Developing a Multidimensional Framework for Vaccine Confidence: Analyzing Socioeconomic, Cultural, and Psychological Determinants of Vaccine Decision-Making
Downloads
Vaccine confidence plays a crucial role in determining vaccine uptake and ensuring the success of public health initiatives to prevent infectious diseases. However, vaccine hesitancy remains a significant challenge in many regions, driven by socioeconomic, cultural, and psychological factors. This paper proposes a multidimensional framework to analyze vaccine decision-making determinants, integrating socioeconomic status, cultural values, and psychological influences on vaccine confidence. Drawing from existing theories and models related to health behavior, the paper explores how disparities in factors such as income, education, employment status, and healthcare access shape vaccine perceptions and decisions. Additionally, it examines the cultural beliefs and values that influence individuals' trust in vaccines and their healthcare systems, as well as the psychological mechanisms—such as risk perception, cognitive biases, and misinformation—that contribute to vaccine hesitancy. The findings highlight the need for tailored public health strategies and policies that address these diverse factors to enhance vaccine confidence across different demographic groups. The paper concludes with policy recommendations and strategies for improving vaccine uptake, emphasizing the importance of integrating the multidimensional framework into future vaccine-related research and interventions.
Abdaal, K., Batool, A., Navid, M., Ahmed, S., Qazi, A., Safdar, W., . . . Rafaqat, S. (2024). Advancements in vaccination strategies: from historical milestones to modern innovations in viral disease prevention and public health. Res J. Vet. Pract, 12(1), 11-21.
Adekola, A. D., Alli, O. I., Mbata, A. O., & Ogbeta, C. P. (2023). Integrating Multisectoral Strategies for Tobacco Control: Evidence-Based Approaches and Public Health Outcomes.
Adelodun, M., & Anyanwu, E. (2024). Comprehensive risk management and safety strategies in radiation use in medical imaging. Int J Front Med Surg Res, 6.
Adelodun, M. O., & Anyanwu, E. C. Evaluating the Environmental Impact of Innovative Radiation Therapy Techniques in Cancer Treatment.
Adelodun, M. O., & Anyanwu, E. C. Global Standards in Radiation Safety: A Comparative Analysis of Healthcare Regulations.
Adelodun, M. O., & Anyanwu, E. C. (2024a). A critical review of public health policies for radiation protection and safety.
Adelodun, M. O., & Anyanwu, E. C. (2024b). Environmental and patient safety: Advances in radiological techniques to reduce radiation exposure.
Adelodun, M. O., & Anyanwu, E. C. (2024c). Health Effects of Radiation: An Epidemiological Study on Populations near Nuclear Medicine Facilities. Health, 13(9), 228-239.
Alemede, V., Nwankwo, E. I., Igwama, G. T., Olaboye, J. A., & Anyanwu, E. C. Evaluating the impact of pharmacy-led telemedicine services on access to oncology care in rural areas.
Alemede, V., Nwankwo, E. I., Igwama, G. T., Olaboye, J. A., & Anyanwu, E. C. Pharmacy benefit managers and drug affordability policy proposals for enhancing access in underserved communities. International Journal of Applied Research in Social Sciences, 6(9).
Alli, O. I., & Dada, S. A. (2023a). Cross-Cultural tobacco dependency treatment: A robust review of models for tailored interventions in diverse healthcare contexts. International Journal of Multidisciplinary Research and Growth Evaluation. 2023b, 4(6), 1102-1108.
Alli, O. I., & Dada, S. A. (2023b). Reducing maternal smoking through evidence-based interventions: Advances and emerging models in high-impact public health strategies. International Journal of Multidisciplinary Research and Growth Evaluation. 2023a, 4(6), 1095-1101.
Alli, O. I., & Dada, S. A. (2024). Global advances in tobacco control policies: A review of evidence, implementation models, and public health outcomes.
Azarpanah, H., Farhadloo, M., Vahidov, R., & Pilote, L. (2021). Vaccine hesitancy: evidence from an adverse events following immunization database, and the role of cognitive biases. BMC public health, 21, 1-13.
Biasio, L. R., Zanobini, P., Lorini, C., & Bonaccorsi, G. (2024). Perspectives in the Development of Tools to Assess Vaccine Literacy. Vaccines, 12(4), 422.
Buchbinder, M., Jenkins, T., Staley, J., Berlinger, N., Buchbinder, L., & Goldberg, L. (2023). Multidimensional stressors and protective factors shaping physicians' work environments and work‐related well‐being in two large US cities during COVID‐19. American journal of industrial medicine, 66(10), 854-865.
