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BMC Public Health

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Open Access 01-12-2024 | Vaccination | Research

The 5 C model and Mpox vaccination behavior in Germany: a cross-sectional survey

Authors: Philip Oeser, Julianna Grune, Jendrik Dedow, Wolfram Joachim Herrmann

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

Due to the authorization of the Mpox vaccines, we aimed to identify determinants of the intention to get vaccinated, actively trying to receive vaccination, and for successfully receiving a vaccination in Germany employing the 5 C model of vaccination readiness.

Methods

Data stem from a cross-sectional online survey that was available online from August 13, 2022 to August 31, 2022. To assess the influence of the 5 C Model on vaccination behavior, we conducted a multinomial logistic regression.

Results

3,338 participants responded to the survey, with 487 already vaccinated and 2,066 intending to receive a vaccination. Confidence and collective responsibility were positively associated with intention to get vaccinated, while complacency was negatively correlated. A higher score on the calculation scale increased the odds of intention to receive vaccination but not with actively having tried to receive a vaccination. Fewer perceived constraints were associated with higher odds to be vaccinated. Patients in practices that focus on HIV treatment were more likely to intend to get vaccinated, to have tried to get vaccinated and to be vaccinated, regardless of indication. While level of education had no impact, having an indication to get vaccinated was a strong predictor of vaccination behavior in all groups.

Conclusion

Future vaccination campaigns should aim to reduce specific constraints of the target group and make vaccines widely available in primary care institutions beyond HIV-focused practices.

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Nuzzo JB, Borio LL, Gostin LO. The WHO Declaration of Monkeypox as a Global Public Health Emergency. JAMA. 2022;328(7):615. https://doi.org/10.1001/jama.2022.12513.CrossRefPubMed

Gruber MF. Current status of monkeypox vaccines. Npj Vaccines. 2022;7(1):94. https://doi.org/10.1038/s41541-022-00527-4.CrossRefPubMedPubMedCentral

Robert Koch-Institut. Affenpocken Impfmonitoring– Juni - November 2022, Berlin 2022. Berlin; 2022.

Gagneux-Brunon A, Dauby N, Launay O et al. Intentions to Get Vaccinated against Monkeypox in Healthcare Workers in France and Belgium Correlates with Attitudes toward COVID-19 Vaccination. preprint. Infectious Diseases (except HIV/AIDS); 2022.; https://doi.org/10.1101/2022.08.25.22279205.

Temsah M-H, Aljamaan F, Alenezi S, et al. Monkeypox caused less worry than COVID-19 among the general population during the first month of the WHO Monkeypox alert: experience from Saudi Arabia. Travel Med Infect Dis. 2022;49:102426. https://doi.org/10.1016/j.tmaid.2022.102426.CrossRefPubMedPubMedCentral

Winters M, Malik AA, Omer SB. Attitudes towards Monkeypox vaccination and predictors of vaccination intentions among the US general public. Harapan H. edPLOS ONE. 2022;17(12):e0278622; https://doi.org/10.1371/journal.pone.0278622.

Paparini S, Whitacre R, Smuk M, et al. Public understanding and awareness of and response to monkeypox virus outbreak: a cross-sectional survey of the most affected communities in the United Kingdom during the 2022 public health emergency. HIV Med. 2022. https://doi.org/10.1111/hiv.13430. hiv.13430.CrossRefPubMed

Owens C, Hubach RD. Rural-urban differences in monkeypox behaviors and attitudes among men who have sex with men in the United States. J Rural Health. 2022. https://doi.org/10.1111/jrh.12726. jrh.12726.CrossRefPubMed

Zucman D, Fourn E, Touche P, et al. Monkeypox Vaccine Hesitancy in French men having sex with men with PrEP or living with HIV in France. Vaccines. 2022;10(10):1629. https://doi.org/10.3390/vaccines10101629.CrossRefPubMedPubMedCentral

10.

MacDonald NE. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33(34):4161–4. https://doi.org/10.1016/j.vaccine.2015.04.036.CrossRefPubMed

11.

Clark SE, Bledsoe MC, Harrison CJ. The role of social media in promoting vaccine hesitancy. Curr Opin Pediatr. 2022;34(2):156–62. https://doi.org/10.1097/MOP.0000000000001111.CrossRefPubMed

12.

Siani A, Tranter A. Is vaccine confidence an unexpected victim of the COVID-19 pandemic? Vaccine. 2022;40(50):7262–9. https://doi.org/10.1016/j.vaccine.2022.10.061.CrossRefPubMedPubMedCentral

13.

Betsch C, Schmid P, Heinemeier D et al. Beyond confidence: Development of a measure assessing the 5 C psychological antecedents of vaccination. Angelillo IF. ed. PLOS ONE. 2018;13(12):e0208601; https://doi.org/10.1371/journal.pone.0208601.

14.

Matthiesen S, Pietras L, Bode H, et al. Methodology of the German National Sex Survey– GeSiD (German Health and Sexuality Survey). J Sex Res. 2021;58(8):1008–18. https://doi.org/10.1080/00224499.2021.1875188.CrossRefPubMed

15.

RCore Team. R: A Language and Environment for Statistical Computing. 2022.

16.

Kwok KO, Li K-K, Wei WI, et al. Influenza vaccine uptake, COVID-19 vaccination intention and vaccine hesitancy among nurses: a survey. Int J Nurs Stud. 2021;114:103854. https://doi.org/10.1016/j.ijnurstu.2020.103854.CrossRefPubMed

17.

Wismans A, Thurik R, Baptista R et al. Psychological characteristics and the mediating role of the 5 C Model in explaining students’ COVID-19 vaccination intention. Delcea C. ed. PLOS ONE. 2021;16(8):e0255382; https://doi.org/10.1371/journal.pone.0255382.

18.

Neufeind J, Betsch C, Zylka-Menhorn V, et al. Determinants of physician attitudes towards the new selective measles vaccine mandate in Germany. BMC Public Health. 2021;21(1):566. https://doi.org/10.1186/s12889-021-10563-9.CrossRefPubMedPubMedCentral

19.

Geiger M, Rees F, Lilleholt L, et al. Measuring the 7Cs of Vaccination Readiness. Eur J Psychol Assess. 2022;38(4):261–9. https://doi.org/10.1027/1015-5759/a000663.CrossRef

20.

Oeser P, Napierala H, Schuster A, et al. Risk factors for monkeypox infection—a cross-sectional study. Dtsch Ärztebl Int. 2023. https://doi.org/10.3238/arztebl.m2022.0365.CrossRefPubMed

Title: The 5 C model and Mpox vaccination behavior in Germany: a cross-sectional survey
Authors: Philip Oeser
Julianna Grune
Jendrik Dedow
Wolfram Joachim Herrmann
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Vaccination
Mpox
Mpox
Mpox Vaccination
Human Immunodeficiency Virus
Public Health
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18489-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The 5 C model and Mpox vaccination behavior in Germany: a cross-sectional survey

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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