ArticleEuropean journal of public health2024
Multilevel analysis of COVID-19 vaccination intention: the moderating role of economic and cultural country characteristics.
Article in European journal of public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Online Information as a Double-Edged Sword: A Multilevel Analysis of Vaccination Skepticism Based on ISSP 2021.Journal of community health · 2026Article
- The impact of national context on COVID-19 vaccine hesitancy across Europe.BMC public health · 2026Article
- Rebuilding Vaccine Confidence Through Community-Centered Health Promotion: A Call for Trust, Engagement, and Sustainable Immunization.Journal of healthcare leadership · 2026Article
- The Evolution of Monkeypox Vaccination Acceptance in Romania: A Comparative Analysis (2022-2025), Psychosocial Perceptions, and the Impact of Anti-Vaccination Rhetoric on Societal Security.Behavioral sciences (Basel, Switzerland) · 2025Article
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Abstract
backgroundPredictors of COVID-19 (coronavirus) vaccination have been extensively researched; however, the contextual factors contributing to understanding vaccination intention remain largely unexplored. The present study aimed to investigate the moderating role of economic development (Gross domestic product - GDP per capita), economic inequality (Gini index), the perceived corruption index and Hofstede's measurements of cultural values-index of individualism/collectivism and power distance index-in the relationship between determinants of satisfaction with the healthcare system, trust in political institutions, conspiracy beliefs and COVID-19 vaccination intention.
methodsA multilevel modelling approach was employed on a sample of approximately 51 000 individuals nested within 26 countries. Data were drawn from the European Social Survey Round 10. The model examined the effect of individual- and country-level predictors and their interaction on vaccination intention.
resultsSatisfaction with the healthcare system had a stronger positive effect on intention to get vaccinated in countries with lower perceived corruption and more individualistic countries. Trust in political institutions had a stronger positive effect on vaccination intention in countries with higher economic development and lower perceived corruption, while a negative effect of conspiracy beliefs on vaccination intention was stronger in countries with lower economic development, higher perceived corruption and a more collectivistic cultural orientation.
conclusionOur findings highlight the importance of considering individual and contextual factors when addressing vaccination intention.
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