Cadeddu, C., Castagna, C., Sapienza, M., Lanza, T. E., Messina, R., Chiavarini, M., . . . De Waure, C. (2021). Understanding the determinants of vaccine hesitancy and vaccine confidence among adolescents: a systematic review. Human vaccines & immunotherapeutics, 17(11), 4470-4486.
Chigboh, V. M., Zouo, S. J. C., & Olamijuwon, J. Health data analytics for precision medicine: A review of current practices and future directions.
Chigboh, V. M., Zouo, S. J. C., & Olamijuwon, J. (2024). Predictive analytics in emergency healthcare systems: A conceptual framework for reducing response times and improving patient care. World, 7(02), 119-127.
Dutta, T., Agley, J., Meyerson, B. E., Barnes, P. A., Sherwood-Laughlin, C., & Nicholson-Crotty, J. (2021). Perceived enablers and barriers of community engagement for vaccination in India: Using socioecological analysis. PloS one, 16(6), e0253318.
Edoh, N. L., Chigboh, V. M., Zouo, S., & Olamijuwon, J. (2024). Improving healthcare decision-making with predictive analytics: A conceptual approach to patient risk assessment and care optimization.
Edoh, N. L., Chigboh, V. M., Zouo, S. J. C., & Olamijuwon, J. The role of data analytics in reducing healthcare disparities: A review of predictive models for health equity.
Ekezie, W., Awwad, S., Krauchenberg, A., Karara, N., Dembiński, Ł., Grossman, Z., . . . Copley, S. (2022). Access to vaccination among disadvantaged, isolated and difficult-to-reach communities in the WHO European region: a systematic review. Vaccines, 10(7), 1038.
Etowa, J., Beauchamp, S., Fseifes, M., Osandatuwa, G., Brenneman, P., Salam-Alada, K., . . . Julmisse, S. (2024). Understanding Low Vaccine Uptake in the Context of Public Health in High-Income Countries: A Scoping Review. Vaccines, 12(3), 269.
Eze, C. E., Igwama, G. T., Innocent, E., & Nwankwo, E. V. E. Leveraging Health Data Analytics for Predictive Public Health Surveillance: A Review of AI and Big Data Applications.
Eze, C. E., Igwama, G. T., Nwankwo, E. I., & Emeihe, E. V. The role of big data in transforming financial management in US healthcare: A conceptual framework.
Eze, C. E., Igwama, G. T., Nwankwo, E. I., & Victor, E. (2024a). AI-driven health data analytics for early detection of infectious diseases: A conceptual exploration of US public health strategies.
Eze, C. E., Igwama, G. T., Nwankwo, E. I., & Victor, E. (2024b). Predictive modeling for healthcare needs in the aging US population: A conceptual exploration. Global Journal of Research in Science and Technology, 2(02), 094-102.
Gehlbach, D., Vázquez, E., Ortiz, G., Li, E., Sánchez, C. B., Rodríguez, S., . . . Cheney, A. M. (2022). Perceptions of the Coronavirus and COVID-19 testing and vaccination in Latinx and Indigenous Mexican immigrant communities in the Eastern Coachella Valley. BMC public health, 22(1), 1019.
Girlando, A., Grima, S., Boztepe, E., Seychell, S., Rupeika-Apoga, R., & Romanova, I. (2021). Individual risk perceptions and behavior. In Contemporary Issues in Social Science (pp. 367-436): Emerald Publishing Limited.
Hudson, A., & Montelpare, W. J. (2021). Predictors of vaccine hesitancy: implications for COVID-19 public health messaging. International journal of environmental research and public health, 18(15), 8054.
Jaspal, R., & Breakwell, G. M. (2022). The significance of ethnicity in vaccination uptake: social psychological aspects. In COVID-19: Surviving a Pandemic (pp. 134-154): Routledge.
Kelvin-Agwu, M., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. (2024a). The role of biomedical engineers in enhancing patient care through efficient equipment management. International Journal Of Frontiers in Medicine and Surgery Research, 6(1), 11-18.
Kelvin-Agwu, M., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. (2024b). Strategies for optimizing the management of medical equipment in large healthcare institutions. Strategies, 20(9), 162-170.
Kelvin-Agwu, M. C., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. Enhancing Biomedical Engineering Education: Incorporating Practical Training in Equipment Installation and Maintenance.
Kelvin-Agwu, M. C., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. (2024a). Innovative approaches to the maintenance and repair of biomedical devices in resource-limited settings.
Kelvin-Agwu, M. C., Adelodun, M. O., Igwama, G. T., & Anyanwu, E. C. (2024b). Integrating biomedical engineering with open-source telehealth platforms: enhancing remote patient monitoring in global healthcare systems. International Medical Science Research Journal, 4(9).
