The Role of Risk Perception and Big Five Personality Traits in COVID-19 Vaccine Hesitancy in Indonesia

https://doi.org/10.22146/jpsi.87637

Muhammad Zaki Afif Zainurrahman(1), Ardian Praptomojati(2*)

(1) Faculty of Psychology, Universitas Gadjah Mada
(2) Faculty of Psychology, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Even when the COVID-19 global health emergency is declared over, vaccine hesitancy is a relevant topic that needs to be studied to ensure effective intervention when such cases arise again in the future. Vaccine hesitancy is a phenomenon of public doubt about whether to accept or reject vaccination. This study aims to determine the characteristics of vaccine hesitancy in Indonesian society and its relationship with the risk perception of COVID-19 and the Big Five personality traits. We also discuss how the present findings can inform future decision making on pandemic interventions. This multimethod cross-sectional study incorporated both quantitative and qualitative analyses through self-report measures and an open question. We distributed the questionnaire online through convenience sampling technique and involved 390 Indonesian citizens aged 18-62 years (Mage = 30.68, SD = +13.17). Through regression analyses, we found that risk perception of COVID-19, Extraversion, Conscientiousness, and Intellect were significant predictors of vaccine hesitancy. Thematic analysis showed that themes of lack of confidence, convenience, and complacency were present in participants’ attitudes toward COVID-19 vaccines. Demographic analysis also showed a correlation between vaccine hesitancy and economic status. Vaccination campaigns should focus on extensive education on vaccine safety that is backed by factual data, education on the risk of preventable diseases with vaccination, and increasing public confidence in government and health authorities.

Keywords


vaccination; health attitude; multimethod; empirical research

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References

Abdelrahman, M. (2020). Personality traits, risk perception, and protective behaviors of Arab residents of Qatar during the COVID-19 pandemic. International Journal of Mental Health and Addiction. https://doi.org/10.1007/s11469-020-00352-7

Akhtar, H., & Azwar, S. (2018). Development and validation of a short scale for measuring Big Five personality traits: The IPIP-BFM- 25 Indonesia. Journal of Innovation in Psychology, Education and Didactics, 22(2), 167–174.

Barr, M., Raphael, B., Taylor, M., Stevens, G., Jorm, L., Giffin, M., & Lujic, S. (2008). Pandemic influenza in Australia: Using telephone surveys to measure perceptions of threat and willingness to comply. BMC Infectious Diseases, 8(1), 117. https://doi.org/10.1186/1471-2334-8-117

Betsch, C., Böhm, R., & Chapman, G. B. (2015). Using behavioral insights to increase vaccination policy effectiveness. Policy Insights from the Behavioral and Brain Sciences, 2(1), 61–73. https://doi.org/10.1177/2372732215600716

Berry, W. (1993). Understanding Regression Assumptions (Vol. 96). https://doi.org/10.4135/9781412986427

Bogg, T., & Roberts, B. W. (2004). Conscientiousness and Health-Related Behaviors: A Meta-Analysis of the Leading Behavioral Contributors to Mortality. Psychological Bulletin, 130(6), 887–919. https://doi.org/10.1037/0033-2909.130.6.887

Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa

Brewer, N. T., Chapman, G. B., Gibbons, F. X., Gerrard, M., McCaul, K. D., & Weinstein, N. D. (2007). Meta-analysis of the relationship between risk perception and health behavior: The example of vaccination. Health Psychology, 26(2), 136–145. https://doi.org/10.1037/0278-6133.26.2.136

Brug, J., Aro, A. R., Oenema, A., de Zwart, O., Richardus, J. H., & Bishop, G. D. (2004). SARS risk perception, knowledge, precautions, and information sources, the Netherlands. Emerging Infectious Diseases, 10(8), 1486–1489. https://doi.org/10.3201/eid1008.040283

Chan, M. (2017). Ten years in public health, 2007-2017: Report. World Health Organization. http://apps.who.int/iris/bitstream/handle/10665/255355/9789241512442-eng.pdf?sequence=1

Chen, X., & Sin, S.-C. J. (2013). ‘Misinformation? What of it?’ Motivations and individual differences in misinformation sharing on social media: ‘Misinformation? What of it?’ Motivations and Individual Differences in Misinformation Sharing on Social Media. Proceedings of the American Society for Information Science and Technology, 50(1), 1–4. https://doi.org/10.1002/meet.14505001102

Dror, A. A., Eisenbach, N., Taiber, S., Morozov, N. G., Mizrachi, M., Zigron, A., Srouji, S., & Sela, E. (2020). Vaccine hesitancy: The next challenge in the fight against COVID-19. European Journal of Epidemiology, 35(8), 775–779. https://doi.org/10.1007/s10654-020-00671-y

Dubé, E., Laberge, C., Guay, M., Bramadat, P., Roy, R., & Bettinger, J. A. (2013). Vaccine hesitancy: An overview. Human Vaccines & Immunotherapeutics, 9(8), 1763–1773. https://doi.org/10.4161/hv.24657

Duff, M. (2023, May 5). WHO chief declares end to COVID-19 as a global health emergency | UN news. United Nations. https://news.un.org/en/story/2023/05/1136367

Field, A. P. (2009). Discovering statistics using SPSS (3rd ed). SAGE Publications.

