Publication date: Jun 18, 2025
The main objective of this study is to investigate whether different medical attitudes relate to COVID-19 vaccination uptake and approval of vaccine mandates. The theory of planned behavior and the health belief model suggest that individual attitudes towards medical approaches are important for vaccination uptake. We use data from a German online cross-sectional study comprising 4065 respondents conducted between September and October in 2022 on the use and acceptance of five pre-defined medical approaches: conventional medicine, Traditional European Medicine (Naturheilkunde), complementary medicine, integrative medicine, and alternative medicine. The two main outcome measures are: (1) COVID-19 vaccination uptake, differentiating between (a) rejected, (b) socially pressured and (c) endorsed vaccination; (2) attitudes towards mandatory COVID-19 vaccination, i. e., whether or not individuals endorse vaccination mandates. We employ logistic and multinomial logistic regressions to calculate average marginal effects (AME) and to account for the influence of different medical attitudes and for confounding variables. While vaccination uptake in general is high (91. 0 % in the analytical sample), our multivariate results reveal that individuals with a positive disposition towards Traditional European Medicine (AME = 0. 05; p
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| Concepts | Keywords |
|---|---|
| Confounding | Attitudes |
| Covid | COVID-19 |
| Germany | Mandatory vaccination |
| October | TCIM |
| Vaccination | Vaccination uptake |
Semantics
| Type | Source | Name |
|---|---|---|
| disease | MESH | COVID-19 |
| disease | IDO | disposition |
| disease | MESH | communicable diseases |
| drug | DRUGBANK | Coenzyme M |
| disease | MESH | influenza |
| disease | MESH | emergencies |
| disease | IDO | country |
| disease | MESH | infection |
| disease | IDO | susceptibility |
| disease | MESH | neuroticism |
| disease | IDO | facility |
| disease | IDO | history |
| drug | DRUGBANK | Ademetionine |
| disease | IDO | process |
| disease | MESH | aids |
| disease | MESH | lifestyle |
| drug | DRUGBANK | Water |
| drug | DRUGBANK | Proline |
| disease | IDO | quality |
| drug | DRUGBANK | Isoxaflutole |
| disease | MESH | death |
| drug | DRUGBANK | Pentaerythritol tetranitrate |
| disease | MESH | Gerd |
| drug | DRUGBANK | Diethylstilbestrol |