Manoli, Athina , Kyprianidou, Maria , Lamnisos, Demetris , Lubenko, Jelena , Presti, Giovambattista , Squatrito, Valeria , Constantinou, Marios , Nicolaou, Christiana , Papacostas, Savvas , Aydin, Gokcen , Chong, Yuen Yu , Chien, Wai Tong , Cheng, Ho Yu , Ruiz, Francisco , GARCÍA MARTÍN, MARÍA BELÉN, Obando-Posada, Diana P. , Segura-Vargas, Miguel , Vasiliou, Vasilis S. , McHugh, Louise , Hofer, Stefan , Baban, Adriana , Neto, David Dias , Da Silva, Ana Nunes , Monestes, Jean-Louis , ÁLVAREZ GÁLVEZ, JAVIER, Paez-Blarrina, Marisa , Montesinos, Francisco , Valdivia-Salas, Sonsoles , Ori, Dorottya , Kleszcz, Bartosz , Lappalainen, Raimo , Ivanovic, Iva , Gosar, David , Dionne, Frederick , Merwin, Rhonda , Karekla, Maria , Gloster, Andrew , Kassianos, Angelos
No
PLOS Glob. Public Health
Article
Científica
02/01/2026
001660531600002
Understanding the drivers of COVID-19 vaccination intentions remains relevant as public health systems prepare for future pandemics. This study examined how emotional and social-cognitive factors influence COVID-19 vaccination intentions during two key phases of the COVID-19 pandemic: before (April-June 2020) and after (January-February 2021) vaccination rollout. A total of 586 adults completed an online survey assessing beliefs about COVID-19, self-efficacy to adhere to protective behaviours, perceived stress, affect, psychological flexibility, and prosociality. Self-efficacy, prosociality, psychological flexibility and positive affect significantly declined after vaccination rollout. Higher self-efficacy and perceived severity of the disease consistently predicted stronger vaccination intentions across time points. Perceived susceptibility was negatively associated with vaccination intention before, but not after rollout. The psychological variables were not significant predictors of intentions. These findings underscore the importance of social-cognitive factors, especially self-efficacy and perceived severity, in shaping vaccination-related decisions, with implications for designing effective communication strategies in future health emergencies.