The effect of health literacy on COVID-19 vaccine hesitancy among community population in China: The moderating role of stress

Zhang, Huiqiao; Li, Yue; Peng, Sihui; Jiang, Yue; Huihui, Jin; Zhang, Fan

doi:10.1016/j.vaccine.2022.06.015

Cited by 40 publications

(43 citation statements)

References 58 publications

(56 reference statements)

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“…We found that participants who never received the influenza vaccine or had never been tested for COVID-19 were more likely to delay receiving the COVID-19 vaccine, which was consistent with a previous study [ 8 ]. We inferred that the reason might be health literacy, which is considered to be a contributor to people’s health behaviors [ 25 ]. As reported, health literacy was found to be positively related to the capacity to adopt preventive measures such as getting vaccines, testing for COVID-19 and wearing face masks [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine uptake and hesitation among men and women preparing for pregnancy: a cross-section survey based on the theory of planned behavior

Lei

Luo

et al. 2023

BMC Public Health

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Background Given the accelerated speed of COVID-19 vaccine research and administration, the main barriers to herd immunity appear to be concerns about safety and efficacy. Men and women preparing for pregnancy may have the same concerns about COVID-19 vaccination, but few studies have focused on COVID-19 vaccine uptake and hesitation among them. Methods A cross-sectional study was conducted among men and women who were preparing for pregnancy in Southwest China. The questionnaire was designed based on the theory of planned behavior (TPB). Multiple logistic regression was used to explore the determinants of the behaviors of COVID-19 vaccination. Results A total of 2878 participants completed the survey. A total of 53.89% of participants received at least one dose of the COVID-19 vaccine. A total of 45.21% of participants would receive the COVID-19 vaccine in the future. A total of 0.90% of participants never thought about receiving the COVID-19 vaccine. Multiple logistic regression model 1 showed that female participants (OR:5.497, 95%CI: 4.292–7.041), participants who never received influenza vaccine (OR:2.664, 95%CI: 1.908–3.718), participants who had never been tested for COVID-19 (OR:2.244, 95%CI:1.504–3.349), participants who had higher score of negative attitude (OR:1.448, 95%CI: 1.219–1.719), participants who had lower scores of injunctive norms (OR:0.440, 95%CI: 0.360–0.537) and descriptive norms (OR:0.105, 95%CI: 0.088–0.126) were more likely to delay COVID-19 vaccination. Model 2 showed that participants who had lower scores for positive attitude (OR: 0.406, 95% CI: 0.230–0.716), injunctive norms (OR: 0.283, 95% CI: 0.130–0.614) and descriptive norms (OR: 0.060, 95% CI: 0.038–0.094) were more likely to refuse COVID-19 vaccination. Conclusions The COVID-19 vaccination rate of men and women preparing for pregnancy was significantly lower than the average vaccination rate of China. Gender, protective health behaviors, vaccination attitudes, and subjective norms had effects on the vaccination behaviors of couples preparing for pregnancy.

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Section: Discussionmentioning

confidence: 99%

COVID-19 vaccine uptake and hesitation among men and women preparing for pregnancy: a cross-section survey based on the theory of planned behavior

Lei

Luo

et al. 2023

BMC Public Health

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“…By doing so, the author will confirm that most studies analyze people’s hesitancy toward vaccines in terms of negative “rumors” about vaccines, risk perception of vaccine side effects, and sense of burden when receiving vaccinations. 14 , 15 Then, by using literature and news reports of patient’s narrative, the author points out that the background of “vaccine hesitancy” is not only distrust of vaccines and risk awareness, but also distrust of those who provide vaccines and promote vaccines, such as medical professionals and the government. Finally, the author suggests that the problem of “vaccine hesitancy” can be reduced if medical professionals and governments show sincere empathy and attitude toward vaccine side effect victims and those who are hesitant to vaccinate.…”

Section: What Is Vaccine Hesitancy?mentioning

confidence: 99%

Vaccine Hesitancy in Japan: From a Perspective on Medical Uncertainty and Trans-Scientific Theory

