Perceived health literacy and COVID-19 vaccine acceptance among Chinese college students: A mediation analysis

Jiang, Fangfang; Zhao, Yang; Bai, Jianling; Yang, Xueying; Zhang, Jiajia; Lin, Danhua; Li, Xiaoming

doi:10.1371/journal.pone.0273285

Cited by 12 publications

(9 citation statements)

References 42 publications

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“…This study highlighted that the protection of their family members and patients and the fear of acquiring the infection were the most frequent reasons for the willingness to receive a second booster dose of the COVID-19 vaccine. These findings are consistent with other recent similar research studies (35)(36)(37)(38). A possible explanation for the protection of the family is that household transmission has been observed as one of the most common primary routes of SARS-CoV-2 transmission (39)(40)(41)(42)(43).…”

Section: Discussionsupporting

confidence: 92%

Willingness to accept a second COVID-19 vaccination booster dose among healthcare workers in Italy

Polla

Giudice²,

Folcarelli³

et al. 2022

Front. Public Health

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BackgroundThe coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is evolving,the newly emerged Omicron variant being the dominant strain worldwide, and this has raised concerns about vaccine efficacy. The purposes of this survey were to examine the extent to which healthcare workers (HCWs) intend to receive a second booster dose of the COVID-19 vaccine and the factors that influence their willingness to accept it.MethodsThe study was conducted among HCWs who were randomly selected from four public hospitals in the Campania region, Southern Italy.ResultsA total of 496 HCWs answered the questionnaire (a response rate of 61.2%). Among the respondents, 20.8% indicated a score of 10, using a 10-point Likert-type scale, regarding the usefulness of a second COVID-19 vaccine booster dose. Physicians, HCWs who believed that COVID-19 was a severe disease, and those who have acquired information about the second booster dose from scientific journals were more likely to have this positive attitude. Slightly more than half of HCWs self-reported willingness to receive a second booster dose. Respondents who believe that HCWs are at higher risk of being infected by SARS-CoV-2, those who have a higher belief that COVID-19 is a severe disease, and those who have a higher belief that a second booster dose is useful were more willing to receive a second booster dose. The main reasons for those who had a positive intention were to protect their family members and patients, whereas, the main reasons for not getting vaccinated or for uncertainty were that the dose does not offer protection against the emerging variants and the fear of its side effects. HCWs of younger age, physicians, those who have a higher belief that a second booster dose is useful, and those who were willing to receive a second booster dose were more likely to recommend the booster dose to their patients.ConclusionThis study's findings highlight the necessity for designing and implementing educational interventions for improving second booster dose uptake and beliefs among HCWs and their capacity to recommend the vaccine to the patients.

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Section: Discussionsupporting

confidence: 92%

Willingness to accept a second COVID-19 vaccination booster dose among healthcare workers in Italy

Polla

Giudice²,

Folcarelli³

et al. 2022

Front. Public Health

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“… 29 Conversely, according to others, there was no direct relationship between HL and COVID-19 vaccine acceptance, which was rather the outcome of positive attitudes toward general vaccination and self-efficacy. 30 …”

Section: Introductionmentioning

confidence: 99%

COVID-19 vaccine literacy: A scoping review

Biasio¹,

Zanobini

Lorini

et al. 2023

Human Vaccines & Immunotherapeutics

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To address vaccine hesitancy, specific self-rated tools have been developed to assess vaccine literacy (VL) related to COVID-19, including additional variables, such as beliefs, behavior, and willingness to be vaccinated. To explore the recent literature a search was performed selecting articles published between January 2020 and October 2022: 26 papers were identified using these tools in the context of COVID-19. Descriptive analysis showed that the levels of VL observed in the studies were generally in agreement, with functional VL score often lower than the interactive-critical dimension, as if the latter was stimulated by the COVID-19-related infodemic. Factors associated with VL included vaccination status, age, educational level, and, possibly, gender. Effective communication based on VL when promoting vaccination is critical to sustaining immunization against COVID-19 and other communicable diseases. The VL scales developed to date have shown good consistency. However, further research is needed to improve these tools and develop new ones.

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“…In 89 relevant papers in HL, studies authored by Chinese scientists are the most prevalent, with 27 studies that surveyed HL levels in various groups of people. They were patients 22 -27 or general public, secondary, 28 -30 high school, 30,31 college students, 32,33 women, 34 12 years old and above, 16,15,35 -43 or older adults. 44 -47 Taiwan had the second-highest number of HL measurement articles, with 16 published papers.…”

Section: Resultsmentioning

confidence: 99%

Topics Included in Health Literacy Studies in Asia: A Systematic Review

Duong,

Chang

2023

Asia Pac J Public Health

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The study aimed to review general and specific health literacy studies in different countries in Asia to understand the progress of health literacy researches in the region. English-published studies with quantitative measurements of health literacy were collected through a systematic search in PubMed, Cochrane Library, Embase, and Web of Science, without publication dates limitation. A total of 156 articles on general health literacy, oral, mental, disease-specific health literacy, and eHealth literacy were collected. General health literacy was the most covered topic in 89 articles, followed by eHealth Literacy. Health literacy studies have been conducted in 16 countries and have been increasingly concerned in most of the countries in Asia. China had the largest number of articles, followed by Taiwan. Four studies had participants from more than one country. Education, age, health status, incomes, and living/residential area were significantly associated with health literacy levels in 156 studies, with the prevalence of 55.8%, 28.2%, 20.5%, 17.9%, and 10.9%, respectively. Lower health literacy was related to poorer health outcomes or lower quality of life in 71 studies.

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Perceived health literacy and COVID-19 vaccine acceptance among Chinese college students: A mediation analysis

Cited by 12 publications

References 42 publications

Willingness to accept a second COVID-19 vaccination booster dose among healthcare workers in Italy

Willingness to accept a second COVID-19 vaccination booster dose among healthcare workers in Italy

COVID-19 vaccine literacy: A scoping review

Topics Included in Health Literacy Studies in Asia: A Systematic Review

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