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To Vaccinate or Not to Vaccinate—This Is the Question among Swiss University Students

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  • Julia Dratva

    (Institute of Health Sciences, ZHAW Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland
    Medical Faculty, University of Basel, Klingelbergstrasse 61, 4056 Basel, Switzerland
    Authors contributed in equal shares (shared first authorship).)

  • Aylin Wagner

    (Institute of Health Sciences, ZHAW Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland
    Authors contributed in equal shares (shared first authorship).)

  • Annina Zysset

    (Institute of Health Sciences, ZHAW Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland)

  • Thomas Volken

    (Institute of Health Sciences, ZHAW Zurich University of Applied Sciences, Katharina-Sulzer-Platz 9, 8401 Winterthur, Switzerland)

Abstract

The speed and innovation of the COVID-19 vaccine development has been accompanied by insecurity and skepticism. Young adults’ attitude to vaccination remains under investigation, although herd immunity cannot be reached without them. The HEalth in Students during the Corona pandemic study (HES-C) provided the opportunity to investigate vaccination intention in 1478 students in the sixth survey wave (January 2021), including vaccination intention, psychological antecedents of vaccine hesitancy, trust in government’s vaccination strategy, and vaccination history. Associations with vaccination intention were analyzed with multivariate ordinal regression and predicted margins were calculated adjusting for gender, age, anxiety, health profession, and subjective health status. A third was decided (yes 25.1%, no 7.6%), and 68% were unsure about getting the COVID-19 vaccine when available. Next to demographic characteristics, vaccination history (influenza vaccination OR = 1.39; 95% CI: 1.06–1.83, travel vaccination OR = 1.29; 95% CI: 1.04–1.60), trust in vaccination strategy (OR = 2.40; 95% CI: 1.89–3.05), and 5C dimensions were associated with vaccination intention: confidence (OR = 2.52; 95% CI: 2.09–3.03), complacency (OR = 0.79; 95% CI: 0.66–0.96), calculation (OR = 0.79; 95% CI: 0.70–0.89), constraints (OR = 1.18; 95% CI: 0.99–1.41), and collective responsibility (OR = 4.47; 95% CI: 3.69–5.40). Addressing psychological antecedents and strengthening trust in official strategies through targeted campaigns and interventions may increase decisiveness and result in higher vaccination rates.

Suggested Citation

  • Julia Dratva & Aylin Wagner & Annina Zysset & Thomas Volken, 2021. "To Vaccinate or Not to Vaccinate—This Is the Question among Swiss University Students," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9210-:d:626658
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    References listed on IDEAS

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    1. Hannah Lu & Cortney Weintz & Joseph Pace & Dhiraj Indana & Kevin Linka & Ellen Kuhl, 2021. "Are college campuses superspreaders? A data-driven modeling study," Computer Methods in Biomechanics and Biomedical Engineering, Taylor & Francis Journals, vol. 24(10), pages 1136-1145, September.
    2. Jamie Murphy & Frédérique Vallières & Richard P. Bentall & Mark Shevlin & Orla McBride & Todd K. Hartman & Ryan McKay & Kate Bennett & Liam Mason & Jilly Gibson-Miller & Liat Levita & Anton P. Martine, 2021. "Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom," Nature Communications, Nature, vol. 12(1), pages 1-15, December.
    3. Manoj Sharma & Robert E. Davis & Amanda H. Wilkerson, 2021. "COVID-19 Vaccine Acceptance among College Students: A Theory-Based Analysis," IJERPH, MDPI, vol. 18(9), pages 1-12, April.
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    Cited by:

    1. Hein de Vries & Wouter Verputten & Christian Preissner & Gerjo Kok, 2022. "COVID-19 Vaccine Hesitancy: The Role of Information Sources and Beliefs in Dutch Adults," IJERPH, MDPI, vol. 19(6), pages 1-17, March.
    2. Christina Marie Mitcheltree, 2023. "Towards a sense of urgency for innovation realization: a case study on complacency asymmetries in interorganizational relations," Journal of Innovation and Entrepreneurship, Springer, vol. 12(1), pages 1-37, December.
    3. Shogo Tsutsumi & Noriaki Maeda & Tsubasa Tashiro & Satoshi Arima & Rami Mizuta & Kazuki Fukui & Koichi Naito & Makoto Komiya & Yukio Urabe, 2022. "Willingness to Receive the COVID-19 Vaccination and the Psychological State of Japanese University Students: A Cross-Sectional Study," IJERPH, MDPI, vol. 19(3), pages 1-10, January.

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