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TPB best predicted COVID vaccine hesitancy

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Among Bangladeshi adults, COVID-19 vaccine hesitancy was common (41.1%), and the Theory of Planned Behavior explained more variance than HBM or 5C models.

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Health Belief Model, Theory of Planned Behavior, or Psychological Antecedents: What Predicts COVID-19 Vaccine Hesitancy Better Among the Bangladeshi Adults?

Hossain MB, Alam MZ, Islam MS, et al. · Frontiers in public health · 2021

doi.org/10.3389/fpubh.2021.711066Read the full paper ↗124 citationscc by

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TPB best predicted COVID vaccine hesitancy

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

41.1% prevalence of COVID-19 vaccine hesitancy.

As a result, we found a 41.1% prevalence of the COVID-19 vaccine hesitancy among our study respondents, a significantly higher estimate than found by Kabir et al.

TPB explained 43% of hesitancy variance (adjusted R²=0.43).

The second model shows that 43% of the variance in COVID-19 vaccine hesitancy was explained by the TPB (adjusted R 2 = 0.43) ().
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What they did

Researchers surveyed adults in Bangladesh and compared how HBM, TPB, and 5C psychological antecedents predicted COVID-19 vaccine hesitancy after covariate adjustment.

What they found

Hesitancy prevalence was 41.1%; TPB explained 43% of variance (highest predictive power) with all four TPB components significant; key HBM constructs also predicted hesitancy.

The limits

What it doesn't show

Whether theory-based campaigns will raise uptake, or causal effects—design is cross-sectional prediction.

Key terms

Vaccine hesitancy
Delay or refusal of vaccination despite availability.
TPB
Theory of Planned Behavior—attitudes, norms, control, intention structure.
HBM
Health Belief Model—susceptibility, severity, benefits, barriers, cues.
5C antecedents
Psychological antecedents of vaccination (confidence, complacency, etc.).
Adjusted R²
Variance explained by a model after adjusting for predictors.
COVID-19 vaccination
Immunization against SARS-CoV-2 disease.

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Hesitancy prevalence:

Common questions

How common was hesitancy?

41.1% of respondents.

Which framework predicted best?

TPB (adjusted R²=0.43).

Were all TPB parts significant?

Yes—all four components predicted hesitancy.

Who was surveyed?

Bangladeshi adults (mean age 33.7; many rural).

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