Volume 24, Issue 6 (Iranian South Medical Journal 2021)                   Iran South Med J 2021, 24(6): 597-609 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tamimi H, Tahmasebi R, Darabi A H, Noroozi A. The Predictive Role of Vaccine Literacy and Vaccine Hesitancy on Acceptance of COVID-19 Vaccination. Iran South Med J 2021; 24 (6) :597-609
URL: http://ismj.bpums.ac.ir/article-1-1526-en.html
1- Department of Health education & promption, school of Health, Bushehr University of Medical Sciences, Bushehr, Iran
2- Department of Epidemiology & Biostatistics, School of Health, Bushehr University of Medical Sciences, Bu-shehr, Iran
The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
3- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
Research Department of Cellular & Molecular Sciences (By Research), Bushehr University of Medical Sciences, Bushehr, Iran
4- Department of Health education & promption, school of Health, Bushehr University of Medical Sciences, Bushehr, Iran
The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran , azitanoroozi@yahoo.com
Abstract:   (2362 Views)
Background: Vaccination is preventive behavior, and vaccine literacy and hesitancy appear to influence vaccination. The aim of this study was to determine the role of vaccine literacy and hesitancy on the acceptance of the COVID-19 vaccine.
Materials and Methods: In this cross-sectional study, 2185 residents over 18 years old in urban and rural health centers in three cities of Dashtestan, Dashti, and Kangan were selected through multi-stage sampling and studied online in 2021. The questionnaire included five sections of demographic factors, the questionnaire of vaccine hesitancy, and literacy, attitudes toward the vaccine, and vaccine acceptance. Data were analyzed in SPSS software version 22.
Results: The participants’ mean age was 34.1 ±11.01 years. Out of 2185 participants in the study, 1417 (64.6%) wanted to receive the vaccine. The mean and standard deviation of functional and critical literacy were 11.2±3.08 and 24.81±5.2, respectively. The mean and standard deviation of the vaccine hesitancy was 14.9±4.2. The results of the study showed that most of the vaccine recipients were men (P= 0.013), people with higher education (P=0.009), and divorced or single individuals (P=0.044). Age was significantly related to vaccine acceptance (P<0.001). Critical literacy, attitude toward vaccines, and vaccine hesitancy were significantly related to vaccine acceptance (P<0.001). Based on the logistic regression model, attitude toward the vaccine (P<0.001, Exp(B)=1.095), vaccine hesitancy (P<0.001, Exp(B)=0.846), age (P=0.030, Exp(B)=1.012), and married status (P=0.007) were predictors of vaccine acceptance. Based on married status, married persons had a lower chance of vaccine acceptance than single persons.
Conclusion: Based on the results of the study, in order to improve vaccine acceptance, vaccine hesitancy should be alleviated and a positive attitude toward the vaccine should be created, especially in married and young people. In this regard, providing information to increase vaccine literacy will not have much effect on increasing vaccine acceptance.
Full-Text [PDF 637 kb]   (673 Downloads)    
Type of Study: Original | Subject: Public Health
Received: 2021/09/28 | Accepted: 2021/11/16 | Published: 2022/01/15

