1.Drivers for decision change in getting vaccinated against COVID-19: A retrospective cross-sectional study
Rosemary R. Seva ; Lourdes Marie S. Tejero ; Bettina Joyce P. Ilagan
Acta Medica Philippina 2026;60(3):60-69
Background:
A certain percentage of the vaccinated population initially did not want to get vaccinated but changed
their minds (from 30% to 70%). By October 2022, World Bank reported that the Philippines had 77.8% COVID-19 vaccination rate. Knowing the factors that changed their decision can help improve the vaccination rate.
Objective:
This survey aimed to identify the factors that influence positive change in vaccination decisions.
Methods:
This survey was conducted in the Philippines among Filipinos aged 18-80 years old between March to April 2022. The dependent variable in the study was decision change, a binary variable coded as 1 for a vaccinated person who changed their decision from no to yes and 0 for an unvaccinated person who did not change their decision from yes to no.
Results:
Age (adjusted odds ratio [aOR] = 0.92, 95% CI = 0.89-0.96) and having a college degree (aOR=11.707,
95% CI=3.23-42.41) are related to changing decisions. Young and college degree holders are likely to change their decisions positively about getting vaccinated. Employer requirement also influences decision change because it affects a person's livelihood. High scores on vaccine confidence (aOR = 1.181, 95% CI = 1.12-1.25) and awareness (aOR = 1.318, 95% CI = 1.08-1.61) are associated with decision change.
Conclusion
Being young, educated, employed with a requirement to vaccinate, and having high vaccine awareness
and confidence are strongly associated with a positive change in the decision to get vaccinated.
Vaccines
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Vaccination
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Philippines
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Awareness
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Covid-19

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