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Factors associated with behavioral intention of free and self-paid severe acute respiratory coronavirus virus 2 (SARS-CoV-2) vaccination based on the social cognitive theory among nurses and doctors in China

Part of: SARS-CoV-2/COVID-19

Published online by Cambridge University Press:  03 May 2021

Rui She ,
Xi Chen ,
Liping Li ,
Lijuan Li ,
Zepeng Huang  and
Joseph T.F. Lau Open the ORCID record for Joseph T.F. Lau [Opens in a new window]
Rui She*
Affiliation:
Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
Xi Chen
Affiliation:
Hunan Provincial Center for Disease Control and Prevention, Changsha, China
Liping Li
Affiliation:
Shantou University Medical College, Shantou, China
Lijuan Li
Affiliation:
School of Public Health, Dali University, Dali, Yunnan, China
Zepeng Huang
Affiliation:
The Second Affiliated Hospital of Shantou University Medical College, Shantou, China
Joseph T.F. Lau
Affiliation:
Centre for Health Behaviours Research, School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China
*
Author for correspondence: Prof Joseph Tak Fai Lau, E-mail: jlau@cuhk.edu.hk
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Abstract

Objective:

To examine the associations between factors based on the social cognitive theory (SCT) and behavioral intention among doctors and nurses in China toward free and self-paid (600 RMB or US$91) severe acute respiratory coronavirus virus 2 (SARS-CoV-2) vaccination given 80% effectiveness and rare mild side effects.

Design:

Cross-sectional study.

Setting:

Public hospitals.

Participants:

The study included 362 doctors and 1,702 nurses in major departments of 5 hospitals of 3 Chinese provinces.

Methods:

An anonymous online survey was conducted from October to November 2020, facilitated by hospital administrators through online WeChat/QQ working groups. Data on outcome expectations, self-efficacy, norms, and COVID-19–related work experiences were collected. Multivariate logistic regression models were used for data analyses.

Results:

The logistic regression analysis showed that physical (eg, protective effect of vaccination) and self-evaluative outcome expectations (eg, anticipated regret), self-efficacy, norms (eg, descriptive norm, subjective norm, professional norm, and moral norm), and job satisfaction were significantly and positively associated with the free and self-paid SARS-CoV-2 vaccination intention outcomes among doctors and nurses, adjusted for background variables. Doctors who had engaged in COVID-19–related work reported higher self-paid vaccination intention.

Conclusions:

Health promotion is needed to improve the uptake of SARS-CoV-2 vaccination among healthcare workers. Such interventions may consider modifying the identified factors of vaccination intention, including strengthening perceived efficacy, positive feelings about vaccination, the need to avoid future regret, self-efficacy, and social norms. Future studies should examine the actual behavior patterns of SARS-CoV-2 vaccination, and the efficacy of promotion intervention should be tested in randomized controlled studies.

Type
Original Article
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 5 , May 2022 , pp. 609 - 615
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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