Abstract

The present study aimed to identify the distinct classes of motivations to get vaccinated and to adopt preventive behaviors against the coronavirus disease 2019 (COVID-19) among people in Taiwan and to examine the roles of Protection Motivation Theory (PMT) cognitive constructs in these unique classes of motivations to get vaccinated and to adopt preventive behaviors. We recruited 1047 participants by using a Facebook advertisement. Participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19, PMT constructs of threat appraisal (perceived severity and perceived vulnerability), and PMT constructs of coping appraisal (self-efficacy, response efficacy, response cost, knowledge, and previous vaccination for seasonal influenza) were determined. We analyzed participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19 by using latent profile analysis. The present study identified three latent classes, including the participants with high motivation for vaccination and preventive behaviors (the class of Both High), those with low motivation for vaccination and preventive behaviors (the class of Both Low), and those with high motivation for vaccination but low motivation for preventive behaviors (the class of High Vaccination but Low Preventive Behaviors). Compared with the participants in the class of Both High, participants in the class of Both Low had lower levels of perceived vulnerability, perceived severity, self-efficacy to have vaccination, response efficacy of vaccination, knowledge about vaccination, and previous vaccination for seasonal influenza; participants in the class of High Vaccination but Low Preventive Behaviors had lower levels of perceived vulnerability and perceived severity but higher levels of response cost of vaccination. We concluded that varieties of motivations, threat, and coping appraisals should be considered in intervention programs aiming to increase motivation to adopt recommended protective behaviors against COVID-19.

Highlights

  • IntroductionVaccination and Preventive Behaviors against Coronavirus Disease 2019

  • The present study identified three latent classes according to the motivation to get vaccinated and to adopt preventive behaviors against COVID-19, namely high motivation for vaccination and preventive behaviors, low motivation for vaccination and preventive behaviors, and high motivation for vaccination but low for preventive behaviors

  • The present study identified three latent classes of individuals with various motivations to get vaccinated and to adopt preventive behaviors against COVID-19

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Summary

Introduction

Vaccination and Preventive Behaviors against Coronavirus Disease 2019. Coronavirus disease 2019 (COVID-19) has had a disastrous effect worldwide [1,2,3,4,5,6,7,8]. An efficacious vaccine is considered essential to prevent further morbidity and mortality of COVID-19 infection [9]. Until COVID-19 vaccines are made available to all, several preventive behaviors, such as social distancing, wearing face masks, and washing hands regularly, are recommended to reduce the transmission of COVID-19 [10,21,22,23]. Preventive behaviors remain vital for reducing the risk of contracting COVID-19

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