COVID-19 vaccine literacy and vaccine hesitancy among pregnant women and mothers of young children in Japan

Takahashi, Yoko; Ishitsuka, Kazue; Sampei, Makiko; Okawa, Sumiyo; Hosokawa, Yoshihiko; Ishiguro, Akira; Tabuchi, Takahiro; Morisaki, Naho

doi:10.1016/j.vaccine.2022.09.094

Cited by 22 publications

(26 citation statements)

References 31 publications

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“…For example, our finding of the significance of public health trust is consistent with the findings of Chen, Lee, and Lin [ 38 ], Cvjetkovic et al [ 39 ], and De Freitas, Basdeo, and Wang [ 40 ] about the positive impact of trust in the government, healthcare, and civil society on openness to COVID-19 vaccination. The importance of party affiliation is consistent with Khubchandani et al [ 67 ] and Agarwal et al [ 48 ] and the importance of information literacy with Engelbrecht, Kigozi, and Heunis [ 36 ] and Takahashi et al [ 8 ]. Religiosity, which has been shown to affect COVID-19 vaccination attitudes [ 44 , 45 ], was relevant to general, but not to COVID-19-specific vaccination attitudes in our study.…”

Section: Discussionsupporting

confidence: 82%

“…Many Americans have expressed doubts about the safety and effectiveness of vaccines, despite the data and encouragement provided by the CDC, health professionals, and federal and local governments. The phenomenon of COVID-19 vaccination hesitancy and misinformation spread are not limited to the US [ 4 , 5 , 6 , 7 , 8 ]. While the level of vaccine hesitancy was striking in the face of a pandemic of a novel virus, it illustrates the established phenomenon of the ubiquity and power of health information running counter to what is produced by the biomedical establishment.…”

Section: Introductionmentioning

confidence: 99%

“…In one study, low and moderate levels of information literacy—but not high levels—significantly affected participants’ responses to a critical thinking recommendation in which they were asked to “stop and think” about the news content to which they were exposed [ 35 ]. The ability to search, evaluate, and verify COVID-19 vaccination information has been correlated with reduced vaccine hesitancy and increased vaccine uptake [ 8 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

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Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes

et al. 2022

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The development of COVID-19 vaccines is a major scientific accomplishment that has armed communities worldwide with powerful epidemic control tools. Yet, COVID-19 vaccination efforts in the US have been marred by persistent vaccine hesitancy. We used survey methodology to explore the impact of different cognitive and cultural factors on the public’s general vaccination attitudes, attitudes towards COVID-19 vaccines, and COVID-19 vaccination status. The factors include information literacy, science literacy, attitudes towards science, interpersonal trust, public health trust, political ideology, and religiosity. The analysis suggests that attitudes towards vaccination are influenced by a multitude of factors that operate in a complex manner. General vaccination attitude was most affected by attitudes towards science and public health trust and to a lesser degree by information literacy, science literacy, and religiosity. Attitudes towards COVID-19 vaccines were most affected by public health trust and to a lesser extent by general trust, ideology and attitudes towards science. Vaccination status was most influenced by public health trust. Possible mediating effects of correlated variables in the model need to be further explored. The study underscores the importance of understanding the relationship between public health trust, literacies, and sociocultural factors.

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Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes

