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Article

Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan

by 1,2,†, 3,4,†, 5, 6,7,* and 3,4,*
1
Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
2
Department of Psychology, Asia University, Taichung 41354, Taiwan
3
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
4
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
5
School of Nursing, The State University of New York at Buffalo, New York, NY 14214-3079, USA
6
School of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
7
Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan
*
Authors to whom correspondence should be addressed.
Yi-Lung Chen and Yen-Ju Lin contributed equally to this work as the first authors.
Academic Editor: Jimmy T. Efird
Int. J. Environ. Res. Public Health 2021, 18(13), 7042; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18137042
Received: 3 June 2021 / Revised: 24 June 2021 / Accepted: 28 June 2021 / Published: 1 July 2021
(This article belongs to the Special Issue Risk Assessment for COVID-19)
The present study aimed to identify the distinct classes of motivations to get vaccinated and to adopt preventive behaviors against the coronavirus disease 2019 (COVID-19) among people in Taiwan and to examine the roles of Protection Motivation Theory (PMT) cognitive constructs in these unique classes of motivations to get vaccinated and to adopt preventive behaviors. We recruited 1047 participants by using a Facebook advertisement. Participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19, PMT constructs of threat appraisal (perceived severity and perceived vulnerability), and PMT constructs of coping appraisal (self-efficacy, response efficacy, response cost, knowledge, and previous vaccination for seasonal influenza) were determined. We analyzed participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19 by using latent profile analysis. The present study identified three latent classes, including the participants with high motivation for vaccination and preventive behaviors (the class of Both High), those with low motivation for vaccination and preventive behaviors (the class of Both Low), and those with high motivation for vaccination but low motivation for preventive behaviors (the class of High Vaccination but Low Preventive Behaviors). Compared with the participants in the class of Both High, participants in the class of Both Low had lower levels of perceived vulnerability, perceived severity, self-efficacy to have vaccination, response efficacy of vaccination, knowledge about vaccination, and previous vaccination for seasonal influenza; participants in the class of High Vaccination but Low Preventive Behaviors had lower levels of perceived vulnerability and perceived severity but higher levels of response cost of vaccination. We concluded that varieties of motivations, threat, and coping appraisals should be considered in intervention programs aiming to increase motivation to adopt recommended protective behaviors against COVID-19. View Full-Text
Keywords: COVID-19; vaccine; motivation; preventive behavior; Protection Motivation Theory COVID-19; vaccine; motivation; preventive behavior; Protection Motivation Theory
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MDPI and ACS Style

Chen, Y.-L.; Lin, Y.-J.; Chang, Y.-P.; Chou, W.-J.; Yen, C.-F. Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan. Int. J. Environ. Res. Public Health 2021, 18, 7042. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18137042

AMA Style

Chen Y-L, Lin Y-J, Chang Y-P, Chou W-J, Yen C-F. Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan. International Journal of Environmental Research and Public Health. 2021; 18(13):7042. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18137042

Chicago/Turabian Style

Chen, Yi-Lung, Yen-Ju Lin, Yu-Ping Chang, Wen-Jiun Chou, and Cheng-Fang Yen. 2021. "Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan" International Journal of Environmental Research and Public Health 18, no. 13: 7042. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18137042

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