Behavioral, cognitive and emotional determinants of getting vaccinated for COVID-19 and the mediating role of institutional trust among young adults in Cyprus-Reference-Cited by-同舟云学术

Behavioral, cognitive and emotional determinants of getting vaccinated for COVID-19 and the mediating role of institutional trust among young adults in Cyprus

Published:2023-12-28 Issue: Volume: Page:
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Author:

Konstantinou Pinelopi¹,Kyprianidou Maria²,Christodoulou Andria²,McHugh Louise³,Constantinou Marios⁴,Epiphaniou Eleni²,Vahey Nigel⁵,Nicolaou Christiana⁶,Middleton Nicos⁶,Karekla Maria¹,Kassianos Angelos P.⁶

Affiliation:

1. University of Cyprus

2. European University Cyprus

3. University College Dublin

4. University of Nicosia

5. Technological University Dublin

6. Cyprus University of Technology

Abstract

Abstract Background Vaccination uptake is a complex behavior, influenced by numerous factors. Behavioral science theories are commonly used to explain the psychosocial determinants of an individual’s health behavior. This study examined the behavioural, cognitive, and emotional determinants of COVID-19 vaccination intention based on well-established theoretical models: Acceptance and Commitment Therapy (ACT), Capability, Opportunity, Motivation, and Behaviour (COM-B) and the Health Belief Model (HBM). Additionally, it examined the mediating role of institutional trust in the relationship between determinants of these models and vaccination intentions. Methods A cross-sectional study was conducted from January to May 2022, where university students in Cyprus completed an online survey. Results A total of 484 University students in Cyprus completed an online survey, with 23.8% reporting being vaccinated with fewer than three vaccination doses and/or no intention to vaccinate further. Hierarchical logistic regression analysis showed that higher scores in institutional trust, perceived severity, motivation, physical and psychological capability were significantly associated with higher odds of vaccination intention. Higher psychological flexibility and not being infected with COVID-19 were also associated with higher odds of vaccination intention, but not in the final model when all determinants were included. Additionally, significant indirect effects of psychological capability, motivation and perceived severity on vaccination intention were found to be mediated by institutional trust. Conclusions When tackling COVID-19 vaccination hesitancy, behavioural, cognitive, and emotional aspects should be considered. Stakeholders and policymakers are advised to implement targeted vaccination programs in young people while at the same time building trust and improving their capabilities and motivation towards getting vaccinated.

Publisher

Research Square Platform LLC

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