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Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK

Rhiannon Phillips Orcid Logo, David Gillespie, Britt Hallingberg, Jennifer Evans, Khadijeh Taiyari, Anna Torrens‐Burton, Rebecca Cannings‐John, Denitza Williams, Elizabeth Sheils, Pauline Ashfield‐Watt, Ashley Akbari Orcid Logo, Kathryn Hughes, Emma Thomas‐Jones, Delyth James, Fiona Wood

British Journal of Health Psychology, Volume: 27, Issue: 4, Pages: 1354 - 1381

Swansea University Author: Ashley Akbari Orcid Logo

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DOI (Published version): 10.1111/bjhp.12606

Abstract

ObjectivesUsing the Health Belief Model as a conceptual framework, we investigated the association between attitudes towards COVID-19, COVID-19 vaccinations, and vaccine hesitancy and change in these variables over a 9-month period in a UK cohort.MethodsThe COPE study cohort (n = 11,113) was recruit...

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Published in: British Journal of Health Psychology
ISSN: 1359-107X 2044-8287
Published: Wiley 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa60128
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The study was advertised via the HealthWise Wales research registry and social media. Follow-up data were available for 6942 people at 3 months (June/July 2020) and 5037 at 12&#x2009;months (March/April 2021) post-enrolment. Measures included demographics, perceived threat of COVID-19, perceived control, intention to accept or decline a COVID-19 vaccination, and attitudes towards vaccination. Logistic regression models were fitted cross-sectionally at 3 and 12&#x2009;months to assess the association between motivational factors and vaccine hesitancy. Longitudinal changes in motivational variables for vaccine-hesitant and non-hesitant groups were examined using mixed-effect analysis of variance models.ResultsFear of COVID-19, perceived susceptibility to COVID-19, and perceived personal control over COVID-19 infection transmission decreased between the 3- and 12-month surveys.Vaccine hesitancy at 12&#x2009;months was independently associated with low fear of the disease and more negative attitudes towards COVID-19 vaccination. Specific barriers to COVID-19 vaccine uptake included concerns about safety and efficacy in light of its rapid development, mistrust of government and pharmaceutical companies, dislike of coercive policies, and perceived lack of relaxation in COVID-19-related restrictions as the vaccination programme progressed.ConclusionsDecreasing fear of COVID-19, perceived susceptibility to the disease, and perceptions of personal control over reducing infection-transmission may impact future COVID-19 vaccination uptake.</abstract><type>Journal Article</type><journal>British Journal of Health Psychology</journal><volume>27</volume><journalNumber>4</journalNumber><paginationStart>1354</paginationStart><paginationEnd>1381</paginationEnd><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1359-107X</issnPrint><issnElectronic>2044-8287</issnElectronic><keywords>behaviour change, COVID-19, risk perception, SARS CoV2, vaccine hesitancy</keywords><publishedDay>1</publishedDay><publishedMonth>6</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-06-01</publishedDate><doi>10.1111/bjhp.12606</doi><url/><notes/><college>COLLEGE NANME</college><department>Health Data Science</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HDAT</DepartmentCode><institution>Swansea University</institution><apcterm/><funders>Llywodraeth Cymru. 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spelling 2023-01-04T15:02:18.8404289 v2 60128 2022-06-04 Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK aa1b025ec0243f708bb5eb0a93d6fb52 0000-0003-0814-0801 Ashley Akbari Ashley Akbari true false 2022-06-04 HDAT ObjectivesUsing the Health Belief Model as a conceptual framework, we investigated the association between attitudes towards COVID-19, COVID-19 vaccinations, and vaccine hesitancy and change in these variables over a 9-month period in a UK cohort.MethodsThe COPE study cohort (n = 11,113) was recruited via an online survey at enrolment in March/April 2020. The study was advertised via the HealthWise Wales research registry and social media. Follow-up data were available for 6942 people at 3 months (June/July 2020) and 5037 at 12 months (March/April 2021) post-enrolment. Measures included demographics, perceived threat of COVID-19, perceived control, intention to accept or decline a COVID-19 vaccination, and attitudes towards vaccination. Logistic regression models were fitted cross-sectionally at 3 and 12 months to assess the association between motivational factors and vaccine hesitancy. Longitudinal changes in motivational variables for vaccine-hesitant and non-hesitant groups were examined using mixed-effect analysis of variance models.ResultsFear of COVID-19, perceived susceptibility to COVID-19, and perceived personal control over COVID-19 infection transmission decreased between the 3- and 12-month surveys.Vaccine