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Bağcı ŞE, Erden Ş, Yengel B. Making sense of COVID-19: manifestations of health capital during the pandemic. BMC Public Health 2024; 24:933. [PMID: 38561712 PMCID: PMC10983716 DOI: 10.1186/s12889-024-18451-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 03/26/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND Grounded in Bourdieu's theory of human practice, this study aims to examine how individuals as social agents made sense of and acted upon their COVID-19 experiences. A recent conceptualization of health capital is utilized to explain the practices of patients in the pandemic, in relation to their biographical background. METHODS This is a qualitative research in which the data were collected by biographical narrative interviews through a theoretical sampling approach. Eighteen interviews with COVID-19 patients were conducted and 8 of them were analyzed by the Documentary Method. RESULTS The informants made sense of their illness experiences through their health capital, which is manifested in their self-perception of health, their attitudes towards the healthcare system, their conception of terms such as luck, their work status, and the gendered division of labour at home in the COVID-19 pandemic. All the manifestations are mediated by the social, cultural, and economic capital of the informants, and their habitual practices are based on their symbolic capital. CONCLUSION The study depicts how social agents' health capital manifested in the pandemic, relying on their symbolic capital, and shaping their practices. Further research across diverse contexts is needed to fully understand extra dimensions of health capital as a descriptor of the social determinants of health.
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Affiliation(s)
- Ş Erhan Bağcı
- Department of Medical Education, Faculty of Medicine, Çukurova University, Adana, Turkey.
- Medical Education, Gazi University, Ankara, Turkey.
| | - Şengül Erden
- Department of Medical Education and Informatics, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Begüm Yengel
- Department of Foreign Languages, Middle East Technical University, Ankara, Turkey
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Tiwari S, Petrov AN, Golosov N, Devlin M, Welford M, DeGroote J, Degai T, Ksenofontov S. Regional geographies and public health lessons of the COVID-19 pandemic in the Arctic. Front Public Health 2024; 11:1324105. [PMID: 38259778 PMCID: PMC10801898 DOI: 10.3389/fpubh.2023.1324105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 12/15/2023] [Indexed: 01/24/2024] Open
Abstract
Objectives This study examines the COVID-19 pandemic's spatiotemporal dynamics in 52 sub-regions in eight Arctic states. This study further investigates the potential impact of early vaccination coverage on subsequent COVID-19 outcomes within these regions, potentially revealing public health insights of global significance. Methods We assessed the outcomes of the COVID-19 pandemic in Arctic sub-regions using three key epidemiological variables: confirmed cases, confirmed deaths, and case fatality ratio (CFR), along with vaccination rates to evaluate the effectiveness of the early vaccination campaign on the later dynamics of COVID-19 outcomes in these regions. Results From February 2020 to February 2023, the Arctic experienced five distinct waves of COVID-19 infections and fatalities. However, most Arctic regions consistently maintained Case Fatality Ratios (CFRs) below their respective national levels throughout these waves. Further, the regression analysis indicated that the impact of initial vaccination coverage on subsequent cumulative mortality rates and Case Fatality Ratio (CFR) was inverse and statistically significant. A common trend was the delayed onset of the pandemic in the Arctic due to its remoteness. A few regions, including Greenland, Iceland, the Faroe Islands, Northern Canada, Finland, and Norway, experienced isolated spikes in cases at the beginning of the pandemic with minimal or no fatalities. In contrast, Alaska, Northern Sweden, and Russia had generally high death rates, with surges in cases and fatalities. Conclusion Analyzing COVID-19 data from 52 Arctic subregions shows significant spatial and temporal variations in the pandemic's severity. Greenland, Iceland, the Faroe Islands, Northern Canada, Finland, and Norway exemplify successful pandemic management models characterized by low cases and deaths. These outcomes can be attributed to successful vaccination campaigns, and proactive public health initiatives along the delayed onset of the pandemic, which reduced the impact of COVID-19, given structural and population vulnerabilities. Thus, the Arctic experience of COVID-19 informs preparedness for future pandemic-like public health emergencies in remote regions and marginalized communities worldwide that share similar contexts.
