Intention of COVID-19 Vaccination Among Unvaccinated Older Adults in Suratthani: Insights After the Pandemic
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Abstract
The purpose of this predictive correlational was to study factors predicting COVID-19 vaccination intention of unvaccinated older adults. Using the Health Belief Model framework, this predictive correlational research aimed to 1) determine the intention to receive the COVID-19 vaccine among unvaccinated older adults and 2) identify factors predicting the intention to receive the COVID-19 vaccine among this group. Participants included 120 older adults who had not received a COVID-19 vaccination. They were selected through convenience and snowball sampling. Data was analyzed using logistic regression analysis.
The results of the study found that the mean intention to be vaccinated against COVID-19 of unvaccinated older adults in this study was 3.45 (S.D. = 3.07) and Increased perceived susceptibility to COVID-19 was significantly associated with an increased possibility of COVID-19 vaccination intention among these older adults (OR = 1.65, 95% CI = 1.22-2.22).
Findings from this study provide nurses, medical personnel, and public health policymakers with guidelines for designing services and strategies to encourage older adults who have not yet been vaccinated to receive the COVID-19 vaccine in order to reduce infection rates and mortality among this population.
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References
Al-Hanawi, M. K., Alshareef, N. & El-Sokkary, R. H. (2021). Willingness to receive COVID-19 vaccination among older adults in Saudi Arabia: A community-based survey. Vaccines, 9(11), 1257. doi.org/10.3390/vaccines9111257
Austin, P. C. & Steyerberg, E. W. (2017). Events per variable (EPV) and the relative performance of different strategies for estimating the out-of-sample validity of logistic regression models. Statistical Methods in Medical Research, 26(2), 796-808.
doi.org/10.1177/0962280214558972
BBC News Thailand. (2024, June 29). COVID severity in 2024. Retrieved (2024, June 29). from https://www.bbc.com/thai/articles/c7229218zplo
Caycho-Rodríguez, T., Tomás, J. M., Carbajal-León, C., Vilca, L. W., Reyes-Bossio, M., Intimayta- Escalante, C., Vivanco-Vidal, A., Saroli-Araníbar, D., Esteban, R. F. C. & White, M. (2022). Sociodemographic and psychological predictors of intention to receive a COVID-19 vaccine in elderly Peruvians. Trends in Psychology, 30(1), 206-223. doi.org/10.1007/s43076-021-00099-7
Chiangmai Provincial Public Health Office. (2018). Health screening guide for the elderly health promotion. Chiang Mai: Author. Retrieved from https://www.chiangmaihealth.go.th/cmpho_web/main_section.php?info_id=4197 (in Thai).
Department of Disease Control. (2019). Situation and performance review project for prevention and control of chronic non-communicable diseases In Thailand 2017-2019. Retrieved (2022, May 23). from
https://ddc.moph.go.th/uploads/publish/1036320200810073233.pdf (in Thai).
Department of Disease Control. (2022). Announcement to reduce COVID severity. Retrieved
(2023, May 3). https://ddc.moph.go.th/uploads/files/16420221201035158.pdf (in Thai).
Department of Disease Control. (2022). Report on the situation of COVID-19 vaccination services for the 12th week of 2022. Retrieved (2022, March 27). from https://ddc.moph.go.th/vaccine-covid19/getFiles/9/1648628896295.pdf (in Thai)
Department of Disease Control. (2022). Situation of COVID-19 deaths in Thailand.Retrieved (2022, March 27). from
https://ddc.moph.go.th/covid19-dashboard/?dashboard=death-statistics (in Thai).
Department of Disease Control. (2023). Report on the situation of COVID-19 vaccination services. Retrieved Retrieved (2022, May 20). from https://ddc.moph.go.th/vaccine-covid19/getFiles/10/1678949903705.pdf (in Thai).
Department of Mental Health. (2021). Vaccination against COVID-19 in the elderly. Retrieved (2022, July30). from https://dmh.go.th/news-dmh/view.asp?id=30858 (in Thai).
