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© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Vaccination appears to be one of the effective strategies to control the COVID-19 pandemic. However, the challenge of vaccine hesitancy may lower the uptake rate and affect overall vaccine efficacy. Being a low-risk group in terms of serious consequences of infection, university students may possess low motivation to get vaccinated. Therefore, an expanded Protection Motivation Theory (PMT) incorporating perceived knowledge, adaptive response, and maladaptive response was proposed to investigate the COVID-19 vaccination intention among Taiwanese university students. University students (n = 924; 575 males; mean age = 25.29 years) completed an online survey during January to February 2021. The proposed expanded PMT model was examined using structural equation modeling (SEM). The results showed that perceived knowledge was significantly associated with coping appraisal (standardized coefficient (β) = 0.820; p < 0.001), and coping appraisal was significantly associated with adaptive response (β = 0.852; p < 0.001), maladaptive response (β = 0.300; p < 0.001) and intention (β = 0.533; p = 0.009). Moreover, maladaptive response (β = −0.173; p = 0.001) but not adaptive response (β = 0.148; p = 0.482) was significantly and negatively associated with intention. The present study’s results demonstrated a positive path between perceived knowledge, coping appraisal, and intention among university students. Therefore, improving knowledge among this population may increase the intention to uptake the vaccine.

Details

Title
Expanding Protection Motivation Theory to Explain Willingness of COVID-19 Vaccination Uptake among Taiwanese University Students
Author
Po-Ching Huang 1 ; Ching-Hsia, Hung 2 ; Yi-Jie Kuo 3 ; Yu-Pin, Chen 3   VIAFID ORCID Logo  ; Ahorsu, Daniel Kwasi 4   VIAFID ORCID Logo  ; Cheng-Fang, Yen 5   VIAFID ORCID Logo  ; Chung-Ying, Lin 6   VIAFID ORCID Logo  ; Griffiths, Mark D 7   VIAFID ORCID Logo  ; Pakpour, Amir H 8 

 Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; [email protected] (P.-C.H.); [email protected] (C.-H.H.) 
 Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; [email protected] (P.-C.H.); [email protected] (C.-H.H.); Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan 
 Department of Orthopedic Surgery, Wan Fang Hospital, Taipei Medical University, Taipei 116081, Taiwan; [email protected] (Y.-J.K.); [email protected] (Y.-P.C.); Department of Orthopedic Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taipei 106339, Taiwan 
 Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China; [email protected] 
 Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung 807377, Taiwan; Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 807377, Taiwan; College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan 
 Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; [email protected] (P.-C.H.); [email protected] (C.-H.H.); Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan; Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701401, Taiwan 
 International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK; [email protected] 
 Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin 34197-59811, Iran; [email protected]; Department of Nursing, School of Health and Welfare, Jönköping University, SE-551 11 Jönköping, Sweden 
First page
1046
Publication year
2021
Publication date
2021
Publisher
MDPI AG
e-ISSN
2076393X
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2576503858
Copyright
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.