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Understanding the public's decision-making about seasonal flu vaccination during a pandemic: Application of the precaution adoption process model

Meyer, Carly; Antonopoulou, Vivi; Goffe, Louis; Grimani, Aikaterini; Graham, Fiona; Lecouturier, Jan; Tang, Mei Yee; ... Sniehotta, Falko F; + view all (2024) Understanding the public's decision-making about seasonal flu vaccination during a pandemic: Application of the precaution adoption process model. Journal of Health Psychology 10.1177/13591053241296650. (In press). Green open access

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Abstract

Understanding the behavioural factors influencing flu vaccination is crucial for mitigating seasonal infection outbreaks. This study utilised the Precaution Adoption Process Model (PAPM) to examine the public’s decision-making about seasonal flu vaccination through an online cross-sectional survey with 2004 participants in England, UK. Results showed varying stages of decision-making: 7% in Stage 2 (unengaged), 10% in Stage 3 (undecided), 7% in Stage 4 (decided not to vaccinate), 39% in Stage 5 (decided to vaccinate) and 38% in Stage 6 (vaccinated). Regression modelling revealed factors common across stages and unique to certain stages, such as flu vaccination history distinguishing those who received the vaccine. Vaccine knowledge (Stage 2), perceived benefits (Stage 4), perceived control and fear of needles (Stage 5) were uniquely associated with specific PAPM stages. The study discusses policy implications for integrating these findings to improve flu vaccination uptake, highlighting the importance of tailored strategies based on decision-making stages.

Type: Article
Title: Understanding the public's decision-making about seasonal flu vaccination during a pandemic: Application of the precaution adoption process model
Open access status: An open access version is available from UCL Discovery
DOI: 10.1177/13591053241296650
Publisher version: https://doi.org/10.1177/13591053241296650
Language: English
Additional information: Copyright © The Author(s) 2024. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
Keywords: health belief model, influenza, public health, respiratory infectious disease, theory of planned behaviour, vaccine hesitancy
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10200794
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