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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.
  • Jiang F; Department of Mathematical Sciences, School of Social Sciences, University of Southampton, Southampton, Hampshire, United Kingdom.
  • Zhao Y; Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China.
  • Bai J; Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu, China.
  • Yang X; South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.
  • Zhang J; Department of Health Promotion, Education and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.
  • Lin D; South Carolina SmartState Center for Healthcare Quality, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.
  • Li X; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America.
PLoS One ; 17(9): e0273285, 2022.
Article in English | MEDLINE | ID: covidwho-2009695
ABSTRACT

BACKGROUND:

Although COVID-19 vaccines hold the potential to dramatically alter the COVID-19 pandemic, vaccine hesitancy remains a serious threat to the management and control of COVID-19 infections. Vaccination of young adults plays a crucial role in achieving herd immunity. However, the determinants of COVID-19 vaccine acceptance among the youth in China have not been fully explored. Our study aims to investigate the direct and indirect effects of perceived health literacy on COVID-19 vaccine acceptance.

METHODS:

This survey was conducted among Chinese college students during September and October, 2020. COVID-19 vaccine acceptance was defined as the likelihood that participants would get a COVID-19 vaccine. A mediation analysis was employed to explore the direct and indirect effects of perceived health literacy on COVID-19 vaccine acceptance.

RESULTS:

A total of 2,587 college students were included in our study. The results of the survey revealed that the majority (80.40%) of the participants expressed high COVID-19 vaccine acceptance. After controlling for demographic characteristics, the relationship between perceived health literacy and COVID-19 vaccine acceptance was mediated by positive attitudes toward general vaccination (std.ß = 0.004, p = 0.037) and self-efficacy of COVID-19 vaccine (std.ß = 0.053, p < 0.001).

CONCLUSIONS:

The findings suggest that interventions targeting health literacy to promote COVID-19 vaccination coverage might consider placing greater emphasis on enhancing the positive attitude towards and self-efficacy of vaccines among youth.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexually Transmitted Diseases / Health Literacy / COVID-19 Type of study: Observational study Topics: Vaccines Limits: Adolescent / Adult / Humans / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0273285

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexually Transmitted Diseases / Health Literacy / COVID-19 Type of study: Observational study Topics: Vaccines Limits: Adolescent / Adult / Humans / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0273285