa and Fiidow, Osman Abubakar and Mehdad, Slimane and Hussein, Mohamed Fakhry and Adam, Mohammed Fathelrahman and Abdullah, Fatimah Saed Alabd and Rebai, Wafa Kammoun and Raad, Etwal Bou and Hussein, Mai and Shehata, Shehata F. and Ismail, Ismail Ibrahim and Salam, Arslan Ahmed and Samhouri, Dalia}},
  issn         = {{1661-7827}},
  keywords     = {{booster dose acceptance; COVID-19 vaccine; East Mediterranean region; health belief model; vaccine hesitancy}},
  language     = {{eng}},
  number       = {{19}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model : A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region}},
  url          = {{http://dx.doi.org/10.3390/ijerph191912136}},
  doi          = {{10.3390/ijerph191912136}},
  volume       = {{19}},
  year         = {{2022}},
}