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Article ; Online: Explaining COVID-19 vaccination intention in younger adults using protection motivation theory.

Eberhardt, Judith / Ling, Jonathan

Health psychology : official journal of the Division of Health Psychology, American Psychological Association

2022 Volume 42, Issue 8, Page(s) 577–583

Abstract: Objectives: While coronavirus disease 2019 (COVID-19) vaccine uptake has been encouraging in the United Kingdom, younger adults are more likely to be hesitant toward the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine ... ...

Abstract	Objectives: While coronavirus disease 2019 (COVID-19) vaccine uptake has been encouraging in the United Kingdom, younger adults are more likely to be hesitant toward the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine acceptance, but there is a lack of research applying models of health behavior, such as PMT, to COVID-19 vaccine acceptance in younger adults. Additionally, prior research has suggested that coronavirus conspiracy beliefs may play a role in this acceptance. The present study assessed the association between COVID-19 vaccination intention in younger adults and PMT, including coronavirus conspiracy beliefs as specific threat beliefs, during the later stages of the vaccination program, with a correlational design using an online survey. Method: The survey was completed by 301 individuals (177 vaccinated, 124 unvaccinated) aged 18-34 (67 males, 234 females). Respondents' Results: The model showed that four constructs from PMT-severity, self-efficacy, maladaptive response reward, and threat beliefs in the form of coronavirus conspiracy beliefs-were associated with intention to get vaccinated for COVID-19. An independent Conclusions: Although further research is needed, interventions and campaigns addressing COVID-19 vaccine acceptance may need to use strategies increasing young adults' perceived severity of COVID-19 and their perceived ability to get vaccinated, while decreasing perceived reward of not getting vaccinated. Additionally, coronavirus conspiracy beliefs should be addressed in vaccine-hesitant individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
MeSH term(s)	Female ; Male ; Young Adult ; Humans ; Intention ; Motivation ; COVID-19 Vaccines ; COVID-19/prevention & control ; Vaccination
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2022-08-18
Publishing country	United States
Document type	Journal Article
ZDB-ID	226369-5
ISSN	1930-7810 ; 0278-6133
ISSN (online)	1930-7810
ISSN	0278-6133
DOI	10.1037/hea0001231
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Article ; Online: Exploring the health care experiences of women diagnosed with vulvodynia.

Templeman, Lauren / Eberhardt, Judith / Ling, Jonathan

The journal of sexual medicine

2023 Volume 20, Issue 1, Page(s) 97–106

Abstract: Background: Although seeking diagnosis and treatment for chronic pain should be straightforward, this is not typically the case for those living with vulvodynia, who often describe it as a battle, frequently involving misdiagnosis, dismissal, and gender- ...

Abstract	Background: Although seeking diagnosis and treatment for chronic pain should be straightforward, this is not typically the case for those living with vulvodynia, who often describe it as a battle, frequently involving misdiagnosis, dismissal, and gender-based discrimination. Aim: This study explored the health care experiences of women living with vulvodynia in the United Kingdom. Methods: As they are less explored in literature, experiences postdiagnosis and across varying health care settings were specifically considered. Interviews were conducted with 6 women aged 21 to 30 years to explore their experiences when seeking help for vulvodynia. Outcomes: Through interpretative phenomenological analysis, 5 themes emerged: the impact of diagnosis, patients' perception of health care, self-guidance and lack of direction, gender as a barrier to effective care, and a lack of consideration of psychological factors. Results: Women often experienced difficulties before and after diagnosis, and many felt that their pain was dismissed and ignored due to their gender. Pain management was felt to be prioritized by health care professionals over well-being and mental health. Clinical implications: There is a need for further exploration of gender-based discrimination experiences among patients with vulvodynia, health care professionals' perceptions of their capabilities in working with such patients, and the impact of improving professionals' training in working with these patients2. Strengths and limitations: Health care experiences after diagnosis are rarely examined within literature, with studies predominantly focusing on experiences surrounding diagnosis, intimate relationships, and specific interventions. The present study provides an in-depth exploration of health care experiences through participants' lived experiences and gives insight into an underresearched area. Women with negative experiences of health care may have been more likely to participate than those with positive experiences, which may have resulted in their overrepresentation. Furthermore, participants were predominantly young White heterosexual women, and almost all had comorbidities, further limiting generalizability. Conclusion: Findings should be used to inform health care professionals' education and training to improve outcomes for those seeking care for vulvodynia.
MeSH term(s)	Humans ; Female ; Vulvodynia/psychology ; Sexual Behavior/psychology ; Chronic Pain ; Sexual Partners ; Delivery of Health Care
Language	English
Publishing date	2023-03-10
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	2251959-2
ISSN	1743-6109 ; 1743-6095
ISSN (online)	1743-6109
ISSN	1743-6095
DOI	10.1093/jsxmed/qdac023
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Article: A qualitative study exploring attitudes and perceptions of the COVID-19 booster vaccine in minority ethnic individuals in North East England.

