ArticleBMC public health2025
Multi-dimensional factors of behavioral intention of COVID-19 booster vaccination among people having contracted COVID-19-a 7-city study conducted during the last national major outbreak in China.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Exploring Green-Synthesized Silver Nanoparticles in Neurodegeneration: a Systematic Review of Cholinesterase Enzyme Interactions.Molecular neurobiology · 2026Pooled it
- Platelet-rich plasma and stem cell therapies for spondylosis: a systematic review of randomized controlled trials.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Review
- Prevalence and Factors Associated With Acute Stress Disorder Among Adults Ever Infected With COVID-19 During the Ending Phase of the Pandemic in 7 Chinese Cities: Cross-Sectional Study.JMIR public health and surveillance · 2026Article
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Authors and funding
17 authors.
Funding
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Abstract
introductionThe COVID-19 reinfection rate is high, and COVID-19 remains a significant public health threat. Booster vaccination is effective in reducing reinfection and the severity of infection. To increase the booster vaccination rate among people having contracted COVID-19 (PCC), it is warranted to understand the prevalence and factors of behavioral intention to take up COVID-19 booster vaccination. Multi-dimensional factors, including cognitive factors (cognitive factors of illness representation (IR) and perceived inevitability of infection), emotional factors (emotional factors of IR and panic), psychosocial factors (depressive symptoms and social support), and a behavioral factor (social distancing behavior), were examined for their association with behavioral intention to take up COVID-19 booster vaccination after six months since the COVID-19 diagnosis (BI-BCV).
methodsAn anonymous cross-sectional online survey was conducted among the adult PCC population in seven cities located in eastern, southern, western, northern, and north-western China using stratified clustered sampling from December 27, 2022 through January 9, 2023, which is during China's last national major outbreak.
resultsA total of 5,757 PCC were included in the study. The prevalence of BI-BCV was 65.8%. Age, employment status, community type (rural/urban), chronic disease control status, marital status, education level, infection timing, and city were significantly associated with BI-BCV. The multivariate logistic regression yielded that IR constructs of treatment control, IR of illness coherence, social support, and social distancing behavior factors were positively associated with BI-BCV. In addition, IR of perceived consequences of COVID-19, perceived inevitability of infection, and depressive symptoms were negatively associated with BI-BCV. The emotional factors (panic and emotional IR) were non-significant.
conclusionsThe BI-BCV prevalence was lower than ideal and warrants health promotion. We found that some cognitions (IR constructs of illness coherence, treatment control, and perceived consequences of COVID-19 and perceived inevitability of infection), behavior (social distancing), psychosocial factors (depression and social support), but not emotional states related to COVID-19, were potential determinants of BI-BCV. Future longitudinal studies are warranted to confirm the findings. Health workers may consider modifications of the significant factors found in this study.
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