Investigating the tendency to use COVID-19 vaccine booster dose in Iran
Abstract Introduction Vaccine hesitancy is recognized as a significant public health threats, characterized by delays, refusals, or reluctance to accept vaccinations despite their availability. This study, aimed to investigate the willingness of Iranians to receive booster shots, refusal rate, and t...
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| Format: | Article |
| Language: | English |
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BMC
2023-10-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-023-09788-8 |
| _version_ | 1797577177456181248 |
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| author | Mehrdad Askarian AmirAli Rastegar Kazerooni zahra Shayan Parisa Karimzadeh Mohammad Movahedi Nahid Hatam |
| author_facet | Mehrdad Askarian AmirAli Rastegar Kazerooni zahra Shayan Parisa Karimzadeh Mohammad Movahedi Nahid Hatam |
| author_sort | Mehrdad Askarian |
| collection | DOAJ |
| description | Abstract Introduction Vaccine hesitancy is recognized as a significant public health threats, characterized by delays, refusals, or reluctance to accept vaccinations despite their availability. This study, aimed to investigate the willingness of Iranians to receive booster shots, refusal rate, and their preferred type of COVID-19 vaccine. Materials and methods This cross-sectional study was conducted over a month from August 23 to September 22, 2022 using an online questionnaire distributed through WhatsApp and Telegram online communities. The questionnaire assessed participants’ intent to accept COVID-19 booster vaccination and had no exclusion criteria. Data analysis involved using SPSS version 16.0, with t-tests and chi-square tests used to assess the bivariate association of continuous and categorical variables. A multivariate logistic regression model was built to examine the association between Health Belief Model (HBM) tenets and COVID-19 vaccination intent. The Hosmer Lemeshow Goodness of Fit statistic was used to assess the model’s fit, with a p-value > 0.05 indicating a good fit. Results The survey was disseminated to 1041 adults and the findings revealed that 82.5% of participants expressed a desire to receive the booster dose. Participants who intended to be vaccinated were generally older (46.4 ± 10.9), mostly female (53.3%), single (78.9%), had received a flu vaccine (45.8%). The findings indicated that the HBM items, including perception of COVID-19 disease, perceived benefits of COVID-19 vaccines, COVID-19 safety/cost concerns, preference of COVID-19 vaccine alternatives, and prosocial norms for COVID-19 vaccination, received higher scores among individuals intending to be vaccinated compared to vaccine-hesitant individuals, with statistical significance (p < 0.05). However, the “COVID-19 risk-reduction habits” item had a higher score but did not reach statistical significance (p = 0.167). Conclusion Factors such as lack of trust in the effectiveness of the vaccine, trust in specific vaccine manufacturers, and concerns about side effects of COVID-19 vaccine are among the most important factors. These findings have implications for national vaccination policies, emphasizing the need for policymakers in the health sector to address these factors as vital considerations to ensure the continuity of vaccination as one of the most important strategies for controlling the pandemic. |
| first_indexed | 2024-03-10T22:05:26Z |
| format | Article |
| id | doaj.art-6b43ce98c6644881857ff0ccfcc4ae24 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-03-10T22:05:26Z |
| publishDate | 2023-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-6b43ce98c6644881857ff0ccfcc4ae242023-11-19T12:49:49ZengBMCBMC Health Services Research1472-69632023-10-012311710.1186/s12913-023-09788-8Investigating the tendency to use COVID-19 vaccine booster dose in IranMehrdad Askarian0AmirAli Rastegar Kazerooni1zahra Shayan2Parisa Karimzadeh3Mohammad Movahedi4Nahid Hatam5Department of Community Medicine, School of Medicine, Health Behavior Science Research Center, Shiraz University of Medical SciencesStudent Research Committee, Shiraz University of Medical SciencesDepartment of Biostatistics, school of medicine, shiraz university of medical sciencesDepartment of Health, West Chester UniversityInstitute of Health Policy, Management, and Evaluation, University of TorontoDepartment of Community Medicine, School of Medicine, Shiraz University of Medical SciencesAbstract Introduction Vaccine hesitancy is recognized as a significant public health threats, characterized by delays, refusals, or reluctance to accept vaccinations despite their availability. This study, aimed to investigate the willingness of Iranians to receive booster shots, refusal rate, and their preferred type of COVID-19 vaccine. Materials and methods This cross-sectional study was conducted over a month from August 23 to September 22, 2022 using an online questionnaire distributed through WhatsApp and Telegram online communities. The questionnaire assessed participants’ intent to accept COVID-19 booster vaccination and had no exclusion criteria. Data analysis involved using SPSS version 16.0, with t-tests and chi-square tests used to assess the bivariate association of continuous and categorical variables. A multivariate logistic regression model was built to examine the association between Health Belief Model (HBM) tenets and COVID-19 vaccination intent. The Hosmer Lemeshow Goodness of Fit statistic was used to assess the model’s fit, with a p-value > 0.05 indicating a good fit. Results The survey was disseminated to 1041 adults and the findings revealed that 82.5% of participants expressed a desire to receive the booster dose. Participants who intended to be vaccinated were generally older (46.4 ± 10.9), mostly female (53.3%), single (78.9%), had received a flu vaccine (45.8%). The findings indicated that the HBM items, including perception of COVID-19 disease, perceived benefits of COVID-19 vaccines, COVID-19 safety/cost concerns, preference of COVID-19 vaccine alternatives, and prosocial norms for COVID-19 vaccination, received higher scores among individuals intending to be vaccinated compared to vaccine-hesitant individuals, with statistical significance (p < 0.05). However, the “COVID-19 risk-reduction habits” item had a higher score but did not reach statistical significance (p = 0.167). Conclusion Factors such as lack of trust in the effectiveness of the vaccine, trust in specific vaccine manufacturers, and concerns about side effects of COVID-19 vaccine are among the most important factors. These findings have implications for national vaccination policies, emphasizing the need for policymakers in the health sector to address these factors as vital considerations to ensure the continuity of vaccination as one of the most important strategies for controlling the pandemic.https://doi.org/10.1186/s12913-023-09788-8COVID-19 vaccinationVaccine hesitancyVaccination willingnessBooster dose |
| spellingShingle | Mehrdad Askarian AmirAli Rastegar Kazerooni zahra Shayan Parisa Karimzadeh Mohammad Movahedi Nahid Hatam Investigating the tendency to use COVID-19 vaccine booster dose in Iran BMC Health Services Research COVID-19 vaccination Vaccine hesitancy Vaccination willingness Booster dose |
| title | Investigating the tendency to use COVID-19 vaccine booster dose in Iran |
| title_full | Investigating the tendency to use COVID-19 vaccine booster dose in Iran |
| title_fullStr | Investigating the tendency to use COVID-19 vaccine booster dose in Iran |
| title_full_unstemmed | Investigating the tendency to use COVID-19 vaccine booster dose in Iran |
| title_short | Investigating the tendency to use COVID-19 vaccine booster dose in Iran |
| title_sort | investigating the tendency to use covid 19 vaccine booster dose in iran |
| topic | COVID-19 vaccination Vaccine hesitancy Vaccination willingness Booster dose |
| url | https://doi.org/10.1186/s12913-023-09788-8 |
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