Evidence map›Paper›PMID 41460888›Full record

ArticlePLOS global public health2025

Predictors of COVID-19 vaccination intention among students in Ghana: An application of the Health Belief Model and Theory of Planned Behaviour.

Hudatu Ahmed, Mawuli Gohoho, Samuel Adolf Bosoka, George Sarpong Agyemang, Sorengmen Amos Ziema, James Alorwu, Isaac Annobil, Veronica Okwuchi Charles-Unadike

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Article in PLOS global public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Hudatu AhmedFred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.ORCID https://orcid.org/0009-0009-3753-7585
Mawuli GohohoJasikan Municipal Health Directorate, Ghana Health Service, Jasikan, Oti Region, Ghana.ORCID https://orcid.org/0009-0001-4357-3509
Samuel Adolf BosokaGhana Field Epidemiology and Laboratory Training Programme, Accra, Ghana.ORCID https://orcid.org/0000-0003-3214-8141
George Sarpong AgyemangGhana Field Epidemiology and Laboratory Training Programme, Accra, Ghana.ORCID https://orcid.org/0000-0002-4857-9416
Sorengmen Amos ZiemaGhana Field Epidemiology and Laboratory Training Programme, Accra, Ghana.ORCID https://orcid.org/0000-0002-8269-9200
James AlorwuGhana Field Epidemiology and Laboratory Training Programme, Accra, Ghana.ORCID https://orcid.org/0009-0009-4364-7967
Isaac AnnobilJasikan Municipal Health Directorate, Ghana Health Service, Jasikan, Oti Region, Ghana.ORCID https://orcid.org/0000-0001-9892-1884
Veronica Okwuchi Charles-UnadikeFred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Students are an important group in COVID-19 prevention, as their vaccination decisions influence peers and families and contributes to broader community protection. However, limited evidence exists on factors influencing their decisions to get vaccinated. This study examined COVID-19 vaccination intention and its associated predictors among students in Jasikan Municipality, Ghana, using the Health Belief Model (HBM) and Theory of Planned Behaviour (TPB) to guide strategies for improving vaccine acceptance. A cross-sectional study was conducted between 25 July and 5 August 2022 using a multistage sampling technique to select participants from Senior High Schools. Using a pilot-tested questionnaire, data were collected on socio-demographics, COVID-19 protocol adherence, health-related characteristics, HBM and TPB constructs, and vaccination intention. The constructs were measured using Likert-scale items adapted from previous studies. Reliability was assessed using Cronbach's alpha (α = 0.63-0.86). Descriptive and inferential statistics were performed. Hierarchical binary logistic regression was used to assess the predictors of COVID-19 vaccination intention with statistical significance set at P < 0.05. We found that 206 (49.0%) of the 420 students interviewed were females, and 141 (33.6%) were aged 15-17 years. The mean age was 18.21 (±1.79) years. Overall, 257 (61.0%) students expressed intention to vaccinate against COVID-19. Previous COVID-19 experience (AOR = 3.26; 95%CI: 1.11-9.56), adherence to social distancing (AOR = 1.85; 95% CI: 1.17-2.91), attitude towards vaccination (AOR = 1.10; 95%CI: 1.03-1.18), subjective norms (AOR = 1.09; 95%CI: 1.04-1.15), and self-efficacy (AOR = 1.20; 95%CI: 1.11-1.31) were significant predictors of COVID-19 vaccination intention. These findings indicate that six in ten students were willing to receive the COVID-19 vaccine with intention influenced by prior COVID-19 experience, social distancing behaviour, and key constructs from HBM and TPB. School-based vaccination programs should prioritize attitude change interventions that leverage peer influence and teacher support while building students' confidence toward vaccination to improve vaccine uptake.

Identifiers

PMID41460888
PMCPMC12747339

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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.