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How Media Literacy, Trust of Experts and Flu Vaccine Behaviors Associated with COVID-19 Vaccine Intentions.
Austin, Erica W; Austin, Bruce W; Borah, Porismita; Domgaard, Shawn; McPherson, Sterling M.
  • Austin EW; Edward R. Murrow Center for Media & Health Promotion Research, Edward R. Murrow College of Communication, 6760Washington State University, Pullman, WA, USA.
  • Austin BW; Department of Kinesiology and Educational Psychology, Washington State University, Pullman, WA, USA.
  • Borah P; Edward R. Murrow College of Communication, Washington State University, Pullman, WA, USA.
  • Domgaard S; Edward R. Murrow College of Communication, Washington State University, Pullman, WA, USA.
  • McPherson SM; Elson S. Floyd College of Medicine, Spokane, WA, USA.
Am J Health Promot ; : 8901171221132750, 2022 Oct 10.
Article in English | MEDLINE | ID: covidwho-2321766
ABSTRACT

PURPOSE:

To assess how previous experiences and new information contributed to COVID-19 vaccine intentions.

DESIGN:

Online survey (N = 1264) with quality checks.

SETTING:

Cross-sectional U.S. survey fielded June 22-July 18, 2020. SAMPLE U.S. residents 18+; quotas reflecting U.S. Census, limited to English speakers participating in internet panels.

MEASURES:

Media literacy for news content and sources, COVID-19 knowledge; perceived usefulness of health experts; if received flu vaccine in past 12 months; vaccine willingness scale; demographics.

ANALYSIS:

Structural equation modelling.

RESULTS:

Perceived usefulness of health experts (b = .422, P < .001) and media literacy (b = .162, P < .003) predicted most variance in vaccine intentions (R-squared=31.5%). A significant interaction (b = .163, P < .001) between knowledge (b = -.132, P = .052) and getting flu shot (b = .185, P < .001) predicted additional 3.5% of the variance in future vaccine intentions. An increase in knowledge of COVID-19 associated with a decrease in vaccine intention among those declining the flu shot.

CONCLUSION:

The interaction result suggests COVID-19 knowledge had a positive association with vaccine intention for flu shot recipients but a counter-productive association for those declining it. Media literacy and trust in health experts provided strong counterbalancing influences. Survey-based findings are correlational; thus, predictions are based on theory. Future research should study these relationships with panel data or experimental designs.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: Am J Health Promot Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: 08901171221132750

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study / Prognostic study / Qualitative research / Randomized controlled trials Topics: Vaccines Language: English Journal: Am J Health Promot Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: 08901171221132750