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Abstract

While previous studies provide broad categories of the public who intend to get a COVID-19 vaccine, few systematically segment and help understand and engage with distinct publics to improve COVID-19 vaccine uptake. Using data from a national sample of the Australian public (N = 1054) and using measures primarily based on the Theory of Planned Behaviour, a latent class analysis of 16 items was undertaken to identify COVID-19 audience segments for potential future message targeting. We found five different segments of COVID-19 vaccine intentions: vaccine enthusiasts (28%), supporters (26%), socials (20%), hesitant (15%) and sceptics (10%). These five audience segments also differ on demographic variables and their level of trust in mainstream media, scientists and health experts, social media and family and friends. Understanding the COVID-19 vaccine attitudinal and information-seeking characteristics of these sub-publics will help inform appropriate messaging campaigns.

Keywords

audience segmentation COVID-19 SARS-CoV-2 vaccine hesitancy

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References

Agley

Xiao

(2021) Misinformation about COVID-19: Evidence for differential latent profiles and a strong association with trust in science. BMC Public Health 21(1): 1–12.

Ajzen

(1985) From intentions to actions: A theory of planned behaviour. In: Kuhl

Beckmann

(eds) Action Control: From Cognition to Behaviour. Berlin: Springer, pp. 11–39.

Ajzen

(2002) Perceived behavioral control, self-efficacy, locus of control, and the theory of planned behavior. Journal of Applied Social Psychology 32(4): 665–683.

Armitage

Conner

(2001) Efficacy of the theory of planned behaviour: A meta-analytic review. British Journal of Social Psychology 40(4): 471–499.

Australian Bureau of Statistics (2017a) 2016 Census quick stats. Available at: https://quickstats.censusdata.abs.gov.au/census_services/getproduct/census/2016/quickstat/036 (accessed 20 June 2020).

Australian Bureau of Statistics (2017b) Census 2016, total personal income (weekly) by age by sex (SA2+). Available at: https://stat.data.abs.gov.au/Index.aspx?DataSetCode=ABS_C16_T13_SA (accessed 20 June 2020).

Australian Bureau of Statistics (2020) Regional population by age and sex, Australia. Available at: https://www.abs.gov.au/AUSSTATS/abs@.nsf/Explanatory%20Notes/3235.0 (accessed 20 June 2020).

Australian Bureau of Statistics (2021a) Household impacts of COVID-19 survey. Available at: https://www.abs.gov.au/statistics/people/people-and-communities/household-impacts-covid-19-survey/latest-release (accessed 20 September 2021).

Australian Bureau of Statistics (2021b) National, state and territory population. Available at: https://www.abs.gov.au/statistics/people/population/national-state-and-territory-population/latest-release#states-and-territories (accessed 16 September 2021).

10.

Bakk

Vermunt

(2015) Step-3 tutorial# 1: Step-3 Models with covariates, distal outcomes, and multiple latent variables. Available at: https://www.statisticalinnovations.com/wp-content/uploads/LGtutorial.Step3_.1.pdf (accessed 10 June 2020).

11.

Bass

Kelly

Hoadley

Lloret

Organtini

(2022) Mapping perceptual differences to understand COVID-19 beliefs in those with vaccine hesitancy. Journal of Health Communication 27(1): 49–61.

12.

Bish

Yardley

Nicoll

Michie

(2011) Factors associated with uptake of vaccination against pandemic influenza: A systematic review. Vaccine 29(38): 6472–6484.

13.

Chen

Y-L

Lin

Y-J

Chang

Y-P

Chou

W-J

Yen

C-F

(2021) Differences in the protection motivation theory constructs between people with various latent classes of motivation for vaccination and preventive behaviors against COVID-19 in Taiwan. International Journal of Environmental Research and Public Health 18(13): 7042.

14.

Cucciniello

Imre

Porumbescu

Melegaro

(2021) Altruism and vaccination intentions: Evidence from behavioral experiments. Social Science & Medicine 292: 114195.

15.

de Figueiredo

Simas

Karafillakis

Paterson

Larson

(2020) Mapping global trends in vaccine confidence and investigating barriers to vaccine uptake: A large-scale retrospective temporal modelling study. The Lancet 396(10255): 898–908.

16.

Department of Health (2021) Vaccination numbers and statistics. Available at: https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/numbers-statistics (accessed 6 October 2021).

17.

Dodd

Cvejic

Bonner

Pickles

McCaffery

(2021a) Willingness to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases 21(3): 318–319.

18.

Dodd

Pickles

Nickel

Cvejic

Ayre

Batcup

, et al. (2021b) Concerns and motivations about COVID-19 vaccination. The Lancet Infectious Diseases 21(2): 161–163.

19.