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Affiliation(s)
- Sweta Tiwari
- ARCTICenter, University of Northern Iowa, Cedar Falls, IA, United States
- Department of Geography, University of Northern Iowa, Cedar Falls, IA, United States
| | - Andrey N. Petrov
- ARCTICenter, University of Northern Iowa, Cedar Falls, IA, United States
- Department of Geography, University of Northern Iowa, Cedar Falls, IA, United States
| | - Nikolay Golosov
- Department of Geography, Pennsylvania State University, University Park, PA, United States
| | - Michele Devlin
- United States Army War College, Carlisle, PA, United States
| | - Mark Welford
- Department of Geography, University of Northern Iowa, Cedar Falls, IA, United States
| | - John DeGroote
- Department of Geography, University of Northern Iowa, Cedar Falls, IA, United States
| | - Tatiana Degai
- ARCTICenter, University of Northern Iowa, Cedar Falls, IA, United States
- Department of Anthropology, University of Victoria, Victoria, BC, Canada
| | - Stanislav Ksenofontov
- ARCTICenter, University of Northern Iowa, Cedar Falls, IA, United States
- Department of Geography, University of Northern Iowa, Cedar Falls, IA, United States
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Prieto A, Huang R, Eusebi CA, Shostak M. A Brief Overview of Emerging Vaccine Technologies for Pandemic Preparedness. RAND HEALTH QUARTERLY 2023; 11:6. [PMID: 38264321 PMCID: PMC10732239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/25/2024]
Abstract
Over the past two decades, pandemic preparedness has proven to be critical to health, national, and economic security. Now, countries are investing billions of dollars in various pandemic preparedness tools, such as vaccines and broad-spectrum medical countermeasures (MCM), to address the threats arising from outbreaks. These tools not only offer protection against naturally occurring and accidental biological incidents but can also help provide some protection against deliberate biological attacks. Furthermore, pandemic preparedness has substantial economic implications for both the public and private sectors because of its connection with the biotechnology industry, an important component of the worldwide economy. With so many aspects of pandemic preparedness tied to public health, national security, and economic competition, understanding the key technology and policy trends of the major country stakeholders in this space provides valuable insights into pandemic preparedness gaps and ways of addressing them. This study provides a brief characterization of the trends and strategic implications associated with specific aspects of pandemic preparedness in the United States, China, and Russia. The authors discuss both technical and policy aspects of vaccine concepts and technologies, broad-spectrum MCM, and immunization facilitation.
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Chen X, Winterowd C, Li M, Kreps GL. Identifying Mental Health Literacy as a Key Predictor of COVID-19 Vaccination Acceptance among American Indian/Alaska Native/Native American People. Vaccines (Basel) 2023; 11:1793. [PMID: 38140196 PMCID: PMC10748283 DOI: 10.3390/vaccines11121793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2023] [Revised: 11/17/2023] [Accepted: 11/27/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND This study examines how health literacy and mental health literacy associate with the willingness to receive a COVID-19 vaccination among American Indian/Alaska Native/Native American (AI/AN) people. METHODS The data were collected with an online Qualtrics survey in February 2021 (n = 563). A purposive snowball sampling strategy was used by sending recruitment flyers to colleagues and organizations who work with AI/AN communities to share with appropriate potential respondents. We performed linear regression analyses examining the relationships between the willingness to receive a COVID-19 vaccination and socio-demographic characteristics such as age, gender, education, health literacy, mental health literacy, self-rated physical and mental health status, worry about getting COVID-19, perceived COVID-19 susceptibility, and perceived COVID-19 severity. RESULTS Mental health literacy and health literacy predicted 30.90% and 4.65% of the variance (R2adjusted) in the willingness to receive a COVID-19 vaccine, respectively. After holding the self-rated physical/mental health status, worry about getting COVID-19, perceived susceptibility, perceived severity, health literacy, and socio-demographics constant, mental health literacy was still a strong predictor (b = 0.03, p < 0.001) for the willingness to receive a COVID-19 vaccine (model R2adjusted = 40.14%). CONCLUSIONS We identified mental health literacy as a substantial factor associated with the willingness to receive a COVID-19 vaccination among AI/AN respondents.
