Cited by 8Vaccine Coverage and HesitancyCOVID-19 and Mental HealthRisk Perception and Management

Denial of Justification for Vaccination: Its Multiple Related Variables and Impacts on Intention to Get Vaccinated against COVID-19

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Lin, Yen-Ju, Chou, Wen-Jiun, Chang, Yu-Ping, Yen, Cheng-Fang·2021·Vaccines

Abstract

The aims of the present study were (1) to identify the variables related to denying the justification for vaccination during the coronavirus disease 2019 (COVID-19) pandemic in Taiwan and (2) to examine the associations of such denial with perceived risk of COVID-19 and the extrinsic and intrinsic intentions to get vaccinated against COVID-19. We recruited 1047 participants by using a Facebook advertisement. We investigated whether the participants denied justification for vaccination as well as their sociodemographic characteristics, mental health status, sources of information about COVID-19 vaccination, perceived risk of COVID-19, and extrinsic and intrinsic intentions to get vaccinated against COVID-19. The results indicated that 20.0% of the participants denied justification for vaccination. Participants who were older, had an educational level below college, were not health care workers, were in poor general mental health state, or did not obtain information about COVID-19 vaccination from the Internet were more likely to deny justification for vaccination. Denial was negatively associated with both extrinsic and intrinsic intentions to get vaccinated against COVID-19 but not associated with the perceived risk of COVID-19. Multiple variables related to denying the justification for vaccination; the denial was negatively associated with the intention to get vaccinated against COVID-19.

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  • Rejection of science based on a common sense understanding of the world contributed to rejection of the COVID-19 vaccine, which worsened the pandemic considerably.

    “Recently, this rejection of science based on a common sense understanding of the world contributed to rejection of the COVID-19 vaccine, a rejection that worsened the pandemic considerably (Lin et al., 2021).”

    From Lessons from the field: Isn't it just common sense? Naïve realism as a barrier to learning (2024) · cites this paper as Lin et al., 2021

    Section 4.1 (page unavailable) links denial of vaccination, described as disregarding scientific evidence, to weaker intention to receive a COVID-19 vaccine. Section 1.3 mentions philosophical objections, but the paper does not identify a common-sense understanding of the world as the cause. It warns that vaccine denial could make herd immunity difficult; it does not establish that vaccine rejection had already worsened the pandemic considerably. (LLM, conf=0.88)

