The effects of parent’s health literacy and health beliefs on vaccine hesitancy

Zhang, Huiqiao; Chen, Liyuan; Huang, Zhongxuan; Li, Dongxue; Tao, Qian; Zhang, Fan

doi:10.1016/j.vaccine.2023.02.026

Cited by 9 publications

(8 citation statements)

References 46 publications

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“…This means that it is important to increase both GHL and DHL to achieve better self-perceived health and vaccination confidence. Previous studies have also shown a relationship between HL and higher vaccination confidence (31) or lower vaccine hesitancy (32)(33)(34). We have not found any other article with the same method of data analysis, which is why we cannot compare our results directly with previous ones; however, other studies have reported a positive relationship between the level of HL and health status or getting vaccines (11,12,35,36), so we can say that our results are in line with earlier studies.…”

Section: Discussionsupporting

confidence: 86%

Investigation of the relationship of general and digital health literacy with various health-related outcomes

Bíró,

Vincze,

Nagy-Pénzes

et al. 2023

Front. Public Health

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BackgroundDespite the growing number of health literacy surveys, we know little about the combined effect of the different dimensions of health literacy on various health-related outcomes.ObjectiveThus, our study aimed to examine the impacts of general and digital health literacy on health behaviour, confidence in vaccination, self-perceived health, and health care utilization.MethodsOur research was part of the Health Literacy Population Survey 2019–2021, which was an international, multicentre, cross-sectional study. The data were collected via computer-assisted telephone interview in December 2020 in Hungary. Multiple multinomial logistic and multivariate linear regression models were used to analyse the separately effects of general and digital health literacy on the studied outcomes. Moreover, the combined effect of general and digital health literacy was also analysed via sensitivity analyses. In the last step, the interactions between general and digital health literacy were examined using the Johnson-Neyman procedure.ResultsThe results did not reveal any associations between health literacy and health behaviour. Health care use was only affected by digital health literacy; however, this effect was inconsistent. Both dimensions of health literacy were positively associated with self-perceived health and vaccination confidence.ConclusionOur results suggest that increasing health literacy could promote health and vaccination confidence, while the potential effect of higher digital health literacy on more conscious use of the health care system should be investigated further.

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Section: Discussionsupporting

confidence: 86%

Investigation of the relationship of general and digital health literacy with various health-related outcomes

Bíró,

Vincze,

Nagy-Pénzes

et al. 2023

Front. Public Health

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“…A study conducted in China examined children aged 3 to 11 and their vaccine hesitancy towards COVID vaccines. It was discovered that parental reluctance to vaccinate was linked to lower health knowledge and was greater amongst mothers and parents with allergic children (Zhang et al, 2023) [30]. Our study, coupled with this nding, prompts further consideration regarding changes in parental attitudes due to the recent pandemic.…”

Section: Knowledge the Importance Of Vaccinationssupporting

confidence: 51%

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Castro-Fuentes,

Mugruza-Vassallo,

Anchante-Rojas

2023

Preprint

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Background A descriptive correlational non-experimental cross-sectional study was carried out in the Sunampe district on the Peruvian coast to enhance parental adherence to childhood vaccinations. The study aimed to answer the research question of whether there is a correlation between non-compliance with vaccination and an increased risk of vaccine-preventable disease outbreaks in children under five years old, particularly in the context of low coverage in Sunampe. Methods To conduct the study, vaccination status, 123 family interviews, reported illnesses and deaths of children aged 1 to 5 years in the district of SUNAMPE were considered. Preventable diseases were reviewed in the medical history of each child. Deaths in Sunampe were accessed through the SINADEF database. Results Out of the 123 families surveyed, the primary discoveries indicated that neighbouring districts have a higher number of health facilities whereas the families interviewed felt that one solitary health facility was insufficient for the entire district's requirements. No children were affected by the reported cases of illness in Sunampe. However, data extracted from SINADEF between 2017 and 2022 revealed that 10 children under the age of five died in Sunampe. These deaths occurred at a rate of one per year during the pandemic and more than one per year during the pre- and post-pandemic periods. Discussion The susceptibility of children was examined in this study, considering factors like vaccination coverage, diseases contracted in Sunampe, and deaths in the area. Although there are few deaths per year, the prevalence of illness and incomplete immunisation, as well as increased rates of anemia in Peru, pose potential risks regarding vaccines such as DPT and the use of mercury in policies, especially for the economically active population in the future. Conclusion As anticipated, mothers tend not to adhere to their children's vaccination schedule due to insufficient knowledge about vaccines and concerns regarding post-vaccination reactions, which are commonly reported. On the contrary, the surprising outcome was that most parents claimed to not have undergone any severe reactions. We were able to determine that this was due to risks associated with vaccinations, rather than the vaccine itself.

