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. 2023 Oct;10(10):6989-7002.
doi: 10.1002/nop2.1954. Epub 2023 Jul 23.

Older adults' acceptance of the COVID-19 vaccine: Application of the health belief model

Fatma M Ibrahim  1 , Doaa E Fadila  1 , Doaa Abd Elhameed Abd Elmawla  1
Affiliations

Older adults' acceptance of the COVID-19 vaccine: Application of the health belief model

Fatma M Ibrahim et al. Nurs Open. 2023 Oct.

Abstract

Aims: To determine the prevalence of COVID-19 vaccination acceptance among older adults and the factors that independently predict vaccine acceptance using the Health Belief Model (HBM).

Design: This was a cross-sectional, descriptive study.

Methods: Consenting older adults aged 60 years and older (n = 384) from Primary Health Care Centers in rural and urban areas of Mansoura District, Egypt, who could interact adequately with researchers participated in the study. The data were collected through an electronic questionnaire that included socio-demographic data, health-related characteristics, and health beliefs based on the HBM framework.

Results: Overall, 46.9% were willing to receive the COVID-19 vaccine, 19.5% declined, and 33.6% were undecided. Higher perceptions of COVID-19 severity, vaccine benefits, and action cues were associated with vaccine acceptance (p = 0.05).

Public contribution: Vaccination campaigns that highlight the benefits of immunization should be prioritized by policymakers. In addition, vaccinated peoples should use social media to spread awareness about the advantages and challenges of vaccination. Nurse leaders should apply the HBM to forecast health-related behaviors, especially vaccination attitudes.

Keywords: COVID-19; Health Belief Model; nursing; older adults; vaccines.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

FIGURE 1
FIGURE 1
The Health Belief Model. Theoretical Framework (Becker, 1984).
See this image and copyright information in PMC

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