References
1. Taheri S. A Review On Coronavirus Disease (Covid-19) And What Is Known About It. Depict Health 2020; 11(1): 87-93. (Persian)
2. WHO Coronavirus Disease (COVID-19) Dashboard. Situation by Region, Country, Territory & Area [Data Table]. (Accessed September 17, 2021, at https://covid19.who.int/table)
3. Irani M. Review on the Symptoms, Transmission, Therapeutics Options and Control the Spread of the Disease of COVID19. Alborz Univ Med J 2020; 9(2): 171-80. (Persian)
4. Bish A, Michie S. Demographic And Attitudinal Determinants Of Protective Behaviours During A Pandemic: a Review. Br J Health Psychol 2010; 15(4): 797-824.
5. Fathi A, Sadegi S, Maleki Rad AA, et al. Effect of Health-promoting Lifestyle and Psychological Well-being on Anxiety Induced by Coronavirus Disease 2019 in Non-medical Students. J Arak Uni Med Sci 2020; 23(5): 698-709. (Persian)
6. Harapan H, Wagner AL, Yufika A, et al. Acceptance Of a COVID-19 Vaccine In Southeast Asia: a Cross-Sectional Study In Indonesia. Front Public Health 2020; 8: 381.
7. Ratzan SC. Vaccine Literacy: A New Shot for Advancing Health. J Health Commun 2011; 16(3): 227-9.
8. Lorini C, Santomauro F, Donzellini M, et al. Health Literacy And Vaccination: A Systematic Review. Hum Vaccin Immunother 2018; 14(2): 478-88.
9. Williams L, Gallant AJ, Rasmussen S, Brown Nicholls LA, Cogan N, Deakin K, et al. Towards Intervention Development To Increase The Uptake Of COVID‐19 Vaccination Among Those At High Risk: Outlining Evidence‐Based And Theoretically Informed Future Intervention Content. Br J Health Psychol 2020; 25(4): 1039-54.
10. Biasio LR. Vaccine Literacy Is Undervalued. Hum Vaccin Immunother 2019; 15(11): 2552-3.
11. Wang X, Zhou X, Leesa L, et al. The Effect Of Vaccine Literacy On Parental Trust And Intention To Vaccinate After A Major Vaccine Scandal. J Health Commun 2018; 23(5): 413-21.
12. Larson HJ, Clarke RM, Jarrett C, et al. Measuring Trust In Vaccination: A Systematic Review. Hum Vaccin Immunother 2018; 14(7): 1599-609.
13. Soares P, Rocha JV, Moniz M, et al. Factors Associated With COVID-19 Vaccine Hesitancy. Vaccines 2021; 9(3): 300.
14. Biasio LR, Bonaccorsi G, Lorini C, et al. Assessing COVID-19 vaccine Literacy: A Preliminary Online Survey. Hum Vacc Immunother 2021; 17(5): 1304-12.
15. MacDonald NE. Vaccine Hesitancy: Definition, Scope And Determinants. Vaccine 2015; 33(34): 4161-4.
16. Dodd RH, Cvejic E, Bonner C, et al. Willingness To Vaccinate Against COVID-19 In Australia. Lancet Infect Dis 2021; 21(3): 318-9.
17. El-Elimat T, AbuAlSamen MM, Almomani BA, et al. Acceptance And Attitudes Toward COVID-19 Vaccines: A Cross-Sectional Study From Jordan. PLoS One 2021; 16(4): e0250555.
18. Pogue K, Jensen JL, Stancil CK, et al. Influences On Attitudes Regarding Potential COVID-19 Vaccination In The United States. Vaccines 2020; 8(4): 582.
19. Wang J, Jing R, Lai X, et al. Acceptance Of COVID-19 Vaccination During The COVID-19 Pandemic In China. Vaccines 2020; 8(3): 482.
20. Larson HJ, De Figueiredo A, Xiahong Z, et al. The State Of Vaccine Confidence 2016: Global Insights Through A 67-Country Survey. EBioMedicine 2016; 12: 295-301.
21. Lazarus JV, Ratzan SC, Palayew A, et al. A Global Survey Of Potential Acceptance Of A COVID-19 Vaccine. Nat Med 2021; 27(2): 225-8.
22. Thunstrom L, Ashworth M, Finnoff D, et al. Hesitancy Towards A COVID-19 Vaccine And Prospects For Herd Immunity. 2020; Available at SSRN: https://ssrn.com/abstract=3593098
23. Fu C, Wei Z, Pei S, et al. Acceptance And Preference For COVID-19 Vaccination In Health-Care Workers (HCWs). MedRxiv 2020.
24. Malik AA, McFadden SM, Elharake J, et al. Determinants Of COVID-19 Vaccine Acceptance In The US. EClinicalMedicine 2020; 26: 100495.
25. Al-Mohaithef M, Padhi BK. Determinants Of COVID-19 Vaccine Acceptance In Saudi Arabia: A Web-Based National Survey. J Multidiscip Healthc 2020; 13: 1657-63.

Send email to the article author


Rights and Permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Iranian South Medical Journal

Designed & Developed by: Yektaweb