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“…This educational attainment may have played a role in fostering improved health literacy and beliefs. 18 There is a potential for a decrease in the understanding score if the proportion of respondents with high levels of education is not significant. Our finding contrasts with reported findings from a crosssectional study on parents' perceptions of vaccinations and their intention to get their children vaccinated against COVID-19 conducted in India, which found that although parents had good knowledge about the COVID-19 vaccination, only approximately a third of total respondents were willing to allow their children to receive the COVID-19 vaccine.…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 85.0% of respondents held a bachelor's or higher degree. This educational attainment may have played a role in fostering improved health literacy and beliefs 18 . There is a potential for a decrease in the understanding score if the proportion of respondents with high levels of education is not significant.…”

Section: Discussionmentioning

confidence: 99%

Willingness and understanding of the safety and effectiveness of COVID‐19 vaccines in young children: a cross‐sectional study among parents in Malaysia

Ibrahim,

Afandi,

Abu Bakar

et al. 2024

Pharmacy Practice and Res

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BackgroundThe safety and efficacy of COVID−19 vaccinations are crucial factors that parents consider when deciding whether to vaccinate their children.AimThis study aimed to investigate parents' understanding of COVID−19 vaccines and its association with the degree of willingness to vaccinate their young children.MethodA cross‐sectional survey was conducted among the public with children younger than 12 years old. Information on parents' demography, understanding of COVID−19 vaccines and their willingness to get their children vaccinated were collected. The association between the level of understanding and willingness was tested using the One‐way analysis of variance (ANOVA) test. Predictors of good understanding and high willingness were investigated using multiple linear regression. Ethics approval was granted by the Research Ethics Committee of Universiti Teknologi MARA (Reference no: REC [PH]/012/2022) and the study conforms with the Declaration of Helsinki. Informed consent was obtained from all participants. A web‐based survey link was distributed through social media platforms. The initial section of the survey included a project information sheet including the purpose of the study, length of questionnaire, identity of researchers and measures taken to ensure data confidentiality and anonymity of participants. Participants provided their consent electronically prior to being granted access to the questionnaire.ResultsOf the 386 respondents, 53.4% had a good understanding, and 74.6% had a high willingness. Only 42.5% agreed that the vaccines are effective in protecting children from getting COVID−19, 79.5% and 73.3% misunderstood the severity and tendency to experience the side effects, respectively. A better understanding was associated with a higher willingness to vaccinate ([F(4381) = 54.417, p = 0.000). A higher understanding was significantly associated with higher educational status (postgraduate [β = 0.297, p = 0.028] and bachelor [β = 0.275, p = 0.034], work in a health‐related field [β = 0.300, p < 0.001]) and have received a COVID−19 booster (β = 0.347, p < 0.001). A high willingness was prevalent among parents working in a health‐related field, had received a COVID−19 booster and had medical condition. Low willingness was observed among parents aged above 30 years old and those who have used herbal medicines.ConclusionIt is of utmost importance to comprehend parents’ understanding of this topic to minimise hesitancy toward COVID−19 vaccination in children.

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The effects of parent’s health literacy and health beliefs on vaccine hesitancy

Cited by 9 publications

References 46 publications

Investigation of the relationship of general and digital health literacy with various health-related outcomes

Investigation of the relationship of general and digital health literacy with various health-related outcomes

Vaccination schedules, parental concerns and under-five deaths are associated with lower adherence and inadequate coverage in a small city in Peru

Willingness and understanding of the safety and effectiveness of COVID‐19 vaccines in young children: a cross‐sectional study among parents in Malaysia

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