Goldberg, L. R. (1993). The Structure of Phenotypic Personality Traits. American Psychologist, 9.

Henrich, N., & Holmes, B. (2008). The public’s acceptance of novel vaccines during a pandemic: A focus group study and its application to influenza H1N1. Emerging Health Threats Journal, 2. https://doi.org/10.3134/ehtj.09.008

Hong, S., & Collins, A. (2006). Societal responses to familiar versus unfamiliar risk: Comparisons of influenza and SARS in Korea. Risk Analysis, 26(5), 1247–1257. https://doi.org/10.1111/j.1539-6924.2006.00812.x

Ibuka, Y., Chapman, G. B., Meyers, L. A., Li, M., & Galvani, A. P. (2010). The dynamics of risk perceptions and precautionary behavior in response to 2009 (H1N1) pandemic influenza. BMC Infectious Diseases, 10(1), 296. https://doi.org/10.1186/1471-2334-10-296

Iorfa, S. K., Ottu, I. F. A., Oguntayo, R., Ayandele, O., Kolawole, S. O., Gandi, J. C., Dangiwa, A. L., & Olapegba, P. O. (2020). COVID-19 knowledge, risk perception, and precautionary behavior among Nigerians: A moderated mediation approach. Frontiers in Psychology, 11, 566773. https://doi.org/10.3389/fpsyg.2020.566773

Jackson, D. N., Peterson, E. B., Blake, K. D., Coa, K., & Chou, W.-Y. S. (2019). Americans’ Trust in Health Information Sources: Trends and Sociodemographic Predictors. American Journal of Health Promotion, 33(8), 1187–1193. https://doi.org/10.1177/0890117119861280

John, O. P., & Srivastava, S. (2008). The Big-Five trait taxonomy: History, measurement, and theoretical perspectives. In Handbook of personality: Theory and research, 2nd ed. The Guilford Press.

Kementerian Kesehatan, ITAGI, UNICEF, & WHO. (2020). Survei Penerimaan Vaksin COVID-19.

Kementerian Kesehatan. (2024, February 29). Vaksinasi COVID-19 Nasional. Vaksin Kemkes. https://vaksin.kemkes.go.id/

Knief, U., & Forstmeier, W. (2018). Violating the normality assumption may be the lesser of two evils. https://doi.org/10.1101/498931

Komite Penanganan COVID-19 dan Pemulihan Ekonomi Nasional. (2021). Data vaksinasi COVID-19 (Update per 1 Maret 2021). https://covid19.go.id/p/berita/data-vaksinasi-covid-19-update-1-maret-2021

Larson, H. J., Jarrett, C., Schulz, W. S., Chaudhuri, M., Zhou, Y., Dube, E., Schuster, M., MacDonald, N. E., & Wilson, R. (2015). Measuring vaccine hesitancy: The development of a survey tool. Vaccine, 33(34), 4165–4175. https://doi.org/10.1016/j.vaccine.2015.04.037

Lau, J. T. F., Kim, J. H., Tsui, H. Y., & Griffiths, S. (2008). Perceptions related to bird-to-human avian influenza, influenza vaccination, and use of face mask. Infection, 36(5), 434–443. https://doi.org/10.1007/s15010-008-7277-y

Lazarus, J. V., Ratzan, S. C., Palayew, A., Gostin, L. O., Larson, H. J., Rabin, K., Kimball, S., & El-Mohandes, A. (2020). A global survey of potential acceptance of a COVID-19 vaccine. Nature Medicine. https://doi.org/10.1038/s41591-020-1124-9

Lin, F.-Y., & Wang, C.-H. (2020). Personality and individual attitudes toward vaccination: A nationally representative survey in the United States. BMC Public Health, 20(1), 1759. https://doi.org/10.1186/s12889-020-09840-w

Luyten, J., Bruyneel, L., & van Hoek, A. J. (2019). Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine, 37(18), 2494–2501. https://doi.org/10.1016/j.vaccine.2019.03.041

MacDonald, N. E., & SAGE Working Group on Vaccine Hesitancy. (2015). Vaccine hesitancy: Definition, scope and determinants. Vaccine, 33(34), 4161–4164. https://doi.org/10.1016/j.vaccine.2015.04.036

McCrae, R. R., & Costa Jr., P. T. (2008). The five-factor theory of personality. In Handbook of personality: Theory and research, 3rd ed. (pp. 159–181). The Guilford Press.

Miles, J., & Shevlin, M. (2001). Applying regression & correlation: A guide for students and researchers. Sage Publications.