Eberhardt, Judith / Kabuye, John / Ling, Jonathan

Zeitschrift fur Gesundheitswissenschaften = Journal of public health

2023 , Page(s) 1–11

Abstract: Objectives: COVID-19 booster vaccine uptake among minority ethnic individuals in the United Kingdom has been lower than in the general population. This is the case not only for the first and second dose of the vaccine, but particularly for the booster ... ...

Abstract	Objectives: COVID-19 booster vaccine uptake among minority ethnic individuals in the United Kingdom has been lower than in the general population. This is the case not only for the first and second dose of the vaccine, but particularly for the booster dose. However, little research has examined psychosocial factors contributing to vaccine hesitancy in minority ethnic individuals. This study conducted a qualitative exploration, informed by Protection Motivation Theory, of attitudes towards and perceptions of the COVID-19 booster vaccination among ethnic minority individuals in North East England. Design: Semi-structured interviews were conducted with 16 ethnic minority individuals (11 females, five males) aged between 27 and 57, residing in North East England. Results: Inductive thematic analysis showed that perceived susceptibility to COVID-19 influenced vaccination decisions. Perceived response costs acted as barriers to COVID-19 booster vaccination among interviewees, in the form of time constraints and a perceived lack of practical support in the event of experiencing side effects from the vaccine. There was a lack of confidence in the vaccine, with individuals seeing it as lacking sufficient research. Participants also spoke of medical mistrust due to historical events involving medical experimentation on minority ethnic individuals. Interviewees suggested involving community leaders in addressing people's concerns, misassumptions, and lack of confidence in COVID-19 vaccination. Conclusion: Campaigns to increase COVID-19 booster vaccine uptake need to be designed to address physical barriers towards vaccination, misconceptions, and a lack of confidence in the vaccine. Further research needs to determine the effectiveness of enlisting community leaders in these efforts.
Language	English
Publishing date	2023-02-27
Publishing country	Germany
Document type	Journal Article
ZDB-ID	1149070-6
ISSN	2198-1833 ; 0943-1853
ISSN	2198-1833 ; 0943-1853
DOI	10.1007/s10389-023-01858-9
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Article ; Online: Validation of an Arabic version of the female version of The Sexual Dysfunctional Beliefs Questionnaire: a factor analysis study.

Al-Qerem, Walid / Ling, Jonathan / Eberhardt, Judith

Journal of sex & marital therapy

2023 Volume 50, Issue 1, Page(s) 94–104

Abstract: Several questionnaires have been developed to evaluate female sexual dysfunction (FSD) and sexual health problems. However, there is a lack of validated versions of these questionnaires in Arabic. One of the most used instruments is the female version of ...

Abstract	Several questionnaires have been developed to evaluate female sexual dysfunction (FSD) and sexual health problems. However, there is a lack of validated versions of these questionnaires in Arabic. One of the most used instruments is the female version of The Sexual Dysfunctional Beliefs Questionnaire (SDBQ). The current study aimed to validate an Arabic version of the SDBQ. The Arabic version of SDBQ-Female was incorporated into an online questionnaire using and distributed among Jordanian Facebook groups and women-only groups. Factor analysis was performed to investigate evidence for the validity of the questionnaire. 530 females (mean age 30 years, SD = 9) completed the questionnaire. Principal component analysis produced the final model composed of 24 items distributed across four factors: Sexual Desire & Pleasure, Affection Primacy, Sexual Conservatism and Age-Related Beliefs. Confirmatory factor analysis was conducted, and fit indices were acceptable (CMIN/DF = 2.52, GFI = 0.91, AGFI = 0.89, CFI = 0.90, SRMR = 0.05 and RMSEA = 0.05). Income level and marital status both influenced FSD beliefs, with higher scores associated with higher income and being single. The Arabic version of the SDBQ-female demonstrated evidence of validity and reliability. Additional research is necessary to explore beliefs related to FSD within an Arabic context.
MeSH term(s)	Humans ; Female ; Adult ; Sexual Dysfunctions, Psychological/diagnosis ; Reproducibility of Results ; Sexual Dysfunction, Physiological/diagnosis ; Surveys and Questionnaires ; Factor Analysis, Statistical ; Psychometrics
Language	English
Publishing date	2023-10-03
Publishing country	England
Document type	Journal Article
ZDB-ID	752393-2
ISSN	1521-0715 ; 0092-623X
ISSN (online)	1521-0715
ISSN	0092-623X
DOI	10.1080/0092623X.2023.2260370
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Article ; Online: Predicting COVID-19 vaccination intention using protection motivation theory and conspiracy beliefs.

