19610

COVID-19 Korkusu ile Aşı Olma Niyeti Arasındaki İlişkide Mikroptan Kaçınmanın Aracılık Rolü

Amaç: Çalışmada COVID-19 korku düzeyinin belirlenmesi ve COVID-19 korkusu ile aşılama niyeti arasındaki ilişkinin ortaya konulması amaçlanmıştır. Materyal ve Metot: Araştırmanın evrenini Düzce İl merkezinde faaliyet gösteren bir aile hekimliği birimine başvuran genç, orta ve ileri yaş grubu hasta ve hasta yakınları oluşturmuştur. Veriler yüz yüze anket tekniği kullanılarak 530 kişiden toplanmıştır. Verilerin analizinde IBM SPSS 23 ve AMOS paket programları kullanılmıştır. Bulgular: Çalışmanın ampirik sonucu COVID-19 korku düzeyi attıkça, COVID-19 aşı olma niyetinin de olumlu yönde arttığını ortaya koymuştur. Bunun yanı sıra mikroptan kaçınma davranışının, COVID-19 korkusu ile aşı olma niyeti arasındaki ilişkide önemli derecede dolaylı bir etkiye sahip olduğu ve tam bir arabuluculuk ettiği tespit edilmiştir. Sonuç: Bu araştırma, artan COVID-19 korku düzeyinin yüksek mikroptan kaçınma davranışı yoluyla aşı olma niyetini olumlu yönde artırdığını ortaya koymuştur.

Anahtar Kelimeler:

COVID-19, Korku, Mikroptan Kaçınma, Aşı, Yapısal Eşitlik Modellemesi

The Mediating Role of Germ Aversion in the Relationship between Fear of COVID-19 and Intention to Vaccinate

Objective: In the study, it was aimed to determine the fear level of COVID-19 and to demonstrate the relationship between fear of COVID-19 and intention to vaccinate. Materials and Methods: The study population consisted of young, middle, and elderly patients and their relatives who applied to a family medicine unit operating in the city center of Düzce. Data were collected from 530 people using the face-to-face survey technique. The researchers used IBM SPSS Statistic Base 23 V and AMOS package programs for statistical analysis. Results: The empirical result of the study revealed that as the fear level of COVID-19 increased, the intention to get vaccinated for COVID-19 increased positively. In addition, it has been determined that germ aversion behavior has a significant indirect effect and fully mediates the relationship between fear of COVID-19 and intention to get vaccinated. Conclusions: This research revealed that increasing COVID-19 fear level positively increases the intention to be vaccinated through high germ aversion behavior.

Keywords:

