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Perceived Norms and Vaccination against COVID-19 among the General Adult Population in Germany: Results of a Nationally Representative Survey

ORCID
0000-0002-6886-2745
Affiliation
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, 20246 Hamburg, Germany
Hajek, André;
Affiliation
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, 20246 Hamburg, Germany
Kretzler, Benedikt;
Affiliation
Federal Centre for Health Education (BZgA), Referat Q3–Evaluation, Methods, Research Data, 50825 Cologne, Germany
Orth, Boris;
Affiliation
Federal Centre for Health Education (BZgA), Referat Q3–Evaluation, Methods, Research Data, 50825 Cologne, Germany
Von Rüden, Ursula;
ORCID
0000-0001-5711-6862
Affiliation
Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg Center for Health Economics, 20246 Hamburg, Germany
König, Hans-Helmut

Objective: to examine whether perceived norms are associated with vaccination against COVID-19 (also stratified by age group). Study design: nationally representative survey. Methods: Data were taken from a sample of the general adult population ( n = 3829, 16 to 94 years). Data collection took place from early July to early August 2021, and 3 different groups (1: not yet vaccinated and no intention to vaccinate against COVID-19; 2: not yet, but intended to vaccinate against COVID-19; 3: yes, at least one vaccination against COVID-19) were distinguished in the analyses. Data were adjusted for several sociodemographic and health-related factors. Perceived norms served as key independent variables (1: number of important friends and relatives who would like me to get vaccinated; 2: number of important friends and relatives who already have been vaccinated or still want to do so; 3: how your general practitioner (GP) thinks about Corona vaccination). Results: Multiple logistic regression showed that, in particular, the number of important friends/relatives who would like an individual to get vaccinated is associated with the actual COVID-19 vaccination status among individuals aged 16 to 59 years. Interestingly, all 3 indicators for perceived norms are associated with the likelihood of COVID-19 vaccination status among individuals aged 60 years and over. Conclusions: Our study adds to the understanding of the association between perceived norms and COVID-19 vaccination status. This highlights potential pathways to increase vaccination rates to further combat the later stages of the pandemic.

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