COVID-19 Vaccination Acceptance in the Context of the Health Belief Model: Comparative Cross-Sectional Study in Punjab, Pakistan

Rubeena Zakar, Ain ul Momina, Ruhma Shahzad, Sara Shahzad, Mahwish Hayee, Muhammad Zakria Zakar and Florian Fischer ()
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Rubeena Zakar: Department of Public Health, University of the Punjab, Lahore 54590, Pakistan
Ain ul Momina: Health Service Delivery in Punjab, King Edward Medical University, Lahore 54000, Pakistan
Ruhma Shahzad: Department of Public Health, University of the Punjab, Lahore 54590, Pakistan
Sara Shahzad: Department of Public Health and Primary Care, University of Cambridge, Cambridge CB2 1TN, UK
Mahwish Hayee: Oxford Policy Management, Islamabad 44000, Pakistan
Muhammad Zakria Zakar: Vice Chancellor Office, University of Poonch Rawalakot, Rawalakot 12350, Azad Jammu and Kashmir, Pakistan
Florian Fischer: Institute of Public Health, Charité–Universitätsmedizin Berlin, 10117 Berlin, Germany

IJERPH, 2022, vol. 19, issue 19, 1-14

Abstract: One of the models that could be used to understand the adoption of vaccine uptake is the Health Belief Model (HBM). The aim of this study is to assess the role of HBM constructs and Perceived Health Status (PHS) on the vaccination status of individuals and to understand the role of socio-demographic variables on HBM scoring. A comparative cross-sectional telephone survey was conducted among 1325 vaccinated (60.0%) and non-vaccinated (40.0%) individuals aged 40 years and above in July 2021 in Punjab province, Pakistan. A higher level of education was the strongest predictor of positive HBM. All constructs of HBM, PHS and cues-to-action were significant predictors of COVID-19 vaccination uptake, with perceived benefits as the strongest predictor. In order to expand the vaccination coverage, double-pronged interventions utilizing both information and communication technology and human resources should be designed that address each barrier perceived by individuals and understandably communicate the benefits of COVID-19 vaccination to the broader population.

Keywords: corona; SARS-CoV-2; vaccine; mass media; cues-to-action; health status (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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