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Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan

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  • Yi-Lung Chen

    (Department of Healthcare Administration, Asia University, Taichung 41354, Taiwan
    Department of Psychology, Asia University, Taichung 41354, Taiwan
    Yi-Lung Chen and Yen-Ju Lin contributed equally to this work as the first authors.)

  • Yen-Ju Lin

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan
    Yi-Lung Chen and Yen-Ju Lin contributed equally to this work as the first authors.)

  • Yu-Ping Chang

    (School of Nursing, The State University of New York at Buffalo, New York, NY 14214-3079, USA)

  • Wen-Jiun Chou

    (School of Medicine, Chang Gung University, Taoyuan 33302, Taiwan
    Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung 83301, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80708, Taiwan)

Abstract

The present study aimed to identify the distinct classes of motivations to get vaccinated and to adopt preventive behaviors against the coronavirus disease 2019 (COVID-19) among people in Taiwan and to examine the roles of Protection Motivation Theory (PMT) cognitive constructs in these unique classes of motivations to get vaccinated and to adopt preventive behaviors. We recruited 1047 participants by using a Facebook advertisement. Participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19, PMT constructs of threat appraisal (perceived severity and perceived vulnerability), and PMT constructs of coping appraisal (self-efficacy, response efficacy, response cost, knowledge, and previous vaccination for seasonal influenza) were determined. We analyzed participants’ motivations to get vaccinated and to adopt preventive behaviors against COVID-19 by using latent profile analysis. The present study identified three latent classes, including the participants with high motivation for vaccination and preventive behaviors (the class of Both High), those with low motivation for vaccination and preventive behaviors (the class of Both Low), and those with high motivation for vaccination but low motivation for preventive behaviors (the class of High Vaccination but Low Preventive Behaviors). Compared with the participants in the class of Both High, participants in the class of Both Low had lower levels of perceived vulnerability, perceived severity, self-efficacy to have vaccination, response efficacy of vaccination, knowledge about vaccination, and previous vaccination for seasonal influenza; participants in the class of High Vaccination but Low Preventive Behaviors had lower levels of perceived vulnerability and perceived severity but higher levels of response cost of vaccination. We concluded that varieties of motivations, threat, and coping appraisals should be considered in intervention programs aiming to increase motivation to adopt recommended protective behaviors against COVID-19.

Suggested Citation

  • Yi-Lung Chen & Yen-Ju Lin & Yu-Ping Chang & Wen-Jiun Chou & Cheng-Fang Yen, 2021. "Differences in the Protection Motivation Theory Constructs between People with Various Latent Classes of Motivation for Vaccination and Preventive Behaviors against COVID-19 in Taiwan," IJERPH, MDPI, vol. 18(13), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:13:p:7042-:d:586586
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    1. Takahashi, Shuko & Yamada, Shohei & Sasaki, Satoshi & Takahashi, Naomi & Nohara, Masaru & Kawachi, Ichiro, 2022. "A high level of vaccine knowledge increases people's behavioral risks for contracting COVID-19 in Japan," Social Science & Medicine, Elsevier, vol. 310(C).

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