Using structural equation modeling to predict Indian people's attitudes and intentions towards COVID-19 vaccination

Diabetes Metab Syndr. 2021 May-Jun;15(3):1017-1022. doi: 10.1016/j.dsx.2021.05.006. Epub 2021 May 8.

Abstract

Background and aim: Understanding people's attitudes towards Covid-19 vaccination is crucial to the successful implementation of a vaccination program. Hence this research study seeks to identify critical factors influencing Indian people's attitudes and intentions to take up Covid-19 vaccinations.

Methods: An online questionnaire was administered to a sample (n = 254) drawn from Indian population, to assess the impact of perceived benefits, risk perceptions, social media exposure, social norms, and trust associated with Covid-19 vaccines on people's attitudes towards Covid-19 vaccines and their intentions to take up the Covid-19 vaccinations.

Results: The findings showed that the perceived benefits, social norms, and trust correlated significantly with people's attitudes towards Covid-19 vaccinations. In contrast, risk perceptions and social media exposure showed an insignificant influence on people's attitudes towards Covid-19 vaccinations. Social norms, trust, and people's attitudes towards the Covid-19 vaccinations are significantly correlated with their intentions to take up Covid-19 vaccinations. On the contrary, social media exposure was found to have an insignificant influence on people's intentions to take up Covid-19 vaccinations.

Conclusion: Participants' intentions to take up Covid-19 vaccinations was influenced mainly by their attitudes and perceptions of Covid-19 vaccines in general, which strongly confirms the importance of various dimensions (perceived benefits, trust, social norms) of Covid-19 vaccines in cultivating Covid-19 vaccination acceptance among participants'.

Keywords: Covid-19 vaccination; Health belief model (HBM); Statistical analysis; Structural equation modeling; Theory of planned behavior (TPB).

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health
  • COVID-19 / prevention & control*
  • COVID-19 / psychology
  • COVID-19 Vaccines / therapeutic use*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Health Literacy / statistics & numerical data
  • Humans
  • India / epidemiology
  • Intention*
  • Internet
  • Latent Class Analysis
  • Male
  • Middle Aged
  • Models, Theoretical
  • Patient Acceptance of Health Care / psychology
  • Patient Acceptance of Health Care / statistics & numerical data
  • SARS-CoV-2 / immunology
  • Surveys and Questionnaires
  • Vaccination / psychology*
  • Vaccination / statistics & numerical data
  • Young Adult

Substances

  • COVID-19 Vaccines