et al. 2022

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“…No significant association between VL and eHL . Pairwise correlations Omidvar 55 2022 Iran, people > 18 y.s, 1564 , F 70% , mean Age 37,45 Cross-sectional web-based study May 2021 COVID-19 VLS 37.77 Summative score used Residency Vaccination Acceptance - Predictors of vaccine acceptance: risk perception, disease knowledge, trust in health system, attitude towards vaccination, VL (p < .001) Siewchaisakul 56 2022 Thailand; health volunteers 5312 F 84% Age: <40–60+ balanced between age groups Cross-sectional - online questionnaire September 2021 Three questions from the HLVa Scale VL score 2.92 Three VL items assessed Comorbidity, marital status, occupation, income, religion Acceptance of COVID-19 vaccination assessed by a VA score based on 6 items Fear of COVID-19 scale (FCoV-19S), Vaccine Hesitancy Scale (VHS) VL not significantly associated with increased vaccine acceptance multivariable logistic regression Takahashi 57 2022 Japan , pregnant women and mothers of young children 7,32 , 1,639 pregnant 5,688 mothers Age 31.0–32.5 Cross-sectional internet survey July-August 2021 COVID-19 VLs Pregnant women VL Functional 2.62 ± 0.75 Inter-critical 2.76 ± 0.61 Mothers VL Functional VL 2.62 ± 0.77 Inter-critical VL 2.69 ± 0.62 Occupation, income, Infection prevention practices Vaccine hesitancy and vaccine uptake , selecting one of four options Communicative and Critical Health Literacy (CCHL) scale Vaccine hesitancy higher among pregnant women with lower interactive-critical skills and mothers with lower functional VL and lower interactive-critical VL (p < .001); two different latent factors Adjusted re...…”

Section: Resultsmentioning

confidence: 99%

“… 26 Other Authors refer to the low tertile bound of the locally observed scores as a limited VL identification threshold. 52 , 57 …”

Section: Resultsmentioning

confidence: 99%

COVID-19 vaccine literacy: A scoping review

Biasio¹,

Zanobini

Lorini

et al. 2023

Human Vaccines & Immunotherapeutics

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To address vaccine hesitancy, specific self-rated tools have been developed to assess vaccine literacy (VL) related to COVID-19, including additional variables, such as beliefs, behavior, and willingness to be vaccinated. To explore the recent literature a search was performed selecting articles published between January 2020 and October 2022: 26 papers were identified using these tools in the context of COVID-19. Descriptive analysis showed that the levels of VL observed in the studies were generally in agreement, with functional VL score often lower than the interactive-critical dimension, as if the latter was stimulated by the COVID-19-related infodemic. Factors associated with VL included vaccination status, age, educational level, and, possibly, gender. Effective communication based on VL when promoting vaccination is critical to sustaining immunization against COVID-19 and other communicable diseases. The VL scales developed to date have shown good consistency. However, further research is needed to improve these tools and develop new ones.

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Understanding COVID-19 Vaccine Hesitancy among the General Population in Japan from Public Health Ethical Perspectives: Findings from a Narrative Review

Kuroda,

Ahmed,

Kuroda

et al. 2024

ABR

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Japan has been reported as a country with high levels of vaccine hesitancy. However, a lack of comprehensive reviews studying factors for vaccine hesitancy for the COVID-19 vaccines in the Japanese context from the perspective of ethical controversy exists. Using a narrative review method, we reviewed factors associated with vaccine hesitancy to the COVID-19 vaccines and examined issues related to ethical controversy among the Japanese population. Factors associated with vaccine hesitancy include concerns about vaccine safety, suspicion of vaccine inefficacy, mistrust of the government, and low perceived threat. Factors associated with vaccine acceptance include environmental factors, factors related to Japanese cultural values, including collectivism and social norms, and positive attitudes toward information provided by authorities. Unique backgrounds in Japan are historical events such as the anti-HPV vaccine campaigns, the accessible medical system fostering high expectations of zero risk, and cultural factors of caring social norms influencing vaccine acceptance. Ethical controversies arise from preferences and practices at the individual or national level around individual rights versus public health benefits. Healthcare professionals and public health experts should continue dialoguing with the critical mass, practitioners, and policymakers, considering the ethical dilemmas surrounding individual rights and public health benefits. Insights obtained from this study indicate the need to develop tailored strategies to enhance vaccine acceptance while respecting individual autonomy within the Japanese context.

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COVID-19 vaccine literacy and vaccine hesitancy among pregnant women and mothers of young children in Japan

Cited by 22 publications

References 31 publications

Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes

Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes

COVID-19 vaccine literacy: A scoping review

Understanding COVID-19 Vaccine Hesitancy among the General Population in Japan from Public Health Ethical Perspectives: Findings from a Narrative Review

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