hesitancy at 12 months was independently associated with low fear of the disease and more negative attitudes towards COVID-19 vaccination. Specific barriers to COVID-19 vaccine uptake included concerns about safety and efficacy in light of its rapid development, mistrust of government and pharmaceutical companies, dislike of coercive policies, and perceived lack of relaxation in COVID-19-related restrictions as the vaccination programme progressed.ConclusionsDecreasing fear of COVID-19, perceived susceptibility to the disease, and perceptions of personal control over reducing infection-transmission may impact future COVID-19 vaccination uptake. Journal Article British Journal of Health Psychology 27 4 1354 1381 Wiley 1359-107X 2044-8287 behaviour change, COVID-19, risk perception, SARS CoV2, vaccine hesitancy 1 6 2022 2022-06-01 10.1111/bjhp.12606 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University Llywodraeth Cymru. Grant Number: Ser Cymru III WG 90; Health and Care Research Wales; Cardiff University; Cardiff Metropolitan University 2023-01-04T15:02:18.8404289 2022-06-04T15:39:47.7132375 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Rhiannon Phillips 0000-0002-4256-4598 1 David Gillespie 2 Britt Hallingberg 3 Jennifer Evans 4 Khadijeh Taiyari 5 Anna Torrens‐Burton 6 Rebecca Cannings‐John 7 Denitza Williams 8 Elizabeth Sheils 9 Pauline Ashfield‐Watt 10 Ashley Akbari 0000-0003-0814-0801 11 Kathryn Hughes 12 Emma Thomas‐Jones 13 Delyth James 14 Fiona Wood 15 60128__24479__4d74009536e649b0b17180e2bfd80435.pdf 60128_VoR.pdf 2022-07-07T12:41:36.3467995 Output 825496 application/pdf Version of Record true © 2022 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License true eng http://creativecommons.org/licenses/by-nc-nd/4.0/
title Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
spellingShingle Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
Ashley Akbari
title_short Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
title_full Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
title_fullStr Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
title_full_unstemmed Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
title_sort Perceived threat of COVID-19, attitudes towards vaccination, and vaccine hesitancy: A prospective longitudinal study in the UK
author_id_str_mv aa1b025ec0243f708bb5eb0a93d6fb52
author_id_fullname_str_mv aa1b025ec0243f708bb5eb0a93d6fb52_***_Ashley Akbari
author Ashley Akbari
author2 Rhiannon Phillips
David Gillespie
Britt Hallingberg
Jennifer Evans
Khadijeh Taiyari
Anna Torrens‐Burton
Rebecca Cannings‐John
Denitza Williams
Elizabeth Sheils
Pauline Ashfield‐Watt
Ashley Akbari
Kathryn Hughes
Emma Thomas‐Jones
Delyth James
Fiona Wood
format Journal article
container_title British Journal of Health Psychology
container_volume 27
container_issue 4
container_start_page 1354
publishDate 2022
institution Swansea University
issn 1359-107X
2044-8287
doi_str_mv 10.1111/bjhp.12606
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description ObjectivesUsing the Health Belief Model as a conceptual framework, we investigated the association between attitudes towards COVID-19, COVID-19 vaccinations, and vaccine hesitancy and change in these variables over a 9-month period in a UK cohort.MethodsThe COPE study cohort (n = 11,113) was recruited via an online survey at enrolment in March/April 2020. The study was advertised via the HealthWise Wales research registry and social media. Follow-up data were available for 6942 people at 3 months (June/July 2020) and 5037 at 12 months (March/April 2021) post-enrolment. Measures included demographics, perceived threat of COVID-19, perceived control, intention to accept or decline a COVID-19 vaccination, and attitudes towards vaccination. Logistic regression models were fitted cross-sectionally at 3 and 12 months to assess the association between motivational factors and vaccine hesitancy. Longitudinal changes in motivational variables for vaccine-hesitant and non-hesitant groups were examined using mixed-effect analysis of variance models.ResultsFear of COVID-19, perceived susceptibility to COVID-19, and perceived personal control over COVID-19 infection transmission decreased between the 3- and 12-month surveys.Vaccine hesitancy at 12 months was independently associated with low fear of the disease and more negative attitudes towards COVID-19 vaccination. Specific barriers to COVID-19 vaccine uptake included concerns about safety and efficacy in light of its rapid development, mistrust of government and pharmaceutical companies, dislike of coercive policies, and perceived lack of relaxation in COVID-19-related restrictions as the vaccination programme progressed.ConclusionsDecreasing fear of COVID-19, perceived susceptibility to the disease, and perceptions of personal control over reducing infection-transmission may impact future COVID-19 vaccination uptake.
published_date 2022-06-01T04:17:59Z
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score 11.013148

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