COVID-19, Fear, Germ Aversion, Vaccine, Structural Equation Modeling,

PDF

___

1. Parıldar H, Dikici MF. History of pandemics. Journal of Clinical Medicine Family Medicine, 2020;12(1):1-8.
2. Artan T, Karaman M, Atak I, Cebeci F. Evaluation of the scale of assessment of perceptions and attitudes towards the COVID-19 outbreak. Journal of Social Work. 2020;4(2):101-107.
3. T.R. Ministry of Health. COVID-19 guide 2020. https://covid19.saglik.gov.tr/. Accesed August 1, 2021.
4. World Health Organization. Coronavirus disease (COVID-19). https://www.who.int/publications/m/item/weekly-operational- update-on-covid-19. Accesed August 18, 2021.
5. Tian H, Liu Y, Li Y, et al. An investigation of transmission control measures during the first 50 days of the COVID-19 epidemic in China. Science. 2020;368:638–642. doi:10.1126/science.abb6105
6. Wibawa T. COVID‐19 vaccine research and development: ethical issues. Tropical Medicine & International Health. 2021;26 (1):14-19. doi:10.1111/tmi.13503
7. Abbas KM, Kang GJ, Chen D, Werre SR, Marathe A. Demographics, perceptions, and socioeconomic factors affecting influenza vaccination among adults in the United States. PeerJ. 2018;6(2), e5171. doi:10.7717/peerj.5171.
8. Almario CV, May FP, Maxwell AE, Ren W, Ponce NA, Spiegel BM. Persistent racial and ethnic disparities in flu vaccination coverage: Results from a population-based study. American Journal of Infection Control. 2016;44(9):1004-1009. doi:10.1016/j.ajic.2016.03.064.
9. Li M, Taylor EG, Atkins KE, Chapman GB, Galvani AP. Stimulating influenza vaccination via prosocial motives. Plos One. 2016;11(7). doi:10.1371/journal.pone.0159780.
10. Grand MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior. Annals of Behavioral Medicine. 2012;44(2):171-180. doi:10.1007/s12160-012-9366-5.
11. Yang ZJ. Predicting young adults’ intentions to get the H1N1 vaccine: An integrated model. Journal of Health Communication. 2015;20(1):69-79. doi:10.1080/10810730.2014.904023.
12. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations. Psychiatry and Clinical Neurosciences. 2020;74(4):281-282. doi: 10.1111/pcn.12988
13. Reuken PA, Rauchfuss F, Albers S, et al. Between fear and courage: Attitudes, beliefs, and behavior of liver transplantation recipients and waiting list candidates during the COVID-19 pandemic. American Journal of Transplantation. 2020;20(11):3042–3050. doi:10.1111/ajt.16118
14. Wang PW, Ahorsu DK, Lin CY, Chen IH, Yen CF, Kuo YJ. Motivation to have COVID-19 vaccination explained using an extended protection motivation theory among university students in China: The role of information sources. Vaccines. 2021;9(4):380. doi:10.3390/vaccines9040380
15. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The Fear of COVID-19 of COVID- 19 scale: Development and initial validation. International Journal of Mental Health and Addiction. 2020;doi:10.1007/s11469-020-00270-8.
16. Duncan LA, Schaller M, Park JH. Perceived vulnerability to disease: development and validation of a 15-item self-report instrument. Personality and Individual Differences. 2009;47(6):541–546. doi:10.1016/j.paid.2009.05.001
17. Yahaghi R, Ahmadizade S, Fotuhi R, et al. Fear of COVID-19 and perceived COVID-19 infectability supplement theory of planned behavior to explain Iranian intention to get COVID-19 vaccinated. Vaccines. 2021;9,684. doi:10.3390/vaccines9070684.
18. Hayes A. Introduction to mediation, moderation, and conditional process analysis. A regression-based approach. 2nd ed. London, The Guilford Press; 2018.
19. van Bruggen V, Ten Klooster P, Westerhof G, et al. The existential concerns Questionnaire (ECQ) – development and initial validation of a new existential anxiety scale in a nonclinical and clinical sample. Journal of Clinical Psychology. 2017;73(12):1692–1703. doi:10.1002/jclp.22474
20. Brotherton R, French CC, Pickering AD. Measuring belief in conspiracy theories: The generic conspiracist beliefs scale. Frontiers in Psychology. 2013;4:279. doi:10.3389/fpsyg.2013.00279.
21. Detox M, Bruel S, Frappe P, Tardy B, Botelho-Nevers E, Gagneux-Brunon A. Intention to participate in a COVID-19 vaccine clinical trial and get vaccinated against COVID-19 in France during the pandemic. Vaccine. 2020;38,7002–7006. doi:10.1016/j.vaccine.2020.09.041
22. Knipe D, Evans H, Marchant A, Gunnell D, John A. Mapping population mental health concerns related to COVID-19 and the consequences of physical distancing: A google trends analysis. Wellcome Open Research. 2020;5:82. doi:10.12688/wellcomeopenres.15870.2.
23. Satici B, Gocet-Tekin E, Deniz ME, Satici SA. Adaptation of the fear of COVID-19 scale: its association with psychological distress and life satisfaction in Turkey. International Journal of Mental Health and Addiction. 2020;1–9. doi:10.1007/s11469-020-00294-0.
24. Dsouza DD, Quadros S, Hyderabadwala ZJ, Mamun MA. Aggregated COVID-19 suicide incidences in India: fear of COVID-19 infection is the prominent factor. Psychiatry Research. 2020;290:113–145. doi:10.1016/j. psychres.2020.113145.
25. Pyszczynski T, Greenberg J, Solomon S. The machine in the ghost: A dual-process model of defense against conscious and unconscious death-related thought. In: J. P. Forgas, K. D. Williams, & S. M. Laham, ed.Social motivation: Conscious and unconscious processes. Cambridge University Press; 2005:40–54.
26. Arndt J, Schimel J, Goldenberg JL. Death can be good for your health: Fitness intentions as a proximal and distal defense against mortality salience. Journal of Applied Social Psychology. 2003;33(8):1726–1746. Doi:10.1111/j.1559-1816.2003.tb01972.x
27. Ling M, Kothe EJ, Mullan BA. Predicting intention to receive a seasonal influenza vaccination using Protection Motivation Theory. Soc. Sci. Med. 2019;233:87–92. doi: 10.1016/j.socscimed.2019.06.002