Eberhardt, Judith / Ling, Jonathan

Vaccine

2021 Volume 39, Issue 42, Page(s) 6269–6275

Abstract: Background: While COVID-19 vaccine uptake has been encouraging overall, some individuals are either hesitant towards, or refuse, the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine acceptance, but there is a lack of ... ...

Abstract	Background: While COVID-19 vaccine uptake has been encouraging overall, some individuals are either hesitant towards, or refuse, the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine acceptance, but there is a lack of research applying PMT to COVID-19 vaccine acceptance. Additionally, prior research has suggested that coronavirus conspiracy beliefs and demographic factors may play a role in attitudes towards the vaccine. This study aimed to predict COVID-19 vaccination intention using PMT, coronavirus conspiracy beliefs, and demographic factors. Furthermore, vaccinated and unvaccinated individuals were compared in relation to their coronavirus conspiracy beliefs. Methods: An online survey was administered to 382 (278 vaccinated, and 104 unvaccinated) individuals in the United Kingdom (77 males, 301 females, one non-binary/third gender, and three unstated). Respondents' mean age was 43.78 (SD = 12.58). Results: A hierarchical multiple linear regression was performed in three stages. Initially, four PMT constructs - severity, susceptibility, maladaptive response costs, and self-efficacy - emerged as significant predictors of COVID-19 vaccination intention. The final model accounted for 75% of the variance and retained two significant predictors from PMT - maladaptive response rewards and self-efficacy - alongside coronavirus conspiracy beliefs and age. An independent t-test established that unvaccinated individuals held greater coronavirus conspiracy beliefs than vaccinated ones. Conclusions: Interventions and campaigns addressing COVID-19 vaccine acceptance should employ strategies increasing individuals' perceived severity of COVID-19, perceived susceptibility, and perceived ability to get vaccinated, while decreasing perceived rewards of not getting vaccinated. Additionally, coronavirus conspiracy beliefs should be addressed, as these appear to play a role for some vaccine-hesitant individuals.
MeSH term(s)	Adult ; COVID-19 ; COVID-19 Vaccines ; Humans ; Intention ; Motivation ; SARS-CoV-2 ; Vaccination
Chemical Substances	COVID-19 Vaccines
Language	English
Publishing date	2021-09-07
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2021.09.010
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Article: Predicting COVID-19 vaccination intention using protection motivation theory and conspiracy beliefs

Eberhardt, Judith / Ling, Jonathan

Vaccine. 2021 Oct. 08, v. 39, no. 42

2021

Abstract: While COVID-19 vaccine uptake has been encouraging overall, some individuals are either hesitant towards, or refuse, the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine acceptance, but there is a lack of research ... ...