Murphy, J., Vallières, F., Bentall, R. P., Shevlin, M., McBride, O., Hartman, T. K., McKay, R., Bennett, K., Mason, L., Gibson-Miller, J., Levita, L., Martinez, A. P., Stocks, T. V. A., Karatzias, T., & Hyland, P. (2021). Psychological characteristics associated with COVID-19 vaccine hesitancy and resistance in Ireland and the United Kingdom. Nature Communications, 12(1), 29. https://doi.org/10.1038/s41467-020-20226-9

Peretti-Watel, P., Ward, J. K., Schulz, W. S., Verger, P., & Larson, H. J. (2015). Vaccine hesitancy: Clarifying a theoretical framework for an ambiguous notion. PLoS Currents. https://doi.org/10.1371/currents.outbreaks.6844c80ff9f5b273f34c91f71b7fc289

Prabowo, H. (2021, January 13). Politikus PDIP Ribka Tjiptaning menolak divaksin COVID-19. Tirto.Id. https://tirto.id/politikus-pdip-ribka-tjiptaning-menolak-divaksin-covid-19-f9aj

Quinn, S. C., Kumar, S., Freimuth, V. S., Kidwell, K., & Musa, D. (2009). Public willingness to take a vaccine or drug under emergency use authorization during the 2009 H1N1 pandemic. Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, 7(3), 275–290. https://doi.org/10.1089/bsp.2009.0041

Ramdhani, N. (2012). Adaptasi bahasa dan budaya inventori Big Five. Jurnal Psikologi, 19.

Rasch, D., & Guiard, V. (2004). The robustness of parametric statistical methods. Psychology Science, 46(2), 175–208.

Ritov, I., & Baron, J. (1992). Status-quo and omission biases. Journal of Risk and Uncertainty, 5(1). https://doi.org/10.1007/BF00208786

Sastra, Y. (2021, January 7). Penerimaan masyarakat di Sumbar rendah, keamanan dan kehalalan vaksin menentukan. Kompas.Id. https://www.kompas.id/baca/nusantara/2021/01/07/penerimaan-masyarakat-di-sumbar-rendah-keamanan-dan-kehalalan-vaksin-menentukan/

Shapiro, G. K., Tatar, O., Dube, E., Amsel, R., Knauper, B., Naz, A., Perez, S., & Rosberger, Z. (2018). The vaccine hesitancy scale: Psychometric properties and validation. Vaccine, 36(5), 660–667. https://doi.org/10.1016/j.vaccine.2017.12.043

Sinuraya, R. K., Nuwarda, R. F., Postma, M. J., & Suwantika, A. A. (2024). Vaccine hesitancy and equity: Lessons learned from the past and how they affect the COVID-19 countermeasure in Indonesia. Globalization and Health, 20(1). https://doi.org/10.1186/s12992-023-00987-w

Susilo, N. (2021, February 14). Menolak vaksin, warga bisa terkena sanksi administratif dan pidana. Kompas.Id. https://www.kompas.id/baca/polhuk/2021/02/14/menolak-divaksin-warga-bisa-terkena-sanksi-administratif-dan-pidana/

Wiysonge, C. S., Ndwandwe, D., Ryan, J., Jaca, A., Batouré, O., Anya, B.-P. M., & Cooper, S. (2021). Vaccine hesitancy in the era of covid-19: Could lessons from the past help in divining the future? Human Vaccines & Immunotherapeutics, 18(1), 1–3. https://doi.org/10.1080/21645515.2021.1893062

Wolverton, C., & Stevens, D. (2019). The impact of personality in recognizing disinformation. Online Information Review, 44(1), 181–191. https://doi.org/10.1108/OIR-04-2019-0115

World Bank. (2019). Aspiring Indonesia: Expanding the middle class. World Bank.

Yang, Z. J. (2015). Predicting young adults’ intentions to get the H1N1 vaccine: An integrated model. Journal of Health Communication, 20(1), 69–79. https://doi.org/10.1080/10810730.2014.904023

Yaqub, O., Castle-Clarke, S., Sevdalis, N., & Chataway, J. (2014). Attitudes to vaccination: A critical review. Social Science & Medicine, 112, 1–11. https://doi.org/10.1016/j.socscimed.2014.04.018

Zainurrahman, M. Z. A., Prastowo, A., Anissa, S., & Praptomojati, A. (2020). Personality, risk perception, and protective behaviors during the COVID-19 pandemic in Indonesia. Unpublished Manuscript. Fakultas Psikologi Universitas Gadjah Mada.

Zajenkowski, M., Jonason, P. K., Leniarska, M., & Kozakiewicz, Z. (2020). Who complies with the restrictions to reduce the spread of COVID-19?: Personality and perceptions of the COVID-19 situation. Personality and Individual Differences, 166, 110199. https://doi.org/10.1016/j.paid.2020.110199

Zhou, Y., Li, R., & Shen, L. (2023). Psychological profiles of COVID vaccine-hesitant individuals and implications for vaccine message design strategies. Vaccine: X, 13, 100279. https://doi.org/10.1016/j.jvacx.2023.100279



DOI: https://doi.org/10.22146/jpsi.87637

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