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Affiliation(s)
- Xuewei Chen
- School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, Stillwater, OK 74078, USA;
| | - Carrie Winterowd
- School of Community Health Sciences, Counseling and Counseling Psychology, Oklahoma State University, Stillwater, OK 74078, USA;
| | - Ming Li
- Department of Health Sciences, College of Health Professions, Towson University, Towson, MD 21252, USA;
| | - Gary L. Kreps
- Center for Health and Risk Communication, George Mason University, Fairfax, VA 22030, USA;
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Roy DN, Tanvir MRS, Pallab MF, Ferdiousi N, Islam E, Azam MS. Potential determinants of childhood COVID-19 vaccine confidence among the primary school's stakeholders in Bangladesh: A cross-sectional study to assess the effects of education. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:420. [PMID: 38333173 PMCID: PMC10852184 DOI: 10.4103/jehp.jehp_1153_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 07/24/2023] [Indexed: 02/10/2024]
Abstract
BACKGROUND Rapid corona virus disease 2019 (COVID-19) vaccination drives aimed to immunize primary school-aged youth have a potential for health safety and supportive academic attainment. This study aimed to identify the potential factors influencing childhood COVID-19 vaccine confidence among the primary school's stakeholders in Bangladesh and assess the effects of health education on vaccine confidence and receptivity. MATERIALS AND METHODS This cross-sectional study used a bilingual, multi-item, closed-ended, anonymous questionnaire adopted from the extant literature studies on the topic. Data were collected purposively by the face-to-face interview approach. In total, 627 primary school's stakeholders participated in this study. The binary logistic regressions and Chi-square tests were employed to investigate and rationalize the study-outlined objectives where <0.05 was considered statistically significant. RESULTS The pooled childhood vaccine confidence and receptivity against COVID-19 was 91% (95% CI 89-93) among the primary school's stakeholders. The regression analysis revealed that of eight potential determinants of vaccine confidence, "safety" and "effectiveness" had a highly significant (P = 0.006, P = 0.001, respectively) and positive association and "efficacy" had a significant (P = 0.03) and positive association, while "rumor" had a highly significant (P = 0.000) and negative association with childhood vaccine confidence. The analysis also showed that"health education" had a significant (P = 0.04) and positive association with childhood vaccine confidence and receptivity against COVID-19. Although the odds ratio for receiving childhood vaccine was found to be 0.6, the result was insignificant (P > 0.05) in the Chi-squared test. Hence, there was no vaccine-hesitant risky recipient group identified in implementing upcoming childhood COVID-19 vaccination programs. CONCLUSIONS This study confirms the importance of a positive perception of vaccine safety, efficacy, effectiveness, and health education for vaccine confidence under any circumstances. Childhood COVID-19 vaccine confidence is Improved if vaccination data become more available to the guardians and school community. Public health education would be considered a preferred approach for building trust and fostering childhood vaccine confidence against COVID-19 in Bangladesh.
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Affiliation(s)
- Debendra Nath Roy
- Department of Pharmacy, Jashore University of Science and Technology, Jashore, Bangladesh
- Institute of Education and Research, University of Rajshahi, Rajshahi, Bangladesh
| | | | - Maruf Faisal Pallab
- Department of Pharmacy, Jashore University of Science and Technology, Jashore, Bangladesh
| | - Nowrin Ferdiousi
- Department of Pharmacy, Dhaka International University, Dhaka, Bangladesh
| | - Ekramul Islam
- Department of Pharmacy, University of Rajshahi, Bangladesh
| | - Md. Shah Azam
- Department of Marketing, University of Rajshahi, Rajshahi, Bangladesh
- Office of the Vice Chancellor, Rabindra University, Shahjadpur, Bangladesh
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Rodrigues F, Ziade N, Jatuworapruk K, Caballero-Uribe CV, Khursheed T, Gupta L. The Impact of Social Media on Vaccination: A Narrative Review. J Korean Med Sci 2023; 38:e326. [PMID: 37846789 PMCID: PMC10578995 DOI: 10.3346/jkms.2023.38.e326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2023] [Accepted: 08/16/2023] [Indexed: 10/18/2023] Open
Abstract
