RNSurveyNursing open2023

Older adults' acceptance of the COVID-19 vaccine: Application of the health belief model.

Fatma M Ibrahim, Doaa E Fadila, Doaa Abd Elhameed Abd Elmawla

PMID 37485792

WHAT IT FOUND

46.9% of older adults in Egypt were willing to take a COVID-19 vaccine. 66.1% worried about its safety and effectiveness, and 67.9% said their willingness depended on a trusted doctor's recommendation.

Key findings

0146.9% of 384 older adults were willing to receive the COVID-19 vaccine, 19.5% were unwilling and 33.6% were unsure.

02The most frequently reported vaccine barriers were concerns about safety and effectiveness (66.1%) and possible side effects (61.5%).

0367.9% said their willingness to receive the vaccine depended on a recommendation from a reputable doctor.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was done only in Mansoura District, so it may not represent older adults in other parts of Egypt. It was cross-sectional, so it cannot show that beliefs or demographics caused vaccine acceptance. It measured stated willingness to receive a future vaccine, not actual vaccination. People with mental or psychiatric disorders were excluded, so the results do not apply to that group. Some reported adjusted associations had wide confidence intervals, so the size of the associations is uncertain.

Declared interests

No funding support; authors declare no conflict of interest.

The easy way to misread this

Do not conclude that trusted doctor recommendations or addressing safety worries will increase vaccine uptake. This was a cross-sectional survey of stated willingness, not a trial of an education programme, so it shows associations, not cause.

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