Table 3.
Association of the Health Belief Model constructs with intent to get vaccinated against COVID-19 among adults in Puerto Rico
| No intent to get vaccinated or unsure |
||||
|---|---|---|---|---|
| HBM construct | Crude OR (95% CI) | p value | Adjusted OR (95% CI) | p value |
| Perceived susceptibility |
|
|
|
|
| My chance of getting COVID-19 in the next few months is high | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 3.02 (2.36, 3.87) | <0.001 | 2.94 (2.24, 3.86) | <0.001 |
| I am worried about the likelihood of getting COVID-19 | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 8.49 (5.82, 12.4) | <0.001 | 7.87 (5.09, 12.1) | <0.001 |
| Getting COVID-19 is currently a possibility for me | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 3.16 (2.48, 4.02) | <0.001 | 2.86 (2.19, 3.74) | <0.001 |
| What would you think will happen if you get COVID-19 | ||||
| I do not think I will get COVID-19 | 2.37 (1.65, 3.41) | <0.001 | 2.29 (1.52, 3.44) | <0.001 |
| I think I will get a mild case | 1.31 (0.99, 1.75) | 0.062 | 1.28 (0.92, 1.76) | 0.142 |
| I think I will get very sick | 1.00 | 1.00 | ||
| Does not apply (already got COVID-19) |
1.84 (0.99, 3.43) |
0.054 |
1.61 (0.81, 3.23) |
0.176 |
| Perceived severity |
|
|
|
|
| The complications from contracting COVID-19 are serious | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 7.66 (4.45, 13.2) | <0.001 | 7.50 (3.94, 14.3) | <0.001 |
| I will be very sick if I get COVID-19 | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 1.91 (1.50, 2.42) | <0.001 | 1.89 (1.43, 2.43) | <0.001 |
| I am afraid of getting COVID-19 | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree |
3.72 (2.82, 4.92) |
<0.001 |
3.80 (2.76, 5.23) |
<0.001 |
| Perceived benefits |
|
|
|
|
| Vaccination is a good idea because it makes me feel less worried about catching COVID-19 | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree | 25.9 (19.2, 35.0) | <0.001 | 23.6 (16.9, 33.0) | <0.001 |
| Vaccination decreases my chances of getting COVID-19 or its complications | ||||
| Agree | 1.00 | 1.00 | ||
| Disagree |
34.7 (24.3, 49.6) |
<0.001 |
28.6 (19.3, 42.3) |
<0.001 |
| Perceived barriers |
|
|
|
|
| I worry the possible side-effects of COVID-19 vaccination would interfere with my usual activities | ||||
| Agree | 15.9 (11.5, 22.2) | <0.001 | 13.4 (9.5, 19.1) | <0.001 |
| Disagree | 1.00 | 1.00 | ||
| I am concern about the efficacy of the COVID-19 vaccination | ||||
| Agree | 13.9 (9.93, 19.5) | <0.001 | 12.7 (8.83, 18.1) | <0.001 |
| Disagree | 1.00 | 1.00 | ||
| I am concerned about the safety of the COVID-19 vaccination | ||||
| Agree | 27.2 (18.1, 40.9) | 25.5 (16.6, 39.3) | <0.001 | |
| Disagree | 1.00 | 1.00 | ||
| Cues to action | ||||
| I will only take the COVID-19 vaccine if I was given adequate information about it | ||||
| Agree | 1.29 (1.01, 1.65) | 0.043 | 1.27 (0.97, 1.66) | 0.085 |
| Disagree | 1.00 | 1.00 | ||
| I will only take the COVID-19 vaccine if the vaccine is taken by many in the public | ||||
| Agree | 3.71 (2.86, 4.81) | <0.001 | 3.32 (2.49, 4.43) | <0.001 |
| Disagree | 1.00 | 1.00 | ||
Intent to get vaccinated against COVID-19 used as the reference group. All models are adjusted for: sex, age, education, income, health region, history of flu vaccine, confidence in filling out medical records, importance of religion, having a disease.