Edwards

Biddle

Gray

Sollis

(2021) COVID-19 vaccine hesitancy and resistance: Correlates in a nationally representative longitudinal survey of the Australian population. PLoS ONE 16(3): e0248892.

20.

Faasse

Newby

(2020) Public perceptions of COVID-19 in Australia: Perceived risk, knowledge, health-protective behaviors, and vaccine intentions. Frontiers in Psychology 11: 551004.

21.

Fan

C-W

Chen

I-H

N-Y

Yen

C-F

Lin

C-Y

Griffiths

, et al. (2021) Extended theory of planned behavior in explaining the intention to COVID-19 vaccination uptake among mainland Chinese university students: An online survey study. Human Vaccines & Immunotherapeutics 17(10): 3413–3420.

22.

Fishbein

Ajzen

(2011) Predicting and Changing Behavior: The Reasoned Action Approach. New York, NY: Psychology press.

23.

Freeman

Loe

L-M

Freeman

Chadwick

Vaccari

, et al. (2021) Effects of different types of written vaccination information on COVID-19 vaccine hesitancy in the UK (OCEANS-III): A single-blind, parallel-group, randomised controlled trial. The Lancet Public Health 6(6): e416–e427.

24.

French

Deshpande

Evans

Obregon

(2020) Key guidelines in developing a pre-emptive covid-19 vaccination uptake promotion strategy. International Journal of Environmental Research and Public Health 17(16): 5893.

25.

Gerend

Shepherd

(2012) Predicting HPV vaccine uptake in young adult women: Comparing the health belief model and theory of planned behavior. Annals of Behavioral Medicine 44(2): 171–180.

26.

Guidry

JPD

Perrin

Laestadius

, et al. (2021) U.S. public support for COVID-19 vaccine donation to low- and middle-income countries during the COVID-19 pandemic. Vaccine 39(17): 2452–2457.

27.

Hine

Reser

Morrison

. (2014) Audience segmentation and climate change communication: Conceptual and methodological considerations. WIREs Climate Change 5(4): 441–459.

28.

Hopfer

(2012) Effects of a narrative HPV vaccination intervention aimed at reaching college women: A randomized controlled trial. Prevention Science 13(2): 173–182.

29.

Hornsey

Harris

Fielding

(2018) The psychological roots of anti-vaccination attitudes: A 24-nation investigation. Health Psychology 37(4): 307–315.

30.

Ihm

Lee

C-J

(2021) Toward more effective public health interventions during the covid-19 pandemic: Suggesting audience segmentation based on social and media resources. Health Communication 36(1): 98–108.

31.

Juraskova

O’Brien

Mullan

Bari

Laidsaar-Powell

McCaffery

(2012) HPV vaccination and the effect of information framing on intentions and behaviour: An application of the theory of planned behaviour and moral norm. International Journal of Behavioral Medicine 19(4): 518–525.

32.

Kleitman

Fullerton

Zhang

Blanchard

Lee

Stankov

, et al. (2021) To comply or not comply? A latent profile analysis of behaviours and attitudes during the COVID-19 pandemic. PLoS ONE 16(7): e0255268.

33.

Krishna

(2018) Poison or prevention? Understanding the linkages between vaccine-negative individuals’ knowledge deficiency, motivations, and active communication behaviors. Health Communication 33(9): 1088–1096.

34.

Larson

Clarke

Jarrett

Eckersberger

Levine

Schulz

, et al. (2018) Measuring trust in vaccination: A systematic review. Human Vaccines & Immunotherapeutics 14(7): 1599–1609.

35.

Latkin

Dayton

Miller

Jaleel

Nwosu

, et al. (2021) Behavioral and attitudinal correlates of trusted sources of COVID-19 vaccine information in the US. Behavioral Sciences 11(4): 56.

36.

Lazić

Žeželj

(2021) A systematic review of narrative interventions: Lessons for countering anti-vaccination conspiracy theories and misinformation. Public Understanding of Science 30(6): 644–670.

37.

Lin

Beitsch

(2020) Confidence and receptivity for COVID-19 vaccines: A rapid systematic review. Vaccines 9(1): 16.

38.

Loomba

de Figueiredo

Piatek

de Graaf

Larson

(2021) Measuring the impact of COVID-19 vaccine misinformation on vaccination intent in the UK and USA. Nature Human Behaviour 5(3): 337–348.

39.

Melbourne Institute (n.d.) Vaccine hesitancy tracker. Available at: https://melbourneinstitute.unimelb.edu.au/publications/research-insights/ttpn/vaccination-report (accessed 20 September 2021).

40.

Myers

(2011) Goodbye, listwise deletion: Presenting hot deck imputation as an easy and effective tool for handling missing data. Communication Methods and Measures 5(4): 297–310.

41.

