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Health beliefs and attitudes toward Influenza and COVID-19 vaccination in Portugal: a study using a mixed-method approach

2024-01Journal article Open access
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dc.contributor.authorSantos, Ana João
dc.contributor.authorKislaya, Irina
dc.contributor.authorMatias-Dias, Carlos
dc.contributor.authorMachado, Ausenda
dc.date.accessioned2024-01-22T10:51:44Z
dc.date.available2024-01-22T10:51:44Z
dc.date.issued2024-01
dc.descriptionSec. Infectious Diseases: Epidemiology and Preventionpt_PT
dc.description.abstractIntroduction: Vaccination is one of the most effective population strategies to prevent infectious diseases and mitigate pandemics, and it is important to understand vaccine uptake determinants since vaccine hesitancy has been increasing for the past few decades. The Health Belief Model (HBM) has been widely used for understanding vaccination behavior. The current study aimed to assess influenza vaccine (IV) non-uptake and attitudes toward COVID-19 vaccination, two important respiratory diseases with similar symptoms, and routes of transmission in the Portuguese population. Methods: We conducted a cross-sectional study using a panel sample of randomly chosen Portuguese households. A total of 1,050 individuals aged 18 years and over responded to a telephone or online questionnaire. Through a mixed-method approach, we employed thematic content analysis to describe reasons for not taking the IV, considering the HBM dimensions, and quantitative statistical analysis to estimate IV and COVID-19 vaccine coverage. Results: The IV uptake for the overall population was 30.7% (CI 95%: 26.5, 35.2). Susceptibility was found to be a main factor for IV non-uptake, followed by barriers, such as stock availability and fear of adverse effects. The uptake of the COVID-19 vaccine was very high in the study population (83.1%, CI 95%: 13.6%−20.9%). There was a high perception of COVID-19-associated severity and fear of the consequences. Individuals who reported IV uptake seemed to perceive a higher severity of COVID-19 and a higher benefit of taking the COVID-19 vaccine for severe complications. Discussion: Thus, the population does not seem to consider influenza to be a health risk, as opposed to COVID-19, which is considered to be a possibly severe disease. The association between IV uptake and COVID-19 perceptions highlights that an overall attitude toward vaccination in general may be an important individual determinant.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFront. Public Health, 2024 Jan 19;11:1331136. doi:10.3389/fpubh.2023.1331136pt_PT
dc.identifier.doi10.3389/fpubh.2023.1331136pt_PT
dc.identifier.issn2296-2565
dc.identifier.pmid38312138
dc.identifier.urihttp://hdl.handle.net/10400.18/8933
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherFrontiers Mediapt_PT
dc.relation.publisherversionhttps://www.frontiersin.org/articles/10.3389/fpubh.2023.1331136/fullpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectInfluenza Vaccinept_PT
dc.subjectCOVID-19 Vaccinept_PT
dc.subjectHealth Belief Modelpt_PT
dc.subjectVaccine Uptakept_PT
dc.subjectMixed-methodspt_PT
dc.subjectHesitação Vacinalpt_PT
dc.subjectVacina COVID-19pt_PT
dc.subjectVacina contra a Gripept_PT
dc.subjectECOSpt_PT
dc.subjectObservação e Vigilânciapt_PT
dc.subjectDeterminantes da Saúde e da Doençapt_PT
dc.titleHealth beliefs and attitudes toward Influenza and COVID-19 vaccination in Portugal: a study using a mixed-method approachpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage1331136pt_PT
oaire.citation.titleFrontiers in Public Healthpt_PT
oaire.citation.volume11pt_PT
person.familyNameCarvalho da Silva Santos
person.familyNameKislaya
person.familyNameMatias Dias
person.familyNameMachado
person.givenNameAna João
person.givenNameIrina
person.givenNameCarlos
person.givenNameAusenda
person.identifier.ciencia-id7E12-E842-1216
person.identifier.ciencia-idA815-4295-F91D
person.identifier.ciencia-id6311-6117-ADEB
person.identifier.ciencia-id1217-6076-5D88
person.identifier.orcid0000-0003-0556-5513
person.identifier.orcid0000-0001-5772-2416
person.identifier.orcid0000-0002-0206-5874
person.identifier.orcid0000-0002-1849-1499
person.identifier.ridI-6335-2012
person.identifier.scopus-author-id56442728800
person.identifier.scopus-author-id23103292400
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication544ad266-0c22-4a50-9ebc-86acc08d6666
relation.isAuthorOfPublication.latestForDiscoveryfe9524e7-fc22-42f6-8eca-ab6a513ddd6b

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