Abstract	While COVID-19 vaccine uptake has been encouraging overall, some individuals are either hesitant towards, or refuse, the vaccine. Protection Motivation Theory (PMT) has been applied to influenza vaccine acceptance, but there is a lack of research applying PMT to COVID-19 vaccine acceptance. Additionally, prior research has suggested that coronavirus conspiracy beliefs and demographic factors may play a role in attitudes towards the vaccine. This study aimed to predict COVID-19 vaccination intention using PMT, coronavirus conspiracy beliefs, and demographic factors. Furthermore, vaccinated and unvaccinated individuals were compared in relation to their coronavirus conspiracy beliefs.An online survey was administered to 382 (278 vaccinated, and 104 unvaccinated) individuals in the United Kingdom (77 males, 301 females, one non-binary/third gender, and three unstated). Respondents’ mean age was 43.78 (SD = 12.58).A hierarchical multiple linear regression was performed in three stages. Initially, four PMT constructs - severity, susceptibility, maladaptive response costs, and self-efficacy - emerged as significant predictors of COVID-19 vaccination intention. The final model accounted for 75% of the variance and retained two significant predictors from PMT - maladaptive response rewards and self-efficacy - alongside coronavirus conspiracy beliefs and age. An independent t-test established that unvaccinated individuals held greater coronavirus conspiracy beliefs than vaccinated ones.Interventions and campaigns addressing COVID-19 vaccine acceptance should employ strategies increasing individuals’ perceived severity of COVID-19, perceived susceptibility, and perceived ability to get vaccinated, while decreasing perceived rewards of not getting vaccinated. Additionally, coronavirus conspiracy beliefs should be addressed, as these appear to play a role for some vaccine-hesitant individuals.
Keywords	COVID-19 infection ; influenza vaccines ; models ; motivation ; regression analysis ; self-efficacy ; solid wastes ; surveys ; t-test ; vaccination ; variance ; United Kingdom
Language	English
Dates of publication	2021-1008
Size	p. 6269-6275.
Publishing place	Elsevier Ltd
Document type	Article
ZDB-ID	605674-x
ISSN	1873-2518 ; 0264-410X
ISSN (online)	1873-2518
ISSN	0264-410X
DOI	10.1016/j.vaccine.2021.09.010
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Evaluation of real-time monitored ozone concentration from Abuja, Nigeria.

Ihedike, Christabel / Mooney, John D / Fulton, John / Ling, Jonathan

BMC public health

2023 Volume 23, Issue 1, Page(s) 496

Abstract: Real-time ozone ( ... ...

Abstract	Real-time ozone (O
MeSH term(s)	Nigeria ; Ozone/analysis ; Vulnerable Populations ; Respiratory Tract Diseases ; Humans ; World Health Organization ; Air Pollutants/analysis ; Environmental Monitoring ; Seasons ; Urban Health ; Air Pollution/analysis ; Air Pollution/prevention & control
Chemical Substances	Ozone (66H7ZZK23N) ; Air Pollutants
Language	English
Publishing date	2023-03-15
Publishing country	England
Document type	Journal Article
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-15327-1
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Article ; Online: 'The Addiction Was Making Things Harder for My Mental Health': A Qualitative Exploration of the Views of Adults and Adolescents Accessing a Substance Misuse Treatment Service.

Spencer, Liam / Alderson, Hayley / Scott, Steph / Kaner, Eileen / Ling, Jonathan

International journal of environmental research and public health

2023 Volume 20, Issue 11

Abstract: The relationship between substance use and mental health is complex, and both constitute a global public health burden. In the UK, the estimated annual financial costs of alcohol-related harm and illicit drug use are GBP 21.5 billion and GBP 10.7 billion, ...

Abstract	The relationship between substance use and mental health is complex, and both constitute a global public health burden. In the UK, the estimated annual financial costs of alcohol-related harm and illicit drug use are GBP 21.5 billion and GBP 10.7 billion, respectively. This issue is magnified in the North East of England, where treatment access is low and a large proportion of individuals experience socioeconomic deprivation. The present study aimed to explore the experiences of adults and adolescents accessing a substance misuse treatment service in the North East, in order to inform policy makers, commissioners, and providers of substance misuse treatment and prevention. Semi-structured qualitative interviews were conducted with an opportunistic sample of
MeSH term(s)	Humans ; Adult ; Adolescent ; Mental Health ; Substance-Related Disorders/epidemiology ; Substance-Related Disorders/psychology ; England/epidemiology ; Behavior, Addictive ; Health Behavior
Language	English
Publishing date	2023-05-26
Publishing country	Switzerland
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20115967
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Article ; Online: Parental childhood vaccine hesitancy and predicting uptake of vaccinations: a systematic review.

Obohwemu, Kennedy / Christie-de Jong, Floor / Ling, Jonathan

Primary health care research & development

2022 Volume 23, Page(s) e68

Abstract: Aim: This review aims are to (1) identify relevant quantitative research on parental childhood vaccine hesitancy with vaccine uptake and vaccination intention being relevant outcomes and (2) map the gaps in knowledge on vaccine hesitancy to develop ... ...

