Cargando…

Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region

Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghazy, Ramy Mohamed, Abdou, Marwa Shawky, Awaidy, Salah, Sallam, Malik, Elbarazi, Iffat, Youssef, Naglaa, Fiidow, Osman Abubakar, Mehdad, Slimane, Hussein, Mohamed Fakhry, Adam, Mohammed Fathelrahman, Abdullah, Fatimah Saed Alabd, Rebai, Wafa Kammoun, Raad, Etwal Bou, Hussein, Mai, Shehata, Shehata F., Ismail, Ismail Ibrahim, Salam, Arslan Ahmed, Samhouri, Dalia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566578/
https://www.ncbi.nlm.nih.gov/pubmed/36231447
http://dx.doi.org/10.3390/ijerph191912136
_version_ 1784809184687030272
author Ghazy, Ramy Mohamed
Abdou, Marwa Shawky
Awaidy, Salah
Sallam, Malik
Elbarazi, Iffat
Youssef, Naglaa
Fiidow, Osman Abubakar
Mehdad, Slimane
Hussein, Mohamed Fakhry
Adam, Mohammed Fathelrahman
Abdullah, Fatimah Saed Alabd
Rebai, Wafa Kammoun
Raad, Etwal Bou
Hussein, Mai
Shehata, Shehata F.
Ismail, Ismail Ibrahim
Salam, Arslan Ahmed
Samhouri, Dalia
author_facet Ghazy, Ramy Mohamed
Abdou, Marwa Shawky
Awaidy, Salah
Sallam, Malik
Elbarazi, Iffat
Youssef, Naglaa
Fiidow, Osman Abubakar
Mehdad, Slimane
Hussein, Mohamed Fakhry
Adam, Mohammed Fathelrahman
Abdullah, Fatimah Saed Alabd
Rebai, Wafa Kammoun
Raad, Etwal Bou
Hussein, Mai
Shehata, Shehata F.
Ismail, Ismail Ibrahim
Salam, Arslan Ahmed
Samhouri, Dalia
author_sort Ghazy, Ramy Mohamed
collection PubMed
description Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance among respondents. Overall, 2327 participants responded to the questionnaire. In total, 1468 received compulsory doses of vaccination. Of them, 739 (50.3%) received booster doses and 387 (26.4%) were willing to get the COVID-19 vaccine booster doses. Vaccine booster dose acceptance rates in low, middle, and high-income countries were 73.4%, 67.9%, and 83.0%, respectively (p < 0.001). Participants who reported reliance on information about the COVID-19 vaccination from the Ministry of Health websites were more willing to accept booster doses (79.3% vs. 66.6%, p < 0.001). The leading causes behind booster dose rejection were the beliefs that booster doses have no benefit (48.35%) and have severe side effects (25.6%). Determinants of booster dose acceptance were age (odds ratio (OR) = 1.02, 95% confidence interval (CI): 1.01–1.03, p = 0.002), information provided by the Ministry of Health (OR = 3.40, 95% CI: 1.79–6.49, p = 0.015), perceived susceptibility to COVID-19 infection (OR = 1.88, 95% CI: 1.21–2.93, p = 0.005), perceived severity of COVID-19 (OR = 2.08, 95% CI: 137–3.16, p = 0.001), and perceived risk of side effects (OR = 0.25, 95% CI: 0.19–0.34, p < 0.001). Booster dose acceptance in EMR is relatively high. Interventions based on HBM may provide useful directions for policymakers to enhance the population’s acceptance of booster vaccination.
format Online
Article
Text
id pubmed-9566578
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95665782022-10-15 Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region Ghazy, Ramy Mohamed Abdou, Marwa Shawky Awaidy, Salah Sallam, Malik Elbarazi, Iffat Youssef, Naglaa Fiidow, Osman Abubakar Mehdad, Slimane Hussein, Mohamed Fakhry Adam, Mohammed Fathelrahman Abdullah, Fatimah Saed Alabd Rebai, Wafa Kammoun Raad, Etwal Bou Hussein, Mai Shehata, Shehata F. Ismail, Ismail Ibrahim Salam, Arslan Ahmed Samhouri, Dalia Int J Environ Res Public Health Article Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance among respondents. Overall, 2327 participants responded to the questionnaire. In total, 1468 received compulsory doses of vaccination. Of them, 739 (50.3%) received booster doses and 387 (26.4%) were willing to get the COVID-19 vaccine booster doses. Vaccine booster dose acceptance rates in low, middle, and high-income countries were 73.4%, 67.9%, and 83.0%, respectively (p < 0.001). Participants who reported reliance on information about the COVID-19 vaccination from the Ministry of Health websites were more willing to accept booster doses (79.3% vs. 66.6%, p < 0.001). The leading causes behind booster dose rejection were the beliefs that booster doses have no benefit (48.35%) and have severe side effects (25.6%). Determinants of booster dose acceptance were age (odds ratio (OR) = 1.02, 95% confidence interval (CI): 1.01–1.03, p = 0.002), information provided by the Ministry of Health (OR = 3.40, 95% CI: 1.79–6.49, p = 0.015), perceived susceptibility to COVID-19 infection (OR = 1.88, 95% CI: 1.21–2.93, p = 0.005), perceived severity of COVID-19 (OR = 2.08, 95% CI: 137–3.16, p = 0.001), and perceived risk of side effects (OR = 0.25, 95% CI: 0.19–0.34, p < 0.001). Booster dose acceptance in EMR is relatively high. Interventions based on HBM may provide useful directions for policymakers to enhance the population’s acceptance of booster vaccination. MDPI 2022-09-25 /pmc/articles/PMC9566578/ /pubmed/36231447 http://dx.doi.org/10.3390/ijerph191912136 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ghazy, Ramy Mohamed
Abdou, Marwa Shawky
Awaidy, Salah
Sallam, Malik
Elbarazi, Iffat
Youssef, Naglaa
Fiidow, Osman Abubakar
Mehdad, Slimane
Hussein, Mohamed Fakhry
Adam, Mohammed Fathelrahman
Abdullah, Fatimah Saed Alabd
Rebai, Wafa Kammoun
Raad, Etwal Bou
Hussein, Mai
Shehata, Shehata F.
Ismail, Ismail Ibrahim
Salam, Arslan Ahmed
Samhouri, Dalia
Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title_full Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title_fullStr Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title_full_unstemmed Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title_short Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model: A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
title_sort acceptance of covid-19 vaccine booster doses using the health belief model: a cross-sectional study in low-middle- and high-income countries of the east mediterranean region
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566578/
https://www.ncbi.nlm.nih.gov/pubmed/36231447
http://dx.doi.org/10.3390/ijerph191912136
work_keys_str_mv AT ghazyramymohamed acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT abdoumarwashawky acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT awaidysalah acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT sallammalik acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT elbaraziiffat acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT youssefnaglaa acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT fiidowosmanabubakar acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT mehdadslimane acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT husseinmohamedfakhry acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT adammohammedfathelrahman acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT abdullahfatimahsaedalabd acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT rebaiwafakammoun acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT raadetwalbou acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT husseinmai acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT shehatashehataf acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT ismailismailibrahim acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT salamarslanahmed acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion
AT samhouridalia acceptanceofcovid19vaccineboosterdosesusingthehealthbeliefmodelacrosssectionalstudyinlowmiddleandhighincomecountriesoftheeastmediterraneanregion