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  1. [2]Torales J. O’Higgins M. Castaldelli-Maia J.M. Ventriglio A. The outbreak of COVID-19 coronavirus and its impact on global mental health Int. J. Soc. Psychiatry. 2020 66 317 320 10.1177/0020764020915212 32233719 · DOI · Paper page
  2. [3]Wiersinga W.J. Rhodes A. Cheng A.C. Peacock S.J. Prescott H.C. Pathophysiology, transmission, diagnosis, and treatment of coronavirus disease 2019 (COVID-19): A review JAMA 2020 324 782 793 10.1001/jama.2020.12839 32648899 · DOI · Paper page
  3. [4]Nicola M. Alsafi Z. Sohrabi C. Kerwan A. Al-Jabir A. Iosifidis C. Agha M. Agha R. The socio-economic implications of the coronavirus and COVID-19 pandemic: A review Int. J. Surg. 2020 78 185 193 10.1016/j.ijsu.2020.04.018 32305533 PMC7162753 · DOI · Paper page
  4. [5]Rundle A.G. Park Y. Herbstman J.B. Kinsey E.W. Wang Y.C. COVID-19-related school closings and risk of weight gain among children Obesity 2020 28 1008 1009 10.1002/oby.22813 32227671 PMC7440663 · DOI
  5. [7]Crayne M.P. The traumatic impact of job loss and job search in the aftermath of COVID-19 Psychol. Trauma. 2020 12 S180 S182 10.1037/tra0000852 32478539 · DOI · Paper page
  6. [8]Oksanen A. Kaakinen M. Latikka R. Savolainen I. Savela N. Koivula A. Regulation and trust: 3-month follow-up study on COVID-19 mortality in 25 European countries JMIR Public Health Surveill. 2020 6 e19218 10.2196/19218 32301734 PMC7184967 · DOI
  7. [9]Honein M.A. Christie A. Rose D.A. Brooks J.T. Meaney-Delman D. Cohn A. Sauber-Schatz E.K. Walker A. McDonald L.C. Liburd L.C. Summary of guidance for public health strategies to address high levels of community transmission of SARS-CoV-2 and related deaths, December 2020 MMWR Morb. Mortal. Wkly. Rep. 2020 69 1860 1867 10.15585/mmwr.mm6949e2 33301434 PMC7737690 · DOI
  8. [11]Randolph H.E. Barreiro L.B. Herd immunity: Understanding COVID-19 Immunity 2020 52 737 741 10.1016/j.immuni.2020.04.012 32433946 PMC7236739 · DOI
  9. [12]Marcec R. Majta M. Likic R. Will vaccination refusal prolong the war on SARS-CoV-2? Postgrad. Med. J. 2021 97 143 149 10.1136/postgradmedj-2020-138903 33115909 PMC10016907 · DOI
  10. [13]Lin Y. Hu Z. Zhao Q. Alias H. Danaee M. Wong L.P. Understanding COVID-19 vaccine demand and hesitancy: A nationwide online survey in China PLoS Negl. Trop. Dis. 2020 14 e0008961 10.1371/journal.pntd.0008961 33332359 PMC7775119 · DOI
  11. [14]Ruiz J.B. Bell R.A. Predictors of intention to vaccinate against COVID-19: Results of a nationwide survey Vaccine 2021 39 1080 1086 10.1016/j.vaccine.2021.01.010 33461833 PMC7794597 · DOI
  12. [15]Sherman S.M. Smith L.E. Sim J. Amlôt R. Cutts M. Dasch H. Rubin G.J. Sevdalis N. COVID-19 vaccination intention in the UK: Results from the COVID-19 vaccination acceptability study (CoVAccS), a nationally representative cross-sectional survey Hum. Vaccin. Immunother. 2021 17 1612 1621 10.1080/21645515.2020.1846397 33242386 PMC8115754 · DOI
  13. [17]Larson H.J. Jarrett C. Eckersberger E. Smith D.M.D. Paterson P. Understanding vaccine hesitancy around vaccines and vaccination from a global perspective: A systematic review of published literature, 2007–2012 Vaccine 2014 32 2150 2159 10.1016/j.vaccine.2014.01.081 24598724 · DOI · Paper page
  14. [18]Thomson A. Robinson K. Vallée-Tourangeau G. The 5As: A practical taxonomy for the determinants of vaccine uptake Vaccine 2016 34 1018 1024 10.1016/j.vaccine.2015.11.065 26672676 · DOI
  15. [19]Imdad A. Tserenpuntsag B. Blog D.S. Halsey N.A. Easton D.E. Shaw J. Religious exemptions for immunization and risk of pertussis in New York State, 2000–2011 Pediatrics 2013 132 37 43 10.1542/peds.2012-3449 23733795 · DOI
  16. [20]Calandrillo S.P. Vanishing vaccinations: Why are so many Americans opting out of vaccinating their children? Univ. Mich. J. Law Reform. 2004 37 353 440 15568260
  17. [21]Flaherty D.K. The vaccine-autism connection: A public health crisis caused by unethical medical practices and fraudulent science Ann. Pharmacother. 2011 45 1302 1304 10.1345/aph.1Q318 21917556 · DOI · Paper page
  18. [22]Pierik R. Mandatory vaccination: An unqualified defense J. Appl. Philos. 2018 35 381 398 10.1111/japp.12215 · DOI
  19. [24]Rosenstock I.M. Historical origins of the health belief model Health Educ. Monogr. 1974 2 328 335 10.1177/109019817400200403 · DOI · Paper page
