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Social and psychological determinants of COVID-19 vaccination intention in European and North American adults: a systematic review

2025-05Journal article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorAlmeida-Silva, Marina
dc.contributor.authorVieira, Lina Oliveira
dc.contributor.authorGrilo, Ana
dc.contributor.authorPedro, Luísa
dc.contributor.authorCoelho, André
dc.contributor.authorCarolino, Elisabete
dc.contributor.authorUmanets, Oleksandra
dc.contributor.authorAndrade, Graça
dc.date.accessioned2025-07-02T14:32:20Z
dc.date.available2025-07-02T14:32:20Z
dc.date.issued2025-05
dc.descriptionH&TRC authors gratefully acknowledge the FCT/MCTES national support through the UIDB/05608/2020 and UIDP/05608/2020. This work was also supported by the project “Youth Breakdown in the post-COVID era and their Vaccination Intention” (IPL/2021/Vaccin2You(th)_ESTeSL), funded by Instituto Politécnico de Lisboa, Portugal.
dc.description.abstractSince the beginning of the SARS-CoV-19 pandemic, tremendous efforts have been made to address this public health emergency of international concern. The control of the disease has essentially depended on vaccination programs. Many recent studies continue to explore the factors related to the COVID-19 vaccine acceptance. This systematic review was conducted following PRISMA guidelines. PubMed, Scopus, Web of Science, EBSCO, CINAHL, EMBASE, and PsycoINFO were searched to gather all relevant data on the social and psychological determinants of intention to vaccinate against COVID-19. The ROBIS tool was used to evaluate the risk of bias. The main objective of this systematic review was to identify the main social and psychological determinants responsible for the choice to vaccinate against COVID-19 in the adult population of Europe and North America. This systematic review examined literature identified through seven databases yielding 576 PRISMA records, yielding 28 articles. The results suggest that older people, higher education level, and Caucasians have a stronger intention to be vaccinated. Many studies confirm that beliefs about vaccine costs and benefits are related to vaccine intention. Social concerns, perceived severity of COVID-19, and perceived risk of being infected are confirmed in most studies as determinants of vaccination intention. Conspiracy beliefs seem to promote vaccine hesitance. The results point to some useful conclusions for promoting vaccination in future pandemic situations. In addition to the targeting of the most vaccine-resistant groups, this study suggests the main themes that should be focused on in future public communication to promote vaccination.eng
dc.description.abstractDesde o início da pandemia de SARS-CoV-19, foram feitos esforços enormes para abordar esta emergência de saúde pública de preocupação internacional. O controlo da doença tem dependido, essencialmente, de programas de vacinação. Muitos estudos recentes continuam a explorar os fatores relacionados à aceitação da vacina da COVID-19. Com o objetivo de reunir todos os dados relevantes sobre os determinantes da intenção de se vacinar contra a COVID19, o objetivo desta revisão da literatura que teve por base a metodologia PRISMA foi identificar os principais determinantes socio-demográficos e psicológicos responsáveis pela escolha da população adulta em se vacinar contra a COVID-19. Os resultados sugerem que, na Europa e América do Norte, pessoas mais velhas, com maior nível de educação e caucasianos têm uma intenção mais forte de serem vacinados. Muitos estudos confirmam que as crenças sobre os custos e benefícios da vacina estão relacionadas com a intenção de vacinação. Preocupações sociais, perceção da gravidade da COVID-19 e perceção do risco de infeção são confirmadas na maioria dos estudos como determinantes da intenção de vacinação. Crenças conspiratórias parecem promover hesitação em relação à vacina. Os resultados apontam para algumas conclusões úteis para a promoção da vacinação em futuras situações de pandemia. Para além de identificar os grupos mais resistentes à vacinação, o presente estudo aponta os temas principais que devem ser considerados na comunicação com as populações para promover a vacinação.por
dc.identifier.citationAlmeida-Silva M, Vieira L, Grilo A, Pedro L, Coelho A, Carolino E, Andrade G, et al. Social and psychological determinants of COVID-19 vaccination intention in European and North American adults: a systematic review. Port J Public Health. 2025 May 26. Online first.
dc.identifier.doi10.1159/000546311
dc.identifier.issn2504-3137
dc.identifier.issn2504-3145
dc.identifier.urihttp://hdl.handle.net/10400.21/21949
dc.language.isoeng
dc.peerreviewedyes
dc.publisherS. Karger AG
dc.relation.hasversionhttps://karger.com/pjp/article/doi/10.1159/000546311/927621/Social-and-psychological-determinants-of-COVID-19
dc.relation.ispartofPortuguese Journal of Public Health
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectCOVID-19
dc.subjectVaccination
dc.subjectIntention
dc.subjectHesitancy
dc.subjectAcceptance
dc.subjectPsychological determinants
dc.subjectVacinação
dc.subjectIntenção
dc.subjectHesitação
dc.subjectAceitação
dc.subjectDeterminantes psicológicos
dc.subject(IPL/2021/Vaccin2You(th)_ESTeSL
dc.subjectFCT_UIDB/05608/2020
dc.subjectFCT_UIDP/05608/2020
dc.titleSocial and psychological determinants of COVID-19 vaccination intention in European and North American adults: a systematic revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titlePortuguese Journal of Public Health
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameAlmeida-Silva
person.familyNameVieira
person.familyNameGrilo
person.familyNameFerreira Ramos Coelho
person.familyNameCarolino
person.familyNameMassano de Amorim Mavigné Andrade
person.givenNameMarina
person.givenNameLina Oliveira
person.givenNameAna
person.givenNameAndré Filipe
person.givenNameElisabete
person.givenNameMaria da Graça
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