Hosoda

2023

F1000Res

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The development and dissemination of vaccines has made immunization possible and has led to the successful control and eradication of various infectious diseases in many parts of the world. However, even when vaccines that are said to be "effective" are offered, a certain number of people do not receive them, and this has become a problem known as "vaccine hesitancy”. ItThe reason of “Vaccine hesitancy” is pointed out that there is not only because of the risk of contracting infectious diseases if they are not vaccinated, but also because of the lack of a collective immunity system. Vaccines are an effective means of acquiring immunity, but no matter how highly effective vaccines are developed, if the vaccination rate does not exceed a certain number, “herd immunity”, which means that the risk of person-to-person transmission is reduced when a significant portion of the population becomes immune to, cannot be acquired. Therefore, how to increase the vaccination rate of the population is a major public health challenge. This paper reviews previous studies on "vaccine hesitancy" in Japan and analyzes people's hesitancy in terms of negative "rumors" about vaccines, risk perception of vaccine side effects, and sense of burden when receiving vaccinations. Then, the author will examine that the background of "vaccine hesitancy" is not only distrust of vaccines and risk perception of side effects, but also distrust of those who provide and promote vaccinations, such as medical professionals, government, and public administration. By using medical uncertainty which shows there are many unknowns and uncertainties in medicine and trans-scientific theory which indicates there are areas that science cannot answer this paper argues that the problem of "vaccine hesitancy" can be reduced if medical professionals and governments show sincere empathy and attitude toward victims of adverse vaccine reactions and those who hesitate to vaccinate.

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“…Also, a Swiss journal says that a percentage increase in vaccine hesitancy can lead to a decline in vaccination coverage by 30% [78]. Therefore, LHL was the major obstacle to create vaccine hesitancy in China, Africa [79], India [78], Europe [80] and USA [81,82]. As expected, in three different studies, close to 40% of Chinese participants (LHL persists among more than 70% of the population) [10], [79], more than 60% of Bulgarians (the lowest health literacy among EU countries) [3], [80] showed hesitancy, and above all, more than one-third of European adults are not fully vaccinated (LHL persists among half of the total population), says another Oxford University Press study [10], [83].…”

Section: Poor Covid-19 or Contagious Disease Management And Vaccine N...mentioning

confidence: 99%

“…Therefore, LHL was the major obstacle to create vaccine hesitancy in China, Africa [79], India [78], Europe [80] and USA [81,82]. As expected, in three different studies, close to 40% of Chinese participants (LHL persists among more than 70% of the population) [10], [79], more than 60% of Bulgarians (the lowest health literacy among EU countries) [3], [80] showed hesitancy, and above all, more than one-third of European adults are not fully vaccinated (LHL persists among half of the total population), says another Oxford University Press study [10], [83]. Vaccinated people or people wearing masks, on the other hand, were careless about social distancing, believing that being vaccinated or wearing masks was sufficient and that other preventive measures, such as social distancing, were unnecessary.…”

Section: Poor Covid-19 or Contagious Disease Management And Vaccine N...mentioning

confidence: 99%

Low Health Literacy (LHL): A Devious Enemy of Patient Treatment Adherence

Mohiuddin¹

2023

Preprint

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People must have particular personality traits and social resources, also known as health literacy, in order to access, comprehend, and use information to make decisions about their health. Patients' ability to engage in complex disease management and self-care is strongly related to their level of health literacy. It can help us stay healthy by preventing illness and effectively managing existing illnesses. People with low health literacy (LHL) may find it difficult to manage their condition and prevent illness, which may lead to increased use of healthcare services. Furthermore, LHL is associated with increased hospitalizations, increased use of emergency care, decreased use of preventative services, and a worsened ability to understand labels and health messages, a worsened state of health, higher mortality, and more expensive medical care.

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The effect of health literacy on COVID-19 vaccine hesitancy among community population in China: The moderating role of stress

Cited by 40 publications

References 58 publications

COVID-19 vaccine uptake and hesitation among men and women preparing for pregnancy: a cross-section survey based on the theory of planned behavior

COVID-19 vaccine uptake and hesitation among men and women preparing for pregnancy: a cross-section survey based on the theory of planned behavior

Vaccine Hesitancy in Japan: From a Perspective on Medical Uncertainty and Trans-Scientific Theory

Low Health Literacy (LHL): A Devious Enemy of Patient Treatment Adherence

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