Factors associated with behavioral intention of free and self-paid COVID-19 vaccination based on the social cognitive theory among nurses and doctors in China
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AbstractObjective: To examine the associations between factors based on the Social Cognitive Theory (SCT) and behavioral intention of free and self-paid (600 RMB or 91 USD) COVID-19 vaccination of 80% effectiveness and rare mild side effects among doctors and nurses in China.

Design: Cross-sectional study.

Setting: Public hospitals.

Participants: 362 doctors and 1702 nurses in major departments of five hospitals of three Chinese provinces.

Methods: An anonymous online survey was conducted from October to November 2020, facilitated by hospital administrators through online WeChat/QQ working groups. Data on outcome expectations, self-efficacy, norms, and COVID-19-related work experiences were collected. Multivariate logistic regression models were used for data analysis.

Results: The logistic regression analysis showed that physical (e.g., protective effect of vaccination) and self-evaluative outcome expectations (e.g., anticipated regret), self-efficacy, norms (e.g., descriptive norm, subjective norm, professional norm, and moral norm), and job satisfaction were significantly and positively associated with the free and self-paid COVID-19 vaccination intention outcomes among doctors and nurses, adjusted for background variables. Doctors who had engaged in COVID-19-related work reported higher self-paid vaccination intention.

Conclusions: Health promotion is needed to improve the uptake of COVID-19 vaccination among healthcare workers. Such interventions may consider modifying the identified factors of vaccination intention, including strengthening perceived efficacy, positive feelings about vaccination, the need to avoid future regret, self-efficacy, and social norms. Future studies should examine the actual behavior patterns of COVID-19 vaccination and testing the efficacy of promotion intervention through randomized controlled studies.
Acceptance Date03/05/2021
All Author(s) ListRui She, Xi Chen, Liping Li, Lijuan Li, Zepeng Huang, Joseph T.F. Lau
Journal nameInfection Control and Hospital Epidemiology
PublisherCambridge University Press
LanguagesEnglish-United Kingdom
KeywordsCOVID-19, China, Healthcare Workers, Social Cognitive Theory, Vaccination

Last updated on 2021-01-12 at 23:48