PDF(Pubmed)
Abstract：
This systematic review synthesizes the findings of quantitative studies examining the relationships between Health Belief Model (HBM) constructs and COVID-19 vaccination intention. We searched PubMed, Medline, CINAHL, Web of Science, and Scopus using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and identified 109 eligible studies. The overall vaccination intention rate was 68.19%. Perceived benefits, perceived barriers, and cues to action were the three most frequently demonstrated predictors of vaccination intention for both primary series and booster vaccines. For booster doses, the influence of susceptibility slightly increased, but the impact of severity, self-efficacy, and cues to action on vaccination intention declined. The impact of susceptibility increased, but severity\'s effect declined sharply from 2020 to 2022. The influence of barriers slightly declined from 2020 to 2021, but it skyrocketed in 2022. Conversely, the role of self-efficacy dipped in 2022. Susceptibility, severity, and barriers were dominant predictors in Saudi Arabia, but self-efficacy and cues to action had weaker effects in the USA. Susceptibility and severity had a lower impact on students, especially in North America, and barriers had a lower impact on health care workers. However, cues to action and self-efficacy had a dominant influence among parents. The most prevalent modifying variables were age, gender, education, income, and occupation. The results show that HBM is useful in predicting vaccine intention.
摘要：
本系统综述综合了定量研究的结果，这些研究检查了健康信念模型（HBM）构建与COVID-19疫苗接种意向之间的关系。我们搜索了PubMed,Medline,CINAHL,WebofScience,和Scopus使用首选报告项目进行系统审查和荟萃分析（PRISMA）指南，并确定了109项符合条件的研究。总体接种意向率为68.19%。感知到的好处，感知障碍，和行动线索是主要系列疫苗和加强疫苗接种意向最常见的三个预测因子.对于加强剂量，敏感性的影响略有增加，但是严重程度的影响，自我效能感,对疫苗接种意向采取行动的线索也有所下降。易感性的影响增加，但从2020年到2022年，严重程度的影响急剧下降。壁垒的影响从2020年到2021年略有下降，但在2022年飙升。相反，自我效能感的作用在2022年有所下降。敏感性,严重程度,障碍是沙特阿拉伯的主要预测因素，但在美国，自我效能感和行动线索的影响较弱。易感性和严重程度对学生的影响较低，尤其是在北美，障碍对医护人员的影响较小。然而,行动线索和自我效能感在父母中占主导地位。最普遍的修改变量是年龄，性别,教育,收入,和职业。结果表明，HBM可用于预测疫苗的意图。
