Publication date: Sep 10, 2025
The COVID-19 pandemic has devastated economies and strained health care systems worldwide. Vaccination is crucial for outbreak control, but disparities persist between and within countries. In Taiwan, certain indigenous regions show lower vaccination rates, prompting comprehensive inquiries. This study aims to identify predictors for COVID-19 vaccination and develop strategies for indigenous communities. This cross-sectional study, conducted from May 13 to July 18, 2022, surveyed indigenous community members older than 55 years residing in a mountain area in southern Taiwan. Based on the health belief model, the questionnaire covered sociodemographic factors, health-related issues, and trust in physicians. The analysis included bivariate analysis, logistic regression, and mediation analysis. Most participants (N=203) were aged 55-64 years (102/203, 50. 2%), female (129/203, 63. 5%), married (104/203, 51. 2%), with low education (165/203, 81. 3%), and engaged in agriculture (79/203, 38. 9%) or were unemployed (104/203, 51. 2%). Logistic regression revealed that unvaccinated individuals were significantly more likely to perceive lower COVID-19 threats (P=. 03), fewer vaccination benefits (P=. 04), higher barriers to vaccination (P=. 02), and weaker responses to external cues to action (P
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Semantics
| Type | Source | Name |
|---|---|---|
| drug | DRUGBANK | Spinosad |
| disease | MESH | COVID-19 pandemic |
| disease | MESH | health inequity |