Acceptability of a COVID-19 vaccine and role of knowledge, attitudes and beliefs on vaccination willingness among medical students

Year 2021, Volume: 7 Issue: 4, 417 - 424, 04.07.2021

Mehmet Onur Kaya , Burkay Yakar , Esra Pamukçu , Erhan Önalan , Ramazan Fazıl Akkoç , Edibe Pirinçci , Mehmet Ferit Gürsu

https://doi.org/10.18621/eurj.907213

Cited By: 7

Abstract

Objectives: Vaccination to the population is the most effective way to get rid of the COVID-19 pandemic, which currently has no effective treatment. For the high vaccine acceptance rate, it is important to determine the vaccine willingness of individuals and the barriers to vaccination. We aimed to determine the acceptability of the COVID-19 vaccine and the effect of attitudes, perception and beliefs on vaccination willingness among medical students.

Methods: In February 2020, a cross-sectional survey was conducted online among medical student. A total of 734 medical students out of 980 medical students answered the questionnaire forms (response rate: 75.4%). The online questionnaire collected socio-demographic characteristics, attitudes, risk perception and beliefs about the COVID-19 pandemic and vaccine. Vaccine hesitancy, rejection and acceptance were determined by self-report of medical students.

Results: Total of 739 medical students included study. Students declared that 60.1% (n = 444) of them to be willing to vaccinated, 14.2% (n = 105) refused and 25.7% (n = 190) were not sure. Covid-19 willingness to be vaccinated was higher in female (p = 0.005), clinical students (p < 0.001), those who ever tested for COVID-19 (p = 0.002), those who had covid-19 infection history in the family (p = 0.043), those who had COVID-19 and COVID-19 vaccine education (p = 0.001). Positive attitudes skor and higher knowledge scores were related with highly willingness to be vaccinated. High beliefs score (positive beliefs) was found to be associated with a higher willingness to be vaccinated (p < 0.001).

Conclusions: Although the majority of the study population willingness to be vaccinated, one-third of medical students are hesitant about vaccination. Education, positive attitude and beliefs are related to higher willingness to vaccination.The COVID-19 pandemic immunization programs should be designed to remove barriers to negative vaccine beliefs and perception.

Keywords

COVID-19 Vaccines, medical students, vaccination awareness, perception, beliefs

References

• 1. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497-506.
• 2. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard. Available online: https://covid19.who.int/?gclid=EAIaIQobChMI2_CM6eDZ6gIVghh9Ch3nDQm1EAAYASAAEgLqwPD_BwE
• 3. Sani I, Hamza Y, Chedid Y, Amalendran J, Hamza N. Understanding the consequence of COVID-19 on undergraduate medical education: Medical students' perspective. Ann Med Surg (Lond) 2020;58:117-9.
• 4. Bish A, Michie S. Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. Br J Health Psychol 2010;15(Pt4):797-4.
• 5. Gidengil CA, Parker AM, Zikmund-Fisher BJ. Trends in risk perceptions and vaccination intentions: A longitudinal study of the first year of the H1N1 pandemic. Am J Public Health 2012;102:672-9.
• 6. Horney JA, Moore Z, Davis M, MacDonald PD. Intent to receive pandemic influenza A (H1N1) vaccine, compliance with social distancing and sources of information in NC, 2009. PLoS ONE 2010;5:e11226.
• 7. Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. J Public Health (Oxf) 2020 Dec 26:fdaa230.
• 8. Reiter PL, Pennell ML, Katz ML. Acceptability of a COVID-19 vaccine among adults in the United States: How many people would get vaccinated? Vaccine 2020;38:6500-7.
• 9. Yakar B, Ozturk Kaygusuz T, Pirincci E , Onalan E , Ertekin Y . Knowledge, attitude and anxiety of medical students about the current COVID-19 outbreak in Turkey. Fam Pract Palliat Care 2020;5:36-44.
• 10. Wang J, Jing R, Lai X, Zhang H, Lyu Y, Knoll MD, Fang H. Acceptance of COVID-19 vaccination during the COVID-19 pandemic in China. Vaccines (Basel) 2020;8:482.
• 11. Faresjö T, Arvidsson L, Boberg P, Hagert B, Gursky EA, Timpka T. Swedish nursing and medical students' high vaccination adherence during the influenza A (H1N1) pandemic 2009: insights for pandemic preparedness. Scand J Infect Dis 2012;44:237-41.
• 12. Brien S, Kwong JC, Buckeridge DL. The determinants of 2009 pandemic A/H1N1 influenza vaccination: a systematic review. Vaccine 2012;30:1255-64.
• 13. Betsch C, Wicker S. E-health use, vaccination knowledge and perception of own risk: drivers of vaccination uptake in medical students. Vaccine 2012;30:1143-8.
• 14. Walker L, Newall A, Heywood AE. Knowledge, attitudes and practices of Australian medical students towards influenza vaccination. Vaccine 2016;34:6193-9.