Exploring pre-pandemic patterns of vaccine decision-making with the 5C model: results from representative surveys in 2016 and 2018.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Decision Making*; Humans ; Female ; Middle Aged ; Male ; Adult ; Germany ; Aged ; Young Adult ; Influenza Vaccines/administration & dosage ; Surveys and Questionnaires ; Vaccination Hesitancy/psychology ; Vaccination Hesitancy/statistics & numerical data ; Adolescent ; Intention ; Vaccination/statistics & numerical data ; Vaccination/psychology ; Influenza, Human/prevention & control ; Pandemics/prevention & control

Background: The 5C psychological antecedents of vaccination (Confidence, Complacency, Constraints, Calculation, and Collective Responsibility) facilitate understanding vaccination decisions in specific target groups as well as the general public's informational needs. This study aims to explain pre-pandemic vaccination behaviour (a) in general, (b) for specific vaccines such as influenza, and (c) for certain target groups (e.g. people over the age of 59 years, parents, healthcare workers), using the 5C model and sociodemographic variables. The intention to get an influenza vaccination was also analysed for target groups.
Methods: The 5C, self-reported vaccination behaviour and the intention to vaccinate were collected in two representative telephone surveys in Germany - one in 2016 (n 1  = 5,012) and another in 2018 (n 2  = 5,054). Parents, people over the age of 59 years, chronically ill people, people with a migratory background, pregnant women and healthcare workers were target groups.
Results: Overall, the 5C model had higher explanatory power than sociodemographic variables. The pattern of vaccine hesitancy slightly differed between vaccinations and target groups. Confidence in safety and effectiveness was always a significant predictor. Complacency (the underestimation of disease risks) and Constraints were significant predictors as well. Calculation (of risks and benefits) was important for influenza vaccination intentions.
Conclusions: This work builds an important benchmark for understanding potential changes in vaccine acceptance due to the pandemic. The benchmark can be used in research on potential effects of the pandemic on vaccination behaviours. Intervention designers can also use the results to understand specific audiences and their vaccination decisions.
(© 2024. The Author(s).)

Health Psychol. 2007 Mar;26(2):136-45. (PMID: 17385964)
Nature. 2011 May 26;473(7348):443-5. (PMID: 21614055)
Nature. 2022 Aug;608(7922):253. (PMID: 35883006)
Aust N Z J Public Health. 2021 Aug;45(4):385-390. (PMID: 33818843)
PLoS One. 2018 Dec 7;13(12):e0208601. (PMID: 30532274)
Behav Med. 2023 Jul-Sep;49(3):258-270. (PMID: 35057715)
Vaccines (Basel). 2021 Oct 25;9(11):. (PMID: 34835174)
Lancet. 2020 Apr 18;395(10232):1255-1256. (PMID: 32247323)
BMC Public Health. 2012 Oct 31;12:938. (PMID: 23113995)
Leukemia. 2020 Aug;34(8):2217-2219. (PMID: 32555367)
Rheumatol Int. 2021 Jun;41(6):1105-1114. (PMID: 33779780)
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Apr;62(4):400-409. (PMID: 30805674)
EClinicalMedicine. 2021 Oct;40:101113. (PMID: 34490416)
Transl Behav Med. 2021 Dec 14;11(12):2194-2199. (PMID: 34529080)
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):845-57. (PMID: 23703506)
Vaccine. 2016 Sep 22;34(41):5013-5020. (PMID: 27576074)
PLoS One. 2019 Jan 24;14(1):e0210648. (PMID: 30677072)
Proc Natl Acad Sci U S A. 2015 Dec 8;112(49):E6725-6. (PMID: 26598650)
Vaccine. 2014 Aug 27;32(38):4860-5. (PMID: 24262311)
J Med Internet Res. 2020 Jun 12;22(6):e15099. (PMID: 32530433)
Vaccines (Basel). 2022 Nov 10;10(11):. (PMID: 36366407)
Appl Psychol Health Well Being. 2021 Nov;13(4):986-995. (PMID: 34032388)
Health Psychol. 2013 Sep;32(9):978-85. (PMID: 24001248)
JMIR Form Res. 2020 Feb 24;4(4):e14747. (PMID: 32293576)
Hum Vaccin Immunother. 2018 Mar 4;14(3):772-789. (PMID: 28787234)
Soc Sci Med. 2014 Jul;112:1-11. (PMID: 24788111)
Lancet. 2011 Aug 6;378(9790):526-35. (PMID: 21664679)
Health Psychol. 2022 Feb;41(2):85-93. (PMID: 34570535)
Lancet Reg Health Eur. 2021 Jul;6:100147. (PMID: 34124708)
Vaccine X. 2021 Aug;8:100094. (PMID: 33821245)
Hum Vaccin Immunother. 2013 Aug;9(8):1763-73. (PMID: 23584253)
Nat Commun. 2022 Dec 6;13(1):7511. (PMID: 36473855)
PLoS One. 2017 Jan 26;12(1):e0170550. (PMID: 28125629)
PLoS One. 2022 Sep 12;17(9):e0274186. (PMID: 36095020)

Keywords: 5C model; Health decision-making; Vaccination behaviour; Vaccination intentions; Vaccine hesitancy

0 (Influenza Vaccines)

Date Created: 20240430 Date Completed: 20240430 Latest Revision: 20240915

20240915

PMC11061918

10.1186/s12889-024-18674-9

38689253