Noar

(2012) An audience–channel–message–evaluation (ACME) framework for health communication campaigns. Health Promotion Practice 13(4): 481–488.

42.

Nomura

Eguchi

Yoneoka

Kawashima

Tanoue

Murakami

, et al. (2021) Reasons for being unsure or unwilling regarding intention to take COVID-19 vaccine among Japanese people: A large cross-sectional national survey. The Lancet Regional Health – Western Pacific 14: 100223.

43.

Premier of Victoria (2021) Statement form the acting premier. Available at: https://www.premier.vic.gov.au/statement-acting-premier-1 (accessed 5 October 2021).

44.

Prickett

Habibi

Carr

(2021) COVID-19 vaccine hesitancy and acceptance in a cohort of diverse New Zealanders. The Lancet Regional Health – Western Pacific 14: 100241.

45.

Qualtrics Panel (2021) Online panels. Available at: https://www.qualtrics.com/au/research-services/online-sample/ (accessed 1 October 2021).

46.

Rhodes

Hoq

Measey

M-A

Danchin

(2020) Intention to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases 21(5): e110.

47.

Rimal

Lapinski

(2015) A re-explication of social norms, ten years later. Communication Theory 25(4): 393–409.

48.

Roy Morgan (2021) An increasing majority of 80% of Australians willing to be vaccinated for COVID-19 – Up 1% point since late January. Available at: http://www.roymorgan.com/findings/8646-roy-morgan-survey-on-masks-borders-vaccines-in-australia-february-15-2021-202102141000 (accessed 10 July 2022).

49.

Schmid

Rauber

Betsch

Lidolt

Denker

M-L

(2017) Barriers of influenza vaccination intention and behavior – A systematic review of influenza vaccine hesitancy, 2005 – 2016. PLoS ONE 12(1): e0170550.

50.

Schneider

Dayton

Rouhani

Latkin

(2021) Implications of attitudes and beliefs about COVID-19 vaccines for vaccination campaigns in the United States: A latent class analysis. Preventive Medicine Reports 24: 101584.

51.

Skinner

Strecher

Hospers

(1994) Physicians’ recommendations for mammography: Do tailored messages make a difference? American Journal of Public Health 84(1): 43–49.

52.

Slater

(1996) Theory and method in health audience segmentation. Journal of Health Communication 1(3): 267–284.

53.

Smith

(2017) Audience segmentation techniques. In: Parrott

(ed.) Oxford Research Encyclopedia of Communication: Health and Risk Message Design and Proceedings. New York, NY: Oxford University Press, pp. 1–12.

54.

Smith

Myrick

Lennon

Martin

Small

Van Scoy

, et al. (2021) Exploring behavioral typologies to inform COVID-19 health campaigns: A person-centered approach. Journal of Health Communication 26(6): 402–412.

55.

Thaker

(2021) Audience segmentation of COVID-19 vaccination intentions in Aotearoa-New Zealand. Report, Massey University, Palmerston North, New Zealand, February.

56.

Thaker

Cook

(2022) Planning for a COVID-19 vaccination campaign in New Zealand: Trust, affective and cognitive attitudes, and COVID-19 vaccine intention. Communication Research and Practice 1(16): 54–69.

57.

Thaker

Ganchoudhuri

(2021) The role of attitudes, norms, and efficacy on shifting COVID-19 vaccine Intentions: A longitudinal study of COVID-19 vaccination intentions in New Zealand. Vaccines 9(10): 1132.

58.

Vermunt

(2017) Latent class modeling with covariates: Two improved three-step approaches. Political Analysis 18(4): 450–469.

59.

Vermunt

Magidson

(2016) Technical Guide for Latent GOLD 5.1: Basic, Advanced, and Syntax. Belmont, MA: Statistical Innovations.

60.

Wise

(2021) Covid-19: How AstraZeneca lost the vaccine PR war. British Medical Journal 373: 1–3.

61.

Xiao

(2019) Follow the heart or the mind? Examining cognitive and affective attitude on HPV vaccination intention. Atlantic Journal of Communication 29(2): 93–105.

62.

Xiao

Wong

(2020) Vaccine hesitancy and perceived behavioral control: A meta-analysis. Vaccine 38(33): 5131–5138.

63.

Yaqub

Castle-Clarke

Sevdalis

Chataway

(2014) Attitudes to vaccination: A critical review. Social Science & Medicine 112: 1–11.

64.

Zheng

Jiang

(2022) Factors influencing COVID-19 vaccination intention: The roles of vaccine knowledge, vaccine risk perception, and doctor-patient communication. Patient Education and Counseling 105(2): 277–283.

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Audience segmentation analysis of public intentions to get a COVID-19 vaccine in Australia

Abstract

Keywords

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References

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