The Role of Positive and Negative Information Processing in COVID-19 Vaccine Uptake in Women of Generation X, Y, and Z: The Power of Good is Stronger Than Bad in Youngsters?

Background Positive and negative focus in information processing associated with age has a diverse role in COVID-19 vaccine uptake. The aim of the study was the exploration of the generational diversity among psychological predictors of COVID-19 vaccine uptake. Methods A cross-sectional research was conducted. The sample included 978 Hungarian women. Based on former literature findings, the COVID-19 vaccine uptake predictors were chosen from the health beliefs model, COVID-19 vaccine hesitancy, and psychological flexibility. Multivariate logistic regression analysis was conducted to investigate the predictors of COVID-19 vaccine uptake in women of Gen X, Gen Y, and Gen Z. Results In Gen X women, the influence of significant predictors are more prone to the positivity in COVID-19 vaccine uptake behavior, perceived benefits being the most relevant, increasing the likelihood of vaccine uptake more than four times. In Gen Y women, perceived barriers, lack of confidence/skepticism and avoidance significantly reduce the probability of vaccine uptake, showing an accentuated negative focus in information processing related to COVID-19 vaccination. The vaccine uptake in Gen Z is predicted only by the perceived benefits, and the likelihood of COVID-19 vaccine uptake is heightened in chance more than 19 times. Conclusion Women belonging to Gen X or Gen Y, the perceived benefits hold the key to vaccine uptake, while in women of Gen Z, low risks, lack of threats, and accessibility could motivate the decision of vaccine uptake. The findings are useful in generation-adapted vaccination campaigns and can also serve as inspiration for evolutionary psychology studies on health behavior and the broad area of study in cognitive biases in health information processing.

Increased Risk Perception, Distress Intolerance and Health Anxiety in Stricter Lockdowns: Self-Control as a Key Protective Factor in Early Response to the COVID-19 Pandemic.

Studies provide evidence that distress, (health) anxiety, and depressive symptoms were high during the first weeks of COVID-19 lockdown restrictions, decreasing over time (possibly due to individuals' protective psychological factors). Relations between different lockdown restrictions, mental health issues, and protective factors need to be explored, since even small lockdown effects might increase the risk of future mental health issues. We merged objective lockdown stringency data with individual data (N = 1001) to examine differences in lockdown effects in strict lockdown (Romania) and mild lockdown (Hungary) conditions between March and May 2020 on stressors and mental health symptoms, taking protective factors into account. The stricter lockdown in Romania revealed higher levels of perceived risk of infection, distress intolerance, and COVID-19 health anxiety. Protective psychological factors were not affected by the lockdown measures. Surpassing psychological flexibility and resilient coping, self-control proved to be the most promising protective factor. It is recommended that future research merge objective data with study data to investigate the effects of different COVID-19 lockdown measures on mental health and protective factors. Policy decisions should consider lockdown-dependent consequences of mental health issues. Intervention programs are suggested to mitigate mental health issues and to strengthen peoples' protective psychological factors.

Development and Validation of the Multidimensional COVID-19 Vaccine Hesitancy Scale.

The aim of the study was to develop and validate the Multidimensional Covid-19 Vaccine Hesitancy Scale (CoVaH), a self-report measure to assess the beliefs and attitudes beneath vaccination hesitancy and reasons for vaccine refusal in the context of Covid-19. A sample of 1503 Hungarian respondents filled out the scale. Exploratory and confirmatory factor analysis was conducted to identify latent constructs underlying participants' responses. Findings show a robust three-factor solution for the 15-item CoVaH with high factor loadings on each factor: skepticism, risk perception and fear of Covid-19 vaccine. The CoVaH displayed very good fit indices (KMO = .94, RMSEA = 0.049, CFI = .983) and internal consistencies (α values > .89) and was found to have proper convergent, concurrent and discriminant validity in identifying Covid-19 vaccine hesitancy in the general population. The new scale adds to the literature through the identification of the fear of COVID-19 vaccines, as a newly highlighted explanatory variable of COVID-19 vaccine hesitancy, besides the other formerly identified components. The scale, available in English and Hungarian, allows the assessment of vaccine uptake hesitancy and has the potential to help targeted interventions, considering individual factors that interfere with vaccination acceptance.

