Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)

As the literature highlights, many health behavior theories try to explain both social and psychological variables influencing an individual’s health behavior. This study integrates insights relative to the antecedents of getting vaccinated from health behavior theories, particularly including the h...

Full description

Bibliographic Details
Main Authors: Massimiliano Barattucci, Stefano Pagliaro, Chiara Ballone, Manuel Teresi, Carlo Consoli, Alice Garofalo, Andrea De Giorgio, Tiziana Ramaci
Format: Article
Language:English
Published: MDPI AG 2022-07-01
Series:Vaccines
Subjects:
Online Access:https://www.mdpi.com/2076-393X/10/7/1099
_version_ 1797415088037036032
author Massimiliano Barattucci
Stefano Pagliaro
Chiara Ballone
Manuel Teresi
Carlo Consoli
Alice Garofalo
Andrea De Giorgio
Tiziana Ramaci
author_facet Massimiliano Barattucci
Stefano Pagliaro
Chiara Ballone
Manuel Teresi
Carlo Consoli
Alice Garofalo
Andrea De Giorgio
Tiziana Ramaci
author_sort Massimiliano Barattucci
collection DOAJ
description As the literature highlights, many health behavior theories try to explain both social and psychological variables influencing an individual’s health behavior. This study integrates insights relative to the antecedents of getting vaccinated from health behavior theories, particularly including the health belief model (HBM), the theory of planned behavior (TPB), and the different socio-demographic factors. Furthermore, we considered the possible mechanism of impact of distrust in science on individuals’ hesitance and resistance to taking up SARS-CoV-2 vaccination in subjects living in Italy. A correlational study of 1095 subjects enrolled when the national vaccination campaign for the third dose was launched. A questionnaire was used to measure: Italian Risk Perception; subjective norm; trust in science, trust in the vaccine; fear of COVID-19; fear of the vaccine; perceived knowledge about SARS-CoV-2; booster vaccination intention. Principal results show that: (i) the positive relationship provided by HBM theory between perceptions of SARS-CoV-2 risk (vulnerability and severity) and intention to have the vaccine, through fear of COVID-19; (ii) the positive relationship between subjective norms and both trust in science and vaccination intention; (iii) that trust in science plays a crucial role in predicting vaccination intention. Finally, the results provided indications about a positive relationship between subjective norms and fear of COVID-19, and a full mediation role of trust in science in the relationships between determinants of both TPA and HBM, fear of COVID-19, and vaccination intention. In conclusion, an individual’s intention (not) to get vaccinated requires the consideration of a plethora of socio-psychological factors. However, overall, trust in science appears to be a key determinant of vaccination intention. Additional strategies promoting healthy behavior are needed.
first_indexed 2024-03-09T05:42:59Z
format Article
id doaj.art-3dd515ef7e004d909706d8c021277cba
institution Directory Open Access Journal
issn 2076-393X
language English
last_indexed 2024-03-09T05:42:59Z
publishDate 2022-07-01
publisher MDPI AG
record_format Article
series Vaccines
spelling doaj.art-3dd515ef7e004d909706d8c021277cba2023-12-03T12:23:15ZengMDPI AGVaccines2076-393X2022-07-01107109910.3390/vaccines10071099Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)Massimiliano Barattucci0Stefano Pagliaro1Chiara Ballone2Manuel Teresi3Carlo Consoli4Alice Garofalo5Andrea De Giorgio6Tiziana Ramaci7Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, University of Studies ‘Gabriele d’Annunzio’, 66100 Chieti, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, University of Studies ‘Gabriele d’Annunzio’, 66100 Chieti, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, University of Studies ‘Gabriele d’Annunzio’, 66100 Chieti, ItalyKoinè, Interdisciplinary Center for Psychology and Educational Sciences, 00185 Rome, ItalyFaculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, ItalyFaculty of Psychology, eCampus University, 22060 Novedrate, ItalyFaculty of Human and Social Sciences, Kore University of Enna, 94100 Enna, ItalyAs the literature highlights, many health behavior theories try to explain both social and psychological variables influencing an individual’s health behavior. This study integrates insights relative to the antecedents of getting vaccinated from health behavior theories, particularly including the health belief model (HBM), the theory of planned behavior (TPB), and the different socio-demographic factors. Furthermore, we considered the possible mechanism of impact of distrust in science on individuals’ hesitance and resistance to taking up SARS-CoV-2 vaccination in subjects living in Italy. A correlational study of 1095 subjects enrolled when the national vaccination campaign for the third dose was launched. A questionnaire was used to measure: Italian Risk Perception; subjective norm; trust in science, trust in the vaccine; fear of COVID-19; fear of the vaccine; perceived knowledge about SARS-CoV-2; booster vaccination intention. Principal results show that: (i) the positive relationship provided by HBM theory between perceptions of SARS-CoV-2 risk (vulnerability and severity) and intention to have the vaccine, through fear of COVID-19; (ii) the positive relationship between subjective norms and both trust in science and vaccination intention; (iii) that trust in science plays a crucial role in predicting vaccination intention. Finally, the results provided indications about a positive relationship between subjective norms and fear of COVID-19, and a full mediation role of trust in science in the relationships between determinants of both TPA and HBM, fear of COVID-19, and vaccination intention. In conclusion, an individual’s intention (not) to get vaccinated requires the consideration of a plethora of socio-psychological factors. However, overall, trust in science appears to be a key determinant of vaccination intention. Additional strategies promoting healthy behavior are needed.https://www.mdpi.com/2076-393X/10/7/1099vaccinationboosterintentionvulnerabilityseveritytrust
spellingShingle Massimiliano Barattucci
Stefano Pagliaro
Chiara Ballone
Manuel Teresi
Carlo Consoli
Alice Garofalo
Andrea De Giorgio
Tiziana Ramaci
Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
Vaccines
vaccination
booster
intention
vulnerability
severity
trust
title Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
title_full Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
title_fullStr Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
title_full_unstemmed Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
title_short Trust in Science as a Possible Mediator between Different Antecedents and COVID-19 Booster Vaccination Intention: An Integration of Health Belief Model (HBM) and Theory of Planned Behavior (TPB)
title_sort trust in science as a possible mediator between different antecedents and covid 19 booster vaccination intention an integration of health belief model hbm and theory of planned behavior tpb
topic vaccination
booster
intention
vulnerability
severity
trust
url https://www.mdpi.com/2076-393X/10/7/1099
work_keys_str_mv AT massimilianobarattucci trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT stefanopagliaro trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT chiaraballone trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT manuelteresi trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT carloconsoli trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT alicegarofalo trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT andreadegiorgio trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb
AT tizianaramaci trustinscienceasapossiblemediatorbetweendifferentantecedentsandcovid19boostervaccinationintentionanintegrationofhealthbeliefmodelhbmandtheoryofplannedbehaviortpb