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Association of health literacy, COVID-19 threat, and vaccination intention among Brazilian adolescents.
Pimentel, Sidiany Mendes; Avila, Marla Andréia Garcia de; Prata, Rafaela Aparecida; Nunes, Hélio Rubens de Carvalho; Silva, Juliana Bastoni da.
  • Pimentel SM; Universidade Federal do Tocantins, Palmas, TO, Brazil.
  • Avila MAG; Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.
  • Prata RA; Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.
  • Nunes HRC; Universidade Estadual Paulista "Júlio de Mesquita Filho", Faculdade de Medicina de Botucatu, Botucatu, SP, Brazil.
  • Silva JBD; Universidade Federal do Tocantins, Palmas, TO, Brazil.
Rev Lat Am Enfermagem ; 30(spe): e3759, 2022.
Article in English, Portuguese, Spanish | MEDLINE | ID: covidwho-2123340
ABSTRACT

OBJECTIVE:

investigate the influence of health literacy on the assessment of COVID-19 threat to health and the intention not to be vaccinated among Brazilian adolescents.

METHOD:

cross-sectional study with 526 Brazilian adolescents aged 14 to 19 years. Socioeconomic aspects, health-disease profile, health literacy, health threat by COVID-19 and intention not to be vaccinated were analyzed by bivariate association and multiple linear regression with Poisson response.

RESULTS:

higher health literacy score (p=0.010), cardiovascular disease (p=0.006), lower income (p=0.000), and living in the North region (p=0.007) were factors that contributed to feeling more threatened by COVID-19. Health literacy did not influence the intention not to be vaccinated (p=0.091), whose prevalence was lower among adolescents in the Southeast region when compared to those in the North region (p=0.010), among those who attended higher education (p=0,049) and those with higher income (p=0.000).

CONCLUSION:

health literacy influenced the perception of COVID-19 threat, but not the intention not to be vaccinated. Assessment of COVID-19 threat to health and prevalence of the intention not to be vaccinated were influenced by the region of residence, income, and education, which reinforces the importance of social determinants of health in this context. KEYPOINTS (1) Average health literacy (HL) score of Brazilian adolescents 25.3 (p-HLAT-8). (2) Adolescents in the Southeast region felt less threatened by COVID-19. (3) Higher HL score indicated adolescents felt more threatened by COVID-19. (4) Intention not to be vaccinated was observed among adolescents with higher income and education. (5) About 87% of Brazilian adolescents want to be vaccinated against COVID-19.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Literacy / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Humans Country/Region as subject: South America / Brazil Language: English / Spanish / Portuguese Journal: Rev Lat Am Enfermagem Journal subject: Nursing Year: 2022 Document Type: Article Affiliation country: 1518-8345.6154.3759

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Health Literacy / COVID-19 Type of study: Observational study / Prognostic study / Randomized controlled trials Topics: Vaccines Limits: Adolescent / Humans Country/Region as subject: South America / Brazil Language: English / Spanish / Portuguese Journal: Rev Lat Am Enfermagem Journal subject: Nursing Year: 2022 Document Type: Article Affiliation country: 1518-8345.6154.3759