Vaccine hesitancy poses a significant global health challenge, fueled by misinformation and anti-vaccination campaigns on social media platforms (SMPs). This study examines the influence of social media on coronavirus disease 2019 (COVID-19) and non-COVID-19 vaccination in Asia during the peri-pandemic period. Through a comprehensive analysis of available literature, we aim to elucidate the role of SMPs in shaping vaccination attitudes and behaviors. The findings highlight the detrimental impact of social media on vaccination efforts and provide insights into addressing vaccine hesitancy during this critical period. A narrative review was conducted by searching the PubMed, Scopus, and Google Scholar databases from inception to May 26, 2022. Only English-language articles involving human participants from Asian countries were included in this review. Out of the 228 articles identified through the database search, 14 articles were included in the final analysis. The prevalence of COVID-19 vaccine hesitancy or negative attitudes towards COVID-19 vaccines in Asian countries was found to be high, ranging from 20% to 55% across countries. Notably, reliance on SMPs for vaccine-related information was associated with a higher likelihood of COVID-19 vaccine hesitancy. This trend coincided with the proliferation of misinformation and conspiracy theories that portrayed COVID-19 vaccines as harmful during the pandemic. Similar patterns were observed for other types of vaccines, including polio, measles mumps and rubella, and diphtheria-tetanus-pertussis vaccines. The use of SMPs was also found to be associated with increased fear among caregivers in Asian countries, as well as a 3-4 times higher likelihood of delayed immunization. SMPs negatively impact vaccine intent in Asia due to misinformation and anti-vaccination campaigns during the pandemic. However, they can be a powerful tool for healthcare providers and policymakers to promote informed decision-making. Efforts should focus on leveraging SMPs to disseminate reliable information and combat hesitancy, fostering a well-informed and vaccinated population in Asia.
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Affiliation(s)
- Flinta Rodrigues
- Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India
| | - Nelly Ziade
- Rheumatology Department, Saint-Joseph University, Beirut, Lebanon
- Rheumatology Department, Hotel-Dieu de France Hospital, Beirut, Lebanon
| | - Kanon Jatuworapruk
- Department of Medicine, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
| | | | - Tayyeba Khursheed
- Department of Rheumatology, Pakistan Institute of Medical Sciences, Islamabad, Pakistan
| | - Latika Gupta
- Department of Rheumatology, Royal Wolverhampton Hospitals NHS Trust, Wolverhampton, UK
- City Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
- Division of Musculoskeletal and Dermatological Sciences, Centre for Musculoskeletal Research, School of Biological Sciences, The University of Manchester, Manchester, UK.
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Roshchina Y, Rozhkova K, Roshchin S. Between nudges and mandates: The drivers of COVID-19 vaccination intentions and subsequent uptake in Russia. Vaccine 2023:S0264-410X(23)00756-9. [PMID: 37419852 DOI: 10.1016/j.vaccine.2023.06.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 06/10/2023] [Accepted: 06/20/2023] [Indexed: 07/09/2023]
Abstract
Despite high levels of morbidity and mortality, as well as the widespread availability of domestic vaccines, Russia demonstrated significantly low rates of vaccination throughout the COVID-19 pandemic. This research explores vaccination intentions before the start of the immunisation campaign and the consequent uptake in Russia after the introduction of mandatory vaccination policy in certain industries and proof-of-immunisation for social activities. Using a nationally representative panel dataset, we analyse factors behind individual vaccination decisions using binary and multinomial logistic regressions. Special attention is given to the effect of employment in industries with vaccine mandates and personal factors which determine individual "nudgeability" to vaccination (e.g., personality traits, beliefs, vaccine alertness, self-perceived vaccine availability etc.). Our results show that 49 per cent of the population received at least one shot of COVID-19 vaccine by autumn 2021 after the introduction of mandatory vaccination. Vaccination intentions before the rollout of the nationwide immunisation campaign are correlated with the consequent attitudes and uptake, although the prediction is not perfect. 40 percent of vaccine refusers eventually got vaccinated, while 16 percent of vaccine supporters turned into refusers, revealing the lack of promotion of vaccine safety and effectiveness. To a large extent, vaccination refusal and hesitance are explained by vaccine alertness. Vaccine mandates significantly increased the uptake in several affected industries, especially education. These results offer important insights for designing information policy, relevant for future vaccination campaigns.
