Background: This study aimed to explore behavioral-related factors predicting the intention of getting a COVID-19 vaccine among medical and nursing students using an integrative model combining the Health Belief Model (HBM) and the Theory of Planned Behavior (TPB). Methods: A cross-sectional online survey was conducted among medical and nursing students aged > 18 years in their clinical years in Israel between 27 August and 28 September 2020. Hierarchical logistic regression was used to predict acceptance of a COVID-19 vaccine. Results: A total number of 628 participants completed the survey. Medical students expressed higher intentions of getting vaccinated against COVID-19 than nursing students (88.1% vs. 76.2%, p < 0.01). The integrated model based on HBM and TPB was able to explain 66% of the variance (adjusted R 2 = 0.66). Participants were more likely to be willing to get vaccinated if they reported higher levels of perceived susceptibility, benefits, barriers, cues to action, attitude, self-efficacy and anticipated regret. Two interaction effects revealed that male nurses had a higher intention of getting vaccinated than did female nurses and that susceptibility is a predictor of the intention of getting vaccinated only among nurses. Conclusions: This study demonstrates that both models considered (i.e., HBM and TPB) are important for predicting the intention of getting a COVID-19 vaccine among medical and nursing students, and can help better guide intervention programs, based on components from both models. Our findings also highlight the importance of paying attention to a targeted group of female nurses, who expressed low vaccine acceptance.
【저자키워드】 Healthcare workers, Vaccine acceptance, SARS Coronavirus, Health Belief Model, Theory of Planned Behavior, 【초록키워드】 Vaccine, COVID-19 vaccine, cross-sectional, susceptibility, Intervention, Nurses, male, female, Model, Logistic regression, Self-efficacy, Intention, Behavior, predict, Nurse, Factor, help, participant, interaction effect, component, theory, belief, HBM, highlight, was used, reported, conducted, adjusted, expressed, explain, R 2, anticipated, vaccinated against COVID-19, 【제목키워드】 COVID-19, Nursing, Behavior, student, theory, difference,