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Published in: Journal of Behavioral Medicine 3/2024

Open Access 08-04-2024 | COVID-19 Vaccination

Behavioral and social drivers of COVID-19 vaccination initiation in the US: a longitudinal study March─ October 2021

Authors: Neetu Abad, Kimberly E Bonner, Qian Huang, Brittney Baack, Robert Petrin, Dhiman Das, Megan A. Hendrich, Madeline S. Gosz, Zachary Lewis, David J. Lintern, Helen Fisun, Noel T. Brewer

Published in: Journal of Behavioral Medicine | Issue 3/2024

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Abstract

Many studies have examined behavioral and social drivers of COVID-19 vaccination initiation, but few have examined these drivers longitudinally. We sought to identify the drivers of COVID-19 vaccination initiation using the Behavioral and Social Drivers of Vaccination (BeSD) Framework. Participants were a nationally-representative sample of 1,563 US adults who had not received a COVID-19 vaccine by baseline. Participants took surveys online at baseline (spring 2021) and follow-up (fall 2021). The surveys assessed variables from BeSD Framework domains (i.e., thinking and feeling, social processes, and practical issues), COVID-19 vaccination initiation, and demographics at baseline and follow-up. Between baseline and follow-up, 65% of respondents reported initiating COVID-19 vaccination. Vaccination intent increased from baseline to follow-up (p < .01). Higher vaccine confidence, more positive social norms towards vaccination, and receiving vaccine recommendations at baseline predicted subsequent COVID-19 vaccine initiation (all p < .01). Among factors assessed at follow-up, social responsibility and vaccine requirements had the greatest associations with vaccine initiation (all p < .01). Baseline vaccine confidence, social norms, and vaccination recommendations were associated with subsequent vaccine initiation, all of which could be useful targets for behavioral interventions. Furthermore, interventions that highlight social responsibility to vaccinate or promote vaccination requirements could also be beneficial.
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Footnotes
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§ See e.g., 45 C.F.R. part 46, 21 C.F.R. part 56; 42 U.S.C. § 241(d); 5 U.S.C. § 552a; 44 U.S.C. § 3501 et seq.
 
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Metadata
Title
Behavioral and social drivers of COVID-19 vaccination initiation in the US: a longitudinal study March─ October 2021
Authors
Neetu Abad
Kimberly E Bonner
Qian Huang
Brittney Baack
Robert Petrin
Dhiman Das
Megan A. Hendrich
Madeline S. Gosz
Zachary Lewis
David J. Lintern
Helen Fisun
Noel T. Brewer
Publication date
08-04-2024
Publisher
Springer US
Published in
Journal of Behavioral Medicine / Issue 3/2024
Print ISSN: 0160-7715
Electronic ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-024-00487-1

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