Abstract

This study aims to identify the key factors affecting individuals’ behavioral vaccination intention against COVID-19 in Vietnam through an online questionnaire survey. Differing from previous studies, a novel three-staged approach combining Spherical Fuzzy Analytic Hierarchy Process (SF-AHP), Partial Least Squares-Structural Equation Model (PLS-SEM), and Artificial Neural Network (ANN) is proposed. Five factors associated with individuals’ behavioral vaccination intention (INT) based on 15 experts’ opinions are considered in SF-AHP analysis, including Perceived Severity of COVID-19 (PSC), Perceived COVID-19 vaccines (PVC), Trust in government intervention strategies (TRS), Social Influence (SOI), and Social media (SOM). First, the results of SF-AHP indicated that all proposed factors correlate with INT. Second, the data of 474 valid respondents were collected and analyzed using PLS-SEM. The PLS-SEM results reported that INT was directly influenced by PVC and TRS. In contrast, SOI had no direct effect on INT. Further, PSC and SOM moderated the relationship between PVC, TRS and INT, respectively. The ANN was deployed to validate the previous stages and found that the best predictors of COVID-19 vaccination intention were PVC, TRS, and SOM. These results were consistent with the SF-AHP and PLS-SEM models. This research provides an innovative new approach employing quantitative and qualitative techniques to understand individuals’ vaccination intention during the global pandemic. Furthermore, the proposed method can be used and expanded to assess the perceived efficacy of COVID-19 measures in other nations currently battling the COVID-19 outbreak.

Highlights

  • The World Health Organization (WHO) announced the Coronavirus Disease 2019(COVID-19) pandemic on 11 March 2020, caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)

  • The Partial Least Squares-Structural Equation Model (PLS-SEM) technique is used in Phase 2 to validate the the Spherical Fuzzy Analytic Hierarchy Process (SF-AHP) model is used in Phase 1 to assign fuzzy weights to criteria based on pairwise hypotheses as indirect/direct effects

  • Three experts work for the Ministry of Health in Vietnam, five scholars work at medical universities, and the remaining group is made up of experienced doctors and nurses who serve in diseaseridden areas (Ha Noi, Ho Chi Minh, Binh Duong, Da Nang, Long An, Tien Giang)

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Summary

Introduction

The World Health Organization (WHO) announced the Coronavirus Disease 2019. (COVID-19) pandemic on 11 March 2020, caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). As of 1 August 2021, the total number of cases recorded worldwide had reached approximately 197 million, with 4.2 million fatalities. Vietnam has 215,560 illnesses as of 9 August 2021, including. Given the worldwide implications of the COVID-19 pandemic on health and economics, developing efficient infection control measures to limit viral transmission is a key concern . Vaccination is one of the most efficient methods for building herd immunity in the population and averting a COVID-19 pandemic. In Vietnam, on 8 August 2021, the total COVID-19 vaccine administered was nearly 9,405,820 doses, of which the first dose accounted for more than

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