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A comparison of seasonal influenza and novel Covid-19 vaccine intentions: a cross-sectional survey of vaccine hesitant adults in England during the 2020 pandemic

Lookup NU author(s): Louis Goffe, Dr Fiona GrahamORCiD, Jan Lecouturier, Dr Mei Yee TangORCiD, Professor Falko Sniehotta



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


We compared intention to receive the seasonal influenza vaccine with a prospective coronavirus (COVID-19) vaccine among undecided or COVID-19 vaccine hesitant individuals to better understand the underlying differences and similarities in factors associated with vaccine intention. We delivered a cross-sectional online survey in October-November 2020. We included psychological constructs and sociodemographic variables informed by theory. We conducted pairwise comparisons and multiple linear regression models to explore associations between vaccine intention and psychological constructs. We recruited 1,660 participants, where 47.6% responded that they would likely receive the influenza vaccine, 31.0% that they would probably not accept the vaccination and 21.4% were unsure. In relation to the prospective COVID-19 vaccine, 39.0% responded that they would likely receive the vaccination, 23.7% that they would probably not accept the vaccination and 37.3% were unsure. Unique factors positively associated with COVID-19 vaccine intention were: perceived knowledge sufficiency about vaccine safety, beliefs about vaccine safety, and living in an area of low deprivation. The only unique factor positively associated with influenza intention was past influenza behaviour. The strongest common predictors positively associated with intention were: favourable vaccine attitudes, the anticipated regret they may feel following infection if they were not to receive a vaccine, and the expectation from family or friends to accept the vaccine. Despite overall similarities in those factors associated with vaccination intention, we identified unique influences on intention. This additional insight will help support the planning and tailoring of future immunisations programmes for the respective viruses.

Publication metadata

Author(s): Antonopoulou V, Goffe L, Meyer CJ, Grimani A, Graham F, Lecouturier J, Tang MY, Chadwick P, Sniehotta FF

Publication type: Article

Publication status: Published

Journal: Human Vaccines & Immunotherapeutics

Year: 2022

Volume: 18

Issue: 5

Online publication date: 11/07/2022

Acceptance date: 27/05/2022

Date deposited: 09/06/2022

ISSN (print): 2164-5515

ISSN (electronic): 2164-554X

Publisher: Taylor & Francis


DOI: 10.1080/21645515.2022.2085461


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