  20. [25]Majid U. Wasim A. Bakshi S. Truong J. Knowledge, (mis-)conceptions, risk perception, and behavior change during pandemics: A scoping review of 149 studies Public Underst. Sci. 2020 29 777 799 10.1177/0963662520963365 33073717 · DOI
  21. [26]Lin Y.-J. Yen C.-F. Chang Y.-P. Wang P.-W. Comparisons of motivation to receive COVID-19 vaccination and related variables between frontline physicians and nurses and the public in Taiwan: Applying the Extended Protection Motivation Theory Vaccines 2021 9 528 10.3390/vaccines9050528 34065222 PMC8160641 · DOI
  22. [28]Lee M.B. Liao S.C. Lee Y.J. Wu C.H. Tseng M.C. Gau S.F. Rau C.L. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity J. Formos. Med. Assoc. 2003 102 687 694 14691593
  23. [29]Wang P.W. Ahorsu D.K. Lin C.Y. Chen I.H. Yen C.F. Kuo Y.J. Griffiths M.D. Pakpour A.H. Motivation to have COVID-19 vaccination explained using an extended Protection Motivation Theory among university students in China: The role of information sources Vaccines 2021 9 380 10.3390/vaccines9040380 33924604 PMC8070343 · DOI
  24. [30]Yeh Y.C. Chen I.H. Ahorsu D.K. Ko N.Y. Chen K.L. Li P.C. Yen C.F. Lin C.Y. Griffiths M.D. Pakpour A.H. Measurement invariance of the Drivers of COVID-19 Vaccination Acceptance Scale: Comparison between Taiwanese and Mainland Chinese-speaking populations Vaccines 2021 9 297 10.3390/vaccines9030297 33810036 PMC8004810 · DOI
  25. [31]Chou W.P. Wang P.W. Chen S.L. Chang Y.P. Wu C.F. Lu W.H. Yen C.F. Risk perception, protective behaviors, and general anxiety during the coronavirus disease 2019 pandemic among affiliated health care professionals in Taiwan: Comparisons with frontline health care professionals and the general public Int. J. Environ. Res. Public Health 2020 17 9329 10.3390/ijerph17249329 PMC7764763 33322220 · DOI
  26. [32]Alessi E. Martin J. Conducting an internet-based survey: Benefits, pitfalls, and lessons learned Soc. Work Res. 2010 34 122 128 10.1093/swr/34.2.122 · DOI
  27. [33]Bobkowski P. Smith J. Social media divide: Characteristics of emerging adults who do not use social network websites Media. Cult. Soc. 2013 35 771 781 10.1177/0163443713491517 · DOI
  28. [36]Brelsford D. Knutzen E. Neher J.O. Safranek S. Clinical Inquiries: Which interventions are effective in managing parental vaccine refusal? J. Fam. Pract. 2017 66 E12 E14 29202149
  29. [37]Omer S.B. Salmon D.A. Orenstein W.A. deHart M.P. Halsey N. Vaccine refusal, mandatory immunization, and the risks of vaccine-preventable diseases N. Engl. J. Med. 2009 360 1981 1988 10.1056/NEJMsa0806477 19420367 · DOI
  30. [38]Ernst M. Paulus M.P. Neurobiology of decision making: A selective review from a neurocognitive and clinical perspective Biol. Psychiatry 2005 58 597 604 10.1016/j.biopsych.2005.06.004 16095567 · DOI
  31. [39]Xiong J. Lipsitz O. Nasri F. Lui L.M.W. Gill H. Phan L. Chen-Li D. Iacobucci M. Ho R. Majeed A. Impact of COVID-19 pandemic on mental health in the general population: A systematic review J. Affect. Disord. 2020 277 55 64 10.1016/j.jad.2020.08.001 32799105 PMC7413844 · DOI · Paper page

Cited by

Authors
Lin, Y.-J., Chou, W.-J., Chang, Y.-P., & Yen, C.-F.
Affiliations
  • Kaohsiung Medical University (TW)
  • Chang Gung University (TW)
  • University at Buffalo, State University of New York (US)
Corresponding author
Yen, Cheng-Fang
Venue
Vaccines
Publisher
MDPI AG
Published
2021-07-25
Volume
9
Issue
8
Pages
822
ISSN
2076-393X (ISSN-L)
OpenAlex
W3184831192
Cited by
8
References
1
Citations by year
2025: 2 · 2024: 1 · 2023: 4 · 2021: 1
FWCI
0.83
Type
journal article
Language
en
Open access
Locations
  • Vaccines (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Kaohsiung Medical University Hospital (KMUH109-9M54)
Topics
  • Social Sciences › Health › Vaccine Coverage and Hesitancy
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
  • Social Sciences › Sociology and Political Science › Risk Perception and Management
Keywords
COVID-19 vaccination, vaccine hesitancy, COVID-19 risk perception, vaccination intention, extrinsic motivation, intrinsic motivation, mental health, sociodemographic factors, health information sources, Taiwan

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