The Moderation Effect of Generation on the Relationship between Psychological Flexibility and COVID-19 Preventive Behaviour among Females

Disease prevention behaviour is essential during the ongoing COVID-19 pandemic. How people respond to information and regulations to control this infectious disease can be influenced by their age and generational identity. An individual with an optimal level of psychological flexibility can adapt to challenging situations more efficiently. Hence, the purpose of the present study was to investigate the moderating effect of generation on the relationship between psychological flexibility and COVID-19 preventive behaviour among different generational cohorts of women (baby boomers, X, Y, and Z). This relationship was rarely addressed in the literature, which is what inspired this study. Data were collected through an online survey. The responses of 834 Hungarian speaking women between the ages of 18 and 75 years old were successfully gathered. Four generational cohorts were represented in the sample population: baby boomers (age > 56), X (age 41-55), Y (age 24-40), and Z (age 18-25). The moderation effect was calculated using the PROCESS macro in SPSS. A statistically significant moderation effect of generation was found on the relationship between psychological flexibility and COVID-19 prevention behaviour and the interaction added a small but significant contribution to the final model predicting preventive behaviour. In Generation Z, psychological flexibility predicted an increase in preventive behaviour, but no significant prediction was found among other generational cohorts. Females in their twenties seemed to be more engaged in COVID-19 prevention behaviour, if their psychological flexibility was higher, but failed to comply with health recommendations and safety protocols at low levels of flexibility. This study may provide a new perspective on how generational cohorts can influence the effect of psychological factors on COVID-19 preventive behaviour. Prevention of avoidance behaviours and facilitation of acceptance is definitory for psychologically flexible behaviours, while disease avoidance is crucial in prevention behaviour of COVID-19. Further research is needed to clarify our findings.

The Development and Validation of COVID-19 Prevention Behaviour Scale on Female Hungarian Population

In the emergency situation of an ongoing global pandemic, disease prevention behaviour is essential. The majority of studies assess preventive behaviour through relevant unidimensional questions, but this approach is not necessarily the best way to conceptualize prevention, as health maintenance guidelines cover several different areas of possible individual precautionary and preventive practices. The aim of the study is the development and validation of a multidimensional COVID-19 prevention behaviour scale for the Hungarian speaking population (Covid-19-PBS). The items address major aspects related to preventive behaviour towards COVID-19 inspired by preliminary pandemic studies and the WHO prevention recommendations. 612 eligible female individuals were included in the study;the sample was recruited from the Hungarian general population, and participants were between the ages of 18 and 65 years old. According to preliminary studies women are more likely to engage proactively in prevention behaviour;they perceive the risk of a disease more profoundly, and even disease information seeking was more prevalent among women. An exploratory factor analysis was performed for this new scale, followed by a confirmatory factor analysis. According to our results, the model fit indices are adequate (CFI= .928, RMSEA= .064). Cronbach's alpha was used to examine the reliability of the factors;the internal validity of the scale is good (a = .78). The final instrument contains 11 items with responses scored on a 4-point Likert scale and 3 domains: general hygiene, social distancing, and COVID-19 information-seeking behaviour. Our results have revealed that the new scale has good psychometric properties and may be a useful instrument for assessing COVID-19 preventive behaviour across women. This tool can be useful for professionals in order to develop more effective and targeted prevention programs especially in the female population, as the instrument was validated only in women up to this stage. This scale can serve the purpose of improving individual and collective adjustment to prevention regulations during the epidemic.

Psychological Predictors of COVID-19 Prevention Behavior in Hungarian Women Across Different Generations.

BACKGROUND: Age related differences were found in prevention behavior, showing that older individuals tend to be the most proactive. The aim of the study was the identification of psychological predictors on COVID-19 prevention behavior in women, across four generations. In addition, the predictive role of the psychological variables was explored through the lens of negative and positive information processing perspective on total and domain-specific COVID-19 prevention behavior. METHODS: A cross-sectional research was conducted. The sample included 834 Hungarian speaking women. The assessed variables were: COVID-19 knowledge, risk perception, COVID-19 health anxiety, negative automatic thoughts, psychological flexibility, and four domains of COVID-19 prevention behavior (social distancing, general hygiene, information seeking, health behavior). A three-level hierarchical linear regression analysis was conducted to investigate the predictors of preventive behavior in each generation. RESULTS: A diversity across generations was found. In case of baby boomer generation, the final model explained 32.4% of the variance for total prevention behavior [F(14,215) = 8.847, p < 0.001], and only perceived risk made a significant contribution. For Gen X the final model accounted for 21.1% of variance of total prevention behavior [F(14,341) = 7.788, p < 0.001], marital status, perceived risk, COVID-19 health anxiety, and negative automatic thoughts made significant contributions. In case of Gen Y the final model accounted for 6.2% of variance on total prevention behavior [F(14,147) = 1.761, p = 0.05], only perceived risk had a contribution to the final model. For Gen Z the final model accounted for 23.4% of variance on total preventive behavior [F(13,71) = 2.979, p = 0.002], and only psychological flexibility made a contribution to the model. The results on the distinct domains of COVID-19 prevention behavior emphasized details in the dissimilarity among generations. CONCLUSION: The role of generational identity on COVID-19 prevention behavior is relevant. The coexistence of negative and positive information processing may have its beneficial role in certain areas of prevention.