Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale

The aim of the study was to develop and validate the Multidimensional Covid-19 Vaccine Hesitancy Scale (CoVaH), a self-report measure to assess the beliefs and attitudes beneath vaccination hesitancy and reasons for vaccine refusal in the context of Covid-19. A sample of 1503 Hungarian respondents f...

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Main Authors: Ibolya Kotta, Kinga Kalcza-Janosi, Kinga Szabo, Eszter Eniko Marschalko
Format: Article
Language:English
Published: Taylor & Francis Group 2022-01-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2021.2007708
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author Ibolya Kotta
Kinga Kalcza-Janosi
Kinga Szabo
Eszter Eniko Marschalko
author_facet Ibolya Kotta
Kinga Kalcza-Janosi
Kinga Szabo
Eszter Eniko Marschalko
author_sort Ibolya Kotta
collection DOAJ
description The aim of the study was to develop and validate the Multidimensional Covid-19 Vaccine Hesitancy Scale (CoVaH), a self-report measure to assess the beliefs and attitudes beneath vaccination hesitancy and reasons for vaccine refusal in the context of Covid-19. A sample of 1503 Hungarian respondents filled out the scale. Exploratory and confirmatory factor analysis was conducted to identify latent constructs underlying participants′ responses. Findings show a robust three-factor solution for the 15-item CoVaH with high factor loadings on each factor: skepticism, risk perception and fear of Covid-19 vaccine. The CoVaH displayed very good fit indices (KMO = .94, RMSEA = 0.049, CFI = .983) and internal consistencies (α values > .89) and was found to have proper convergent, concurrent and discriminant validity in identifying Covid-19 vaccine hesitancy in the general population. The new scale adds to the literature through the identification of the fear of COVID-19 vaccines, as a newly highlighted explanatory variable of COVID-19 vaccine hesitancy, besides the other formerly identified components. The scale, available in English and Hungarian, allows the assessment of vaccine uptake hesitancy and has the potential to help targeted interventions, considering individual factors that interfere with vaccination acceptance.
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spelling doaj.art-28d3d9db171e4a14aaf5c10f64b953912023-09-26T12:53:16ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-01-0118111010.1080/21645515.2021.20077082007708Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy ScaleIbolya Kotta0Kinga Kalcza-Janosi1Kinga Szabo2Eszter Eniko Marschalko3Babes-Bolyai UniversityBabes-Bolyai UniversityBabes-Bolyai UniversityBabes-Bolyai UniversityThe aim of the study was to develop and validate the Multidimensional Covid-19 Vaccine Hesitancy Scale (CoVaH), a self-report measure to assess the beliefs and attitudes beneath vaccination hesitancy and reasons for vaccine refusal in the context of Covid-19. A sample of 1503 Hungarian respondents filled out the scale. Exploratory and confirmatory factor analysis was conducted to identify latent constructs underlying participants′ responses. Findings show a robust three-factor solution for the 15-item CoVaH with high factor loadings on each factor: skepticism, risk perception and fear of Covid-19 vaccine. The CoVaH displayed very good fit indices (KMO = .94, RMSEA = 0.049, CFI = .983) and internal consistencies (α values > .89) and was found to have proper convergent, concurrent and discriminant validity in identifying Covid-19 vaccine hesitancy in the general population. The new scale adds to the literature through the identification of the fear of COVID-19 vaccines, as a newly highlighted explanatory variable of COVID-19 vaccine hesitancy, besides the other formerly identified components. The scale, available in English and Hungarian, allows the assessment of vaccine uptake hesitancy and has the potential to help targeted interventions, considering individual factors that interfere with vaccination acceptance.http://dx.doi.org/10.1080/21645515.2021.2007708covid-19fear of covid-19 vaccinerisk perceptionlack of confidenceskepticismvaccine hesitancyscale development
spellingShingle Ibolya Kotta
Kinga Kalcza-Janosi
Kinga Szabo
Eszter Eniko Marschalko
Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
Human Vaccines & Immunotherapeutics
covid-19
fear of covid-19 vaccine
risk perception
lack of confidence
skepticism
vaccine hesitancy
scale development
title Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
title_full Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
title_fullStr Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
title_full_unstemmed Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
title_short Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale
title_sort development and validation of the multidimensional covid 19 vaccine hesitancy scale
topic covid-19
fear of covid-19 vaccine
risk perception
lack of confidence
skepticism
vaccine hesitancy
scale development
url http://dx.doi.org/10.1080/21645515.2021.2007708
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AT kingakalczajanosi developmentandvalidationofthemultidimensionalcovid19vaccinehesitancyscale
AT kingaszabo developmentandvalidationofthemultidimensionalcovid19vaccinehesitancyscale
AT eszterenikomarschalko developmentandvalidationofthemultidimensionalcovid19vaccinehesitancyscale