Eliopoulos, C. (2013). Gerontological nursing. Lippincott Williams & Wilkins. Gallè, F., Sabella, E. A., Roma, P., Lin, M. Y., Diella, G., Montagna, M. T. & Napoli, C. (2021). Acceptance of COVID-19 vaccination in the elderly: A cross-sectional study in southern Italy. Vaccines, 9(11), 1222. doi.org/10.3390/vaccines9111222
Harper, C. A., Satchell, L. P., Fido, D. & Latzman, R. D. (2021). Functional fear predicts public health compliance in the COVID-19 pandemic. International Journal of Mental Health and Addiction, 19(5), 1875-1888. doi.org/10.1007/s11469-020-00281-5
Har-Noy, M. & Or, R. (2020). Allo-priming as a universal anti-viral vaccine: Protecting elderly from current COVID-19 and any future unknown viral outbreak. Journal of Translational Medicine, 18, 1-11. doi.org/10.1186/s12967 020 02363 3
Jiamsiri, S. (2022). Communicable diseases prevented by vaccines and basic vaccines. Retrieved (2022, June 27). from http://guruvaccine.com/elearn/2-5-1-%e0%b8%81%e0%b8%b2%e0%b8%a3%e0%b8%9b%e0%b9%89%e0%b8%ad%e0% b8%87%e0%b8%81%e0%b8%b1%e0%b8%99%e0%b9%82%e0%b8%a3%e0%b8%84/ (in Thai).
Kok, G., Peters, G. Y., Kessels, L. T. E., Ten Hoor, G. A. & Ruiter, R. A. C. (2018). Ignoring theory and misinterpreting evidence: The false belief in fear appeals. Health Psychology Review, 12(2), 111-125. doi.org/10.1080/17437199.2017.1415767
Malesa, M. & Wittmann, E. (2021). Acceptance and intake of COVID-19 vaccines among older Germans. Journal of Clinical Medicine, 10(1338), 1-9. doi.org/10.1080/15325024.2021.1963060
Office of Permanent Secretary, Nursing Division. (2018). Roles and duties of registered nurses Retrieved (2023, March 5). from
http://nurse.npru.ac.th/system/20190113191522_a0a9ca0b2dc8a20555739e94e6ab03dc.pdf (in Thai).
Our World in Data. (2021). Share of people with at least one dose of COVID-19 vaccine by age. Retrieved (202, May 27). from
https://ourworldindata.org/grapher/covid-vaccine-by-age
Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433-441. doi.org/10.1111/j.1532-5415.1975.tb00927.x
Public Relations Department. (2022, September 21). Ministry of Public Health announces reclassification of COVID-19 from a dangerous communicable disease to a disease under surveillance, effective October 1, 2022. Retrieved (2022, September 21). from
https://www.prd.go.th/th/content/category/detail/id/39/iid/122110 (in Thai).
Sallam, M. (2021). COVID-19 vaccine hesitancy worldwide: A concise systematic review of vaccine acceptance rates. Vaccines, 9(2), 160. doi.org/10.3390/vaccines9020160
Shmueli, L. (2021). Predicting intention to receive COVID-19 vaccine among the general population using the health belief model and the theory of planned behavior model. BMC Public Health. 21(804), 1-13. doi.org/10.1186/s12889-021-10816-7
Wong, L. P., Alias, H., Wong, P.-F., Lee, H. Y. & AbuBakar, S. (2020). The use of the health belief model to assess predictors of intent to receive the COVID-19 vaccine and willingness to pay. Human Vaccines & Immunotherapeutics, 16(9), 2204–2214. doi.org/10.1080/21645515.2020.1790279
World Health Organization. (2021). COVID-19. Retrieved (2021, May 27). from
https://www.who.int/docs/default-source/searo/thailand/update-28-covid-19-what- we-know---june2020---thai.pdf?sfvrsn=724d2ce3_0
World Health Organization. (2021). Vaccines and immunization. Retrieved (2021, May 27). from https:// www.who.int/health-topics/vaccines-and-immunization#tab=tab_1