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Affiliation(s)
- Yana Roshchina
- Center for Longitudinal Studies and Laboratory for Studies in Economic Sociology, Department of Sociology, National Research University Higher School of Economics, 11 Myasnitskaya street, Moscow 101000, Russian Federation.
| | - Ksenia Rozhkova
- Laboratory for Labor Market Studies, Faculty of Economic Sciences, National Research University Higher School of Economics, 11 Pokrovsky Boulevard, Moscow 109028, Russian Federation.
| | - Sergey Roshchin
- Laboratory for Labor Market Studies, Faculty of Economic Sciences, National Research University Higher School of Economics, 11 Pokrovsky Boulevard, Moscow 109028, Russian Federation.
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Kleitman S, Fullerton DJ, Law MKH, Blanchard MD, Campbell R, Tait MA, Schulz J, Lee J, Stankov L, King MT. The Psychology of COVID-19 Booster Hesitancy, Acceptance and Resistance in Australia. Vaccines (Basel) 2023; 11:vaccines11050907. [PMID: 37243011 DOI: 10.3390/vaccines11050907] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Revised: 04/21/2023] [Accepted: 04/21/2023] [Indexed: 05/28/2023] Open
Abstract
COVID-19 booster vaccinations have been recommended as a primary line of defence against serious illness and hospitalisation. This study identifies and characterises distinct profiles of attitudes towards vaccination, particularly the willingness to get a booster dose. A sample of 582 adults from Australia completed an online survey capturing COVID-related behaviours, beliefs and attitudes and a range of sociodemographic, psychological, political, social and cultural variables. Latent Profile Analysis (LPA) identified three subgroups: Acceptant (61%), Hesitant (30%) and Resistant (9%). Compared to the Acceptant group, the Hesitant and Resistant groups were less worried about catching COVID-19, used fewer official COVID-19 information sources, checked the news less, were lower on the agreeableness personality dimension and reported more conservatism, persecutory thinking, amoral attitudes and need for chaos. The Hesitant group also reported checking the legitimacy of information sources less, scored lower on the openness to new experiences personality dimension and were more likely than the Resistant and Acceptant groups to report regaining freedoms (e.g., travel) and work requirements or external pressures as reasons to get a booster. The Resistant group were higher on reactance, held more conspiratorial beliefs and rated their culture as being less tolerant of deviance than the Hesitant and Acceptant groups. This research can inform tailored approaches to increasing booster uptake and optimal strategies for public health messaging.
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Affiliation(s)
- Sabina Kleitman
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Dayna J Fullerton
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Marvin K H Law
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Matthew D Blanchard
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Rachel Campbell
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Margaret-Ann Tait
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
- Sydney Nursing School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia
| | - Jennifer Schulz
- Faculty of Law and Justice, University of New South Wales, Sydney, NSW 2052, Australia
- Faculty of Medicine and Health, University of New South Wales, Sydney, NSW 2052, Australia
- School of Public Health, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland 0627, New Zealand
| | - Jihyun Lee
- School of Education, Faculty of Arts, Design and Architecture, University of New South Wales, Sydney, NSW 2052, Australia
| | - Lazar Stankov
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
| | - Madeleine T King
- School of Psychology, Faculty of Science, University of Sydney, Sydney, NSW 2006, Australia
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Vermeulen N. Neuroticism predicts national vaccination rates across 56 countries. CURRENT PSYCHOLOGY 2023; 43:1-6. [PMID: 36713618 PMCID: PMC9859739 DOI: 10.1007/s12144-023-04234-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2022] [Indexed: 01/22/2023]
Abstract
Quite strikingly, there is significant variation in Covid-19 vaccine coverage around the world. Some countries do not progress from around 2-3% while others are close to 100% coverage. In addition to some already known economic, health and sociodemographic predictors, the present research is interested in emotional factors that may predict a significant part of this cross-country variation. We examined the personality factor Neuroticism, which corresponds to the relatively stable tendency to experience negative emotions, anxiety and low tolerance for stress. Results confirm that gross domestic product represents around 50 percent of cross-country variation. Neuroticism added 6 to 9 percent of inter-country variation in vaccination coverage. The results are discussed in relation to the associations between Neuroticism, increased worry, greater attention to Covid-19 related information and confidence, as well as lower vaccine hesitancy.
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Affiliation(s)
- Nicolas Vermeulen
- Psychological Sciences Research Institute (IPSY), Université catholique de Louvain (UCLouvain), Louvain-la-Neuve, Belgium and Fund for Scientific Research (FRS-FNRS), Brussels, Belgium
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