Abstract	Aim: This review aims are to (1) identify relevant quantitative research on parental childhood vaccine hesitancy with vaccine uptake and vaccination intention being relevant outcomes and (2) map the gaps in knowledge on vaccine hesitancy to develop suggestions for further research and to guide interventions in this field. Background: Vaccine hesitancy recognises a continuum between vaccine acceptance and vaccine refusal, de-polarising past anti-vaccine, and pro-vaccine categorisations of individuals and groups. Vaccine hesitancy poses a serious challenge to international efforts to lessen the burden of vaccine-preventable diseases. Potential vaccination barriers must be identified to inform initiatives aimed at increasing vaccine awareness, acceptance, and uptake. Methods: Five databases were searched for peer-reviewed articles published between 1998 and 2020 in the fields of medicine, nursing, public health, biological sciences, and social sciences. Across these datasets, a comprehensive search technique was used to identify multiple variables of public trust, confidence, and hesitancy about vaccines. Using PRISMA guidelines, 34 papers were included so long as they focused on childhood immunisations, employed multivariate analysis, and were published during the time frame. Significant challenges to vaccine uptake or intention were identified in these studies. Barriers to vaccination for the target populations were grouped using conceptual frameworks based on the Protection Motivation Theory and the World Health Organization's Strategic Advisory Group of Experts on Immunization Working Group model and explored using the 5C psychological antecedents of vaccination. Findings: Although several characteristics were shown to relate to vaccine hesitancy, they do not allow for a thorough classification or proof of their individual and comparative level of influence. Understudied themes were also discovered during the review. Lack of confidence, complacency, constraints, calculation, and collective responsibility have all been highlighted as barriers to vaccination uptake among parents to different degrees.
MeSH term(s)	Child ; Humans ; Vaccination Hesitancy ; Patient Acceptance of Health Care/psychology ; Health Knowledge, Attitudes, Practice ; Vaccination/psychology ; Parents/psychology ; Vaccines
Chemical Substances	Vaccines
Language	English
Publishing date	2022-11-04
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	2027892-5
ISSN	1477-1128 ; 1477-1128
ISSN (online)	1477-1128
ISSN	1477-1128
DOI	10.1017/S1463423622000512
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Article ; Online: Attitudes to Organ Donation and Transplantation: An Insight From Jordan.

Al-Qerem, Walid / Carter, Noel / Ling, Jonathan

Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation

2022 Volume 20, Issue 6, Page(s) 602–608

Abstract: Objectives: Organ donation rates in the Arabicspeaking world remain low; however, little is known about why. This study adapted an existing questionnaire into Arabic to improve understanding of perceived barriers to donation as a step toward increasing ... ...

Abstract	Objectives: Organ donation rates in the Arabicspeaking world remain low; however, little is known about why. This study adapted an existing questionnaire into Arabic to improve understanding of perceived barriers to donation as a step toward increasing donation rates. Materials and methods: We developed and validated an Arabic version of a published questionnaire, and we used this to collect data on knowledge and attitudes toward organ and tissue donation and transplantation, as well as reasons for the beliefs among adults in Jordan. The questionnaire was circulated through various Facebook groups. Results: The questionnaire was completed by 404 Jordanian adults. Factor analysis indicated that a 3-factor model was suitable for the present study. These factors were Organ Donation Attitude, Organ Transplantation Attitude, and Fear of Health Outcomes. Generally, knowledge of organ donation was good, although only some respondents were aware of the opt-out system. Attitudes toward donation were favorable, with very few respondents reporting that religious or cultural beliefs would prevent them from donating organs. One surprising finding was that one-third of respondents expressed some degree of distrust of health services. Conclusions: Efforts to improve organ donation in the Arab world remain in development. We found a substantial awareness of organ donation and largely favorable views of it among selected adults in Jordan. This indicates a need to shift focus away from education and perceived religious and cultural barriers and refocus instead on the concerns regarding distrust of health services by the general population.
MeSH term(s)	Adult ; Attitude ; Humans ; Jordan ; Organ Transplantation ; Tissue and Organ Procurement ; Treatment Outcome
Language	English
Publishing date	2022-07-05
Publishing country	Turkey
Document type	Journal Article
ZDB-ID	2396778-X
ISSN	2146-8427 ; 1304-0855
ISSN (online)	2146-8427
ISSN	1304-0855
DOI	10.6002/ect.2021.0419
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