Kim, H., Chan-Olmsted, S., & Chen, H. (2023). COVID-19 information seeking behavior versus value perception among US ethnic/racial minorities: differences and vaccination implications. Information Technology & People, 36(7), 2977-2997.
Majebi, N. L., Adelodun, M. O., & Anyanwu, E. C. (2024a). Early childhood trauma and behavioral disorders: The role of healthcare access in breaking the cycle.
Majebi, N. L., Adelodun, M. O., & Anyanwu, E. C. (2024b). Integrating trauma-informed practices in US educational systems: Addressing behavioral challenges in underserved communities.
Majebi, N. L., Adelodun, M. O., & Chinyere, E. Community-Based Interventions to Prevent Child Abuse and Neglect: A Policy Perspective.
Majebi, N. L., Drakeford, O. M., Adelodun, M. O., & Chinyere, E. (2023). Leveraging digital health tools to improve early detection and management of developmental disorders in children. World Journal of Advanced Science and Technology, 4(1), 025-032.
Martinelli, M., & Veltri, G. A. (2021). Do cognitive styles affect vaccine hesitancy? A dual-process cognitive framework for vaccine hesitancy and the role of risk perceptions. Social Science & Medicine, 289, 114403.
Ogbeta, C. P., & Mbata, A. O. (2025). Technology and Regulatory Compliance in Pharmaceutical Practices: Transforming Healthcare Delivery through Data-Driven Solutions. International Journal of Research and Innovation in Social Science, 9(1), 1139-1147.
Ogbeta, C. P., Mbata, A. O., & Katas, K. U. (2024). Developing Drug Formularies and Advocating for Biotechnology Growth: Pioneering Healthcare Innovation in Emerging Economies. Quality assurance, 30.
OGBETA, C. P., MBATA, A. O., UDEMEZUE, K., & KATAS, R. G. K. (2023). Advancements in Pharmaceutical Quality Control and Clinical Research Coordination: Bridging Gaps in Global Healthcare Standards. IRE Journals, 7(3), 678-681.
Olowe, K. J., Edoh, N. L., Christophe, S. J., & Zouo, J. O. Conceptual Review on the Importance of Data Visualization Tools for Effective Research Communication.
Oso, O. B., Alli, O. I., Babarinde, A. O., & Ibeh, A. I. (2025a). Advanced financial modeling in healthcare investments: A framework for optimizing sustainability and impact. Gulf Journal of Advance Business Research, 3(2), 561-589.
Oso, O. B., Alli, O. I., Babarinde, A. O., & Ibeh, A. I. (2025b). Impact-Driven Healthcare Investments: A Conceptual Framework for Deploying Capital and Technology in Frontier Market.
Oso, O. B., Alli, O. I., Babarinde, A. O., & Ibeh, A. I. (2025c). Navigating Cross-Border Healthcare Investments: A Risk-Opportunity Model for Emerging Markets.
Oso, O. B., Alli, O. I., Babarinde, A. O., & Ibeh, A. I. (2025d). Private Equity and Value Creation in Healthcare: A Strategic Model for Emerging Markets.
Pavlovic, D., Sahoo, P., Larson, H., & Karafillakis, E. (2022). Factors influencing healthcare professionals’ confidence in vaccination in Europe: a literature review. Human vaccines & immunotherapeutics, 18(1), 2041360.
Rozek, L. S., Jones, P., Menon, A., Hicken, A., Apsley, S., & King, E. J. (2021). Understanding vaccine hesitancy in the context of COVID-19: the role of trust and confidence in a seventeen-country survey. International journal of public health, 66, 636255.
Sacre, A., Bambra, C., Wildman, J. M., Thomson, K., Bennett, N., Sowden, S., & Todd, A. (2023). Socioeconomic inequalities in vaccine uptake: A global umbrella review. PloS one, 18(12), e0294688.
Tiwana, M. H., & Smith, J. (2024). Faith and vaccination: a scoping review of the relationships between religious beliefs and vaccine hesitancy. BMC public health, 24(1), 1806.
Zanobini, P., Lorini, C., Caini, S., Lastrucci, V., Masocco, M., Minardi, V., . . . Bonaccorsi, G. (2022). Health literacy, socioeconomic status and vaccination uptake: a study on influenza vaccination in a population-based sample. International journal of environmental research and public health, 19(11), 6925.
Zhao, S., Hu, S., Zhou, X., Song, S., Wang, Q., Zheng, H., . . . Hou, Z. (2023). The prevalence, features, influencing factors, and solutions for COVID-19 vaccine misinformation: systematic review. JMIR Public Health and Surveillance, 9(1), e40201.
Zouo, S., & Olamijuwon, J. (2024). Financial data analytics in healthcare: A review of approaches to improve efficiency and reduce costs.
