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Influence of Environmental Risk Exposure on the Determinants of COVID-19 Booster Vaccination in an Urban Thai Population

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  • Weerawat Ounsaneha

    (Faculty of Science and Technology, Valaya Alongkorn Rajabhat University under the Royal Patronage Pathumthani Province, Klong Nuang, Klong Luang, Pathumthani 13180, Thailand)

  • Orapin Laosee

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73710, Thailand)

  • Cheerawit Rattanapan

    (ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73710, Thailand)

Abstract

This study aimed to identify the influence of environmental risk exposure levels on the predictive factors of COVID-19 booster dose vaccination in an urban Thai population in the post-pandemic era. Six study locations, including the three provinces with the highest environmental risk levels and the three provinces with the lowest environmental risk levels, were selected by calculating the environmental risk exposure indexes. Participants from the capital district of each province were chosen via the simple random sampling technique and interviewed using a structured questionnaire. A total of 1315 individuals were included in a sample in this study, and the best predictors of booster dose vaccination were determined using multiple regression analysis. The results showed that a high level of environmental risk exposure occurred in the provinces with a high number of total days exceeding the limits set for PM10 and high rates of mortality for lung cancer. The number of COVID-19 booster vaccinations given amount to 43.4% of the population during the post-COVID-19 pandemic period. Our multivariate analysis indicated that individuals in the working age group (≥25 years old); those with higher education (diploma degree and above); full-time employment (government and private sectors); those with high monthly incomes (≥USD144.1); and those in areas with the lowest risk level of environmental exposure significantly contributed to the number of booster dose vaccinations given during the post-pandemic period. To summarize, the rate of COVID-19 booster dose vaccination acceptance in Thailand was influenced by socio-economic factors with environmental concerns. These findings improve our understating of both the global pandemic and how environmental exposure affects behavioral change patterns and could improve the effectiveness of post-pandemic management.

Suggested Citation

  • Weerawat Ounsaneha & Orapin Laosee & Cheerawit Rattanapan, 2024. "Influence of Environmental Risk Exposure on the Determinants of COVID-19 Booster Vaccination in an Urban Thai Population," IJERPH, MDPI, vol. 21(6), pages 1-13, June.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:745-:d:1410342
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    References listed on IDEAS

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    1. Caterina Lucarelli & Camilla Mazzoli & Sabrina Severini, 2020. "Applying the Theory of Planned Behavior to Examine Pro-Environmental Behavior: The Moderating Effect of COVID-19 Beliefs," Sustainability, MDPI, vol. 12(24), pages 1-17, December.
    2. Rubeena Zakar & Ain ul Momina & Sara Shahzad & Mahwish Hayee & Ruhma Shahzad & Muhammad Zakria Zakar, 2022. "COVID-19 Vaccination Hesitancy or Acceptance and Its Associated Factors: Findings from Post-Vaccination Cross-Sectional Survey from Punjab Pakistan," IJERPH, MDPI, vol. 19(3), pages 1-20, January.
    3. Weerawat Ounsaneha & Orapin Laosee & Thunwadee Tachapattaworakul Suksaroj & Cheerawit Rattanapan, 2023. "Preventive Behaviors and Influencing Factors among Thai Residents in Endemic Areas during the Highest Epidemic Peak of the COVID-19 Outbreak," IJERPH, MDPI, vol. 20(3), pages 1-13, January.
    4. Ennio Cascetta & Ilaria Henke & Luigi Di Francesco, 2021. "The Effects of Air Pollution, Sea Exposure and Altitude on COVID-19 Hospitalization Rates in Italy," IJERPH, MDPI, vol. 18(2), pages 1-11, January.
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