ArticlePloS one2021
Psychological characteristics and the mediating role of the 5C Model in explaining students' COVID-19 vaccination intention.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 65 papers, 1 of them a synthesis that pooled it.
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Who cites it
65 citing papers in PubMed, 1 synthesis or guideline pooled it, 109 citations in OpenAlex.
- COVID-19 vaccination intention among nursing, medical, and dental students: A systematic review and meta-regression analysis.Human vaccines & immunotherapeutics · 2023Pooled it
- Effectiveness of a video-based intervention for COVID-19 vaccine acceptance among individuals with mental disorders: a randomized online experiment.Frontiers in public health · 2026Trial
- The impact of educational interventions on COVID-19 and vaccination attitudes among patients in Michigan: A prospective study.Frontiers in public health · 2023Trial
- Factors associated with willingness to receive an adult tetanus booster in China: A cross-sectional study incorporating behavioral factor analysis.Human vaccines & immunotherapeutics · 2026Article
- Assessing the willingness and preference of pregnant and postpartum women regarding RSV immunization for newborns in western China: A mixed-methods study.Human vaccines & immunotherapeutics · 2026Article
- Acceptance of the COVID-19 Booster Vaccine Amid the Omicron JN.1 Surge in Southern Bangladesh: A Comparative Analysis of Rural-Urban Disparities.Risk analysis : an official publication of the Society for Risk Analysis · 2026Observational
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- The University of Salerno's Model for Seasonal Influenza Vaccinations in the Workplace.Vaccines · 2026Article
- Profiles of Hesitancy Toward the Herpes Zoster Vaccine Among Older Adults in China: A Latent Profile Analysis.Vaccines · 2026Article
- Calculating and unconvinced: exploring psychological antecedents of HPV vaccination among Polish-speaking Facebook users.Frontiers in public health · 2026Article
- Exploring Conceptualizations of COVID-19 Risk in Ideologically Distinct Online Communities: A Computational Grounded Theory Analysis.Journal of medical Internet research · 2025Article
- [Pneumococcal vaccination in people aged 60 and over: relationships between vaccination intention, knowledge, and psychological reasons for the vaccination decision].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Article
- Public perception and correlates of Mpox vaccine acceptability in northern Nigeria: a mixed methods study.The Pan African medical journal · 2025Article
- Using the 5C Vaccine Hesitancy Framework to Elucidate and Measure Contraceptive Acceptability in sub-Saharan Africa.Global health, science and practice · 2024Article
- Article
- Gay and Bisexual Men's Perceptions about a Potential HIV Vaccine within a Post-COVID-19 Era: A Qualitative Study.AIDS and behavior · 2024Article
- The 5 C model and Mpox vaccination behavior in Germany: a cross-sectional survey.BMC public health · 2024Article
- COVID-19 vaccination intention and vaccine hesitancy among citizens of the Métis Nation of Ontario.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
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- Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To achieve herd immunity against COVID-19, it is crucial to know the drivers of vaccination intention and, thereby, vaccination. As the determinants of vaccination differ across vaccines, target groups and contexts, we investigate COVID-19 vaccination intention using data from university students from three countries, the Netherlands, Belgium and Portugal. We investigate the psychological drivers of vaccination intention using the 5C model as mediator. This model includes five antecedents of vaccination: Confidence, Complacency, Constraints, Calculation and Collective Responsibility. First, we show that the majority of students have a positive propensity toward getting vaccinated against COVID-19, though only 41% of students are completely acceptant. Second, using the 5C model, we show that 'Confidence' (β = 0.33, SE = 03, p < .001) and 'Collective Responsibility' (β = 0.35, SE = 04, p < .001) are most strongly related to students' COVID-19 vaccination intention. Using mediation analyses, we show that the perceived risk and effectiveness of the vaccine as well as trust in the government and health authorities indirectly relate to vaccination intention through 'Confidence'. The perceived risk of COVID-19 for one's social circle and altruism, the need to belong and psychopathy traits indirectly relate to vaccination intention through 'Collective Responsibility'. Hence, targeting the psychological characteristics associated with 'Confidence' and 'Collective Responsibility' can improve the effectiveness of vaccination campaigns among students.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.