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Abstract

Background

The start of the COVID-19 vaccination campaign among French healthcare and welfare sector workers in January 2021 offered an opportunity to study psychological antecedents of vaccination in this group.

Aim

We explored whether knowledge and attitude items related to social conformism and confidence in systems contributed to explaining intention for COVID-19 vaccination.

Methods

We developed a knowledge and attitude questionnaire with 30 items related to five established and two hypothetical psychological antecedents of vaccination (KA-7C). The online questionnaire was distributed from 18 December 2020 to 1 February 2021 through chain-referral via professional networks, yielding a convenience sample. We used multivariable logistic regression to explore the associations of individual and grouped KA-7C items with COVID-19 vaccine intention.

Results

Among 5,234 participants, the vaccine intention model fit (pseudo R-squared values) increased slightly but significantly from 0.62 to 0.65 when adding social conformism and confidence in systems items. Intention to vaccinate was associated with the majority opinion among family and friends (OR: 11.57; 95% confidence interval (CI): 4.51–29.67) and a positive perception of employer’s encouragement to get vaccinated (vs negative; OR: 6.41; 95% CI: 3.36–12.22). The strongest association of a knowledge item was identifying the statement ‘ as false (OR: 2.36; 95% CI: 1.73–3.22).

Conclusion

The results suggest that social conformism and confidence in systems are distinct antecedents of vaccination among healthcare and welfare workers, which should be taken into account in vaccine promotion.

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This work is licensed under a Creative Commons Attribution 4.0 International License.
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/content/10.2807/1560-7917.ES.2022.27.17.2100617
2022-04-28
2024-12-25
/content/10.2807/1560-7917.ES.2022.27.17.2100617
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Social conformism and confidence in systems as additional psychological antecedents of vaccination: a survey to explain intention for COVID-19 vaccination among healthcare and welfare sector workers, France, December 2020 to February 2021
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Simi+Moirangthem&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Moirangthem Simi</a>, <a href="/search?value1=Cyril+Olivier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Olivier Cyril</a>, <a href="/search?value1=Amandine+Gagneux-Brunon&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Gagneux-Brunon Amandine</a>, <a href="/search?value1=G%C3%A9rard+P%C3%A9llissier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Péllissier Gérard</a>, <a href="/search?value1=Dominique+Abiteboul&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Abiteboul Dominique</a>, <a href="/search?value1=Isabelle+Bonmarin&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bonmarin Isabelle</a>, <a href="/search?value1=Elisabeth+Rouveix&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Rouveix Elisabeth</a>, <a href="/search?value1=Elisabeth+Botelho-Nevers&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Botelho-Nevers Elisabeth</a>, <a href="/search?value1=Judith+E+Mueller&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Mueller Judith E</a></span>. Social conformism and confidence in systems as additional psychological antecedents of vaccination: a survey to explain intention for COVID-19 vaccination among healthcare and welfare sector workers, France, December 2020 to February 2021. <a href="/content/ecdc">Euro Surveill.</a> 2022;27(17):pii=2100617. <a href="https://doi.org/10.2807/1560-7917.ES.2022.27.17.2100617" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2022.27.17.2100617</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 17 Jun 2021;&nbsp;&nbsp; <span class="generated">Accepted</span>: 21 Jan 2022 </span> </p>
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