Title : What factors affect acceptance attitudes toward vaccination? A national cross-sectional study
Background: Vaccine hesitancy is affected by multiple factors and is a threat to global health. This study aimed to explore the factors that affect acceptance attitudes toward vaccination and establish an influencing factor model.
Methods: A cross-sectional study was performed. The survey included sociodemographic characteristics, anxiety, personal risk perception, and acceptance attitudes toward vaccination. The data were analyzed using t tests, one-way analysis of variance (ANOVA), and multiple linear regression in IBM SPSS 25.0 (IBM Corp., Armonk, NY, USA).
Results: A total of 4021 individuals participated in the survey. The mean acceptance attitudes were above the moderate level (4.02±0.51), the mean Perceived Risk of Pandemic Scale (PRCPS) score was below the moderate level (2.66±0.58), and the mean SAS score was also below the moderate level (2.05±0.53). The results showed that internal variables (sex, age, marital status, professional background, region) and external variables (average family income, distance from home to vaccination site, medical family background) were statistically significant (P<0.05). Sex, region, distance from home to vaccination site, SAS score, medical family background, risk coping, emotional perception and psychological representation of unusual severity were predictors of acceptance attitudes. Based on these results, we constructed a theoretical model of influencing factors for vaccine acceptance attitudes.
Conclusion: Participants had greater acceptance attitudes toward vaccination, although some barriers to vaccine acceptance remain.
Audience Take Away Notes:
- Vaccine hesitancy is considered by the World Health Organization (WHO) as "one of the top ten threats to global health"
- Acceptance attitudes toward vaccination affect the vaccine coverage rate
- A theoretical model of influencing factors for vaccine acceptance attitudes was constructed
- Some controllable barrier factors should be considered to achieve herd immunity established by vaccines