ArticleJMIR public health and surveillance2022
Vaccination Intention and Behavior of the General Public in China: Cross-sectional Survey and Moderated Mediation Model Analysis.
Article in JMIR public health and surveillance, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Predictors of influenza vaccination among Iranian pregnant women based on a combined Health Belief Model and Theory of Planned behavior.Human vaccines & immunotherapeutics · 2026Article
- Unpacking Young Adults' Fact-Checking Intent on Oral Health Misinformation: Parallel Mediating Roles of Need for Cognition and Perceived Seriousness-A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- The impact of vaccine access difficulties on HPV vaccine intention and uptake among female university students in China.International journal for equity in health · 2025Article
- Article
- Promoting Influenza Vaccination Uptake Among Chinese Older Adults Based on Information-Motivation-Behavioral Skills Model and Conditional Economic Incentive: Protocol for Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2024Article
- The role of personal health beliefs and altruistic beliefs in young Chinese adult men's acceptance of the human papillomavirus vaccine.Scientific reports · 2024Article
- Vaccination intentions of hypertensive Chinese individuals during the COVID-19 epidemic: a structural equation modeling study.BMC infectious diseases · 2024Article
- A Prediction Model for Identifying Seasonal Influenza Vaccination Uptake Among Children in Wuxi, China: Prospective Observational Study.JMIR public health and surveillance · 2024Observational
- The relationship between influenza vaccine hesitancy and vaccine literacy among youth and adults in China.Frontiers in immunology · 2024Article
- Perceptions and acceptability of HPV vaccination among parents of female adolescents 9-14 in China: A cross-sectional survey based on the theory of planned behavior.Human vaccines & immunotherapeutics · 2023Article
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Authors and funding
11 authors.
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Abstract
backgroundPromoting vaccination and eliminating vaccine hesitancy are key measures for controlling vaccine-preventable diseases.
objectiveWe aimed to understand the beliefs surrounding and drivers of vaccination behavior, and their relationships with and influence on vaccination intention and practices.
methodsWe conducted a web-based survey in 31 provinces in mainland China from May 24, 2021 to June 15, 2021, with questions pertaining to vaccination in 5 dimensions: attitude, subjective norms, perceived behavioral control, intention, and behavior. We performed hierarchical regression analysis and structural equation modeling based on the theory of planned behavior-in which, the variables attitude, subjective norms, and intention each affect the variable intention; the variable intention mediates the relationships of attitude and subjective norms with behavior, and the variable perceived behavioral control moderates the strength of this mediation-to test the validity of the theoretical framework.
resultsA total of 9924 participants, aged 18 to 59 years, were included in this study. Vaccination intention mediated the relationships of attitude and subjective norms with vaccination behavior. The indirect effect of attitude on vaccination behavior was 0.164 and that of subjective norms was 0.255, and the difference was statistically significant (P<.001). The moderated mediation analysis further indicated that perceived behavioral control would affect the mediation when used as moderator, and the interaction terms for attitude (β=-0.052, P<.001) and subjective norms (β=-0.028, P=.006) with perceived behavioral control were significant.
conclusionsSubjective norms have stronger positive influences on vaccination practices than attitudes. Perceived behavioral control, as a moderator, has a substitution relationship with attitudes and subjective norms and weakens their positive effects on vaccination behavior.
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