This study explores the mediating role of health literacy on the association between health care system distrust and vaccine hesitancy. An online survey including Personal Information Form, Health Care System Distrust Scale, Vaccine Hesitancy Scale, and Health Literacy Scale were applied to 620 participants. The degree of applying mask-wearing, hygiene rule and physical distance, and the level of COVID-19 vaccine literacy were modeled with hierarchical multiple regression analysis to have a deeper analysis of participants' actions towards COVID-19 vaccine hesitancy. It was found that health care system distrust and health literacy were the most important variables that had an impact on vaccine hesitancy. Based on the mediation analysis, the total effect of health care system distrust on vaccine hesitancy was statistically significant. Participants who held a low level of health literacy and a high perception of the health care system distrust experienced more vaccine hesitancy. The findings suggested the health literacy mediated the relationship between health care system distrust and vaccine hesitancy. Health authorities need to consider the dynamic and complex factors around the health care system distrust and health literacy to reduce vaccine hesitancy during COVID-19.
Objective:
This study examines the factors associated with the willingness to get the coronavirus vaccine among individuals aged 18 and above.
Methods:
This cross-sectional study was conducted in Turkey. The participants aged 18 and older were recruited between December 2020 and January 2021 through conventional social media sites. Snowball sampling was used. An anonymous questionnaire consisted of demographics, vaccination experiences, and perceived risk of coronavirus disease.
Results:
1202 women and 651 men were included in the data analysis. Findings showed that demographics, vaccinations experience, and perceived risk of getting COVID-19 were explained 37% of the variance in people’s willingness to get the COVID-19 vaccination according to hierarchical logistic regression. Furthermore, increasing age, being male, acquiring positive information about COVID-19 vaccines, having a lower level of vaccine hesitancy, the high level of worry about the COVID-19 and low level of perceptions of the possibility of becoming infected by the COVID-19 were the main predictors of COVID-19 vaccine willingness.
Conclusions:
Factors affecting adults’ willingness to be inoculated with COVID-19 vaccines were related to demographics, vaccination experiences, and perceived risk of getting COVID-19. We recommend that public health authorities and practitioners should consider these multiple factors regarding vaccine confidence to achieve herd immunity.
TRAVMATİK DOĞUMUN ÖNLENMESİNDE EBENİN ROLÜ ÖZ Doğum, birçok kadının yaşadığı normal fizyolojik bir olaydır. Kadın doğum sürecini, kendisi ya da bebeği için yaralanma veya ölüm tehdidi olarak algıladığında, travmatik doğum olarak tanımlar. Travmatik doğumun önlenmesinde ebe, doğum travması açısından riskli kadınları tanılamalı ve doğumda koruyucu bakım hizmeti sunmalıdır. Doğum sonrası dönemde, kadının yaşadığı olumlu veya olumsuz deneyimleri anlatmasına fırsat vermeli ve yeniden anlamlandırılmasına destek olmalıdır. Türkiye'de bu konuyu ele alan çalışmaların az olması dikkate alındığında bu araştırmanın amacı; travmatik doğum kavramını, risk faktörlerini ve etkilerini açıklamak için konu ile ilgili çalışmaları irdelemektir. Ayrıca travmatik doğumu önlemeye yönelik ebelerin sorumluluklarına farkındalık yaratmak ve bu konuda temel bir bakış açısı kazandırmaktır.
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