The role of vaccine literacy and health literacy in the health prevention decision-making process

Isonne, Claudia; Marzuillo, Carolina; Villari, Paolo; Baccolini, Valentina

doi:10.1080/21645515.2024.2321675

Cited by 1 publication

(1 citation statement)

References 13 publications

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“…Despite these significant strides and the vital role of vaccination in promoting wellbeing and quality of life during the COVID-19 pandemic [8,9], vaccine hesitancy and refusal emerged as widespread challenges, posing barriers to achieving herd immunity [10][11][12] and influencing decision-making processes [13,14]. Notably, in the U.S., as of May 2023, 56% of children under the age of 17 had not yet received the COVID-19 vaccination [15].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial correlates of parents’ willingness to vaccinate their children against COVID-19

Yu,

Bonett,

Oyiborhoro

et al. 2024

PLoS ONE

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Background Public health guidance recommended that children who are 6 months or older be vaccinated against COVID-19 in June of 2022. In the U.S., 56% of children under 17 had not received the COVID-19 vaccination in 2023. We examine parents’ willingness to vaccinate their children against COVID-19 using the theory of planned behavior in order to design effective strategies to promote vaccine uptake. Methods The Philadelphia Community Engagement Alliance is part of an NIH community-engaged consortium focused on addressing COVID-19 disparities across the U.S. We surveyed 1,008 Philadelphia parents (mean age 36.86, SD 6.55; 42.3% racial/ethnic minorities) between September 2021 and February 2022, a period when guidance for child vaccination was anticipated. Structural Equation Modeling analysis examined associations between parental willingness and vaccine-related attitudes, norms, and perceived control. Covariates included parents’ COVID-19 vaccination status, race/ethnicity, gender, and survey completion post-CDC pediatric COVID-19 vaccination guidelines. Subgroup analyses by race/ethnicity and gender were conducted. Results Our model demonstrated good fit (χ2 = 907.37, df = 419, p<0.001; comparative fit index [CFI] = 0.951; non-normed fit index [NNFI] = 0.946; root mean square error of approximation [RMSEA] = 0.034 with 95% CI = 0.030–0.038). Attitudes (β^ = 0.447, p<0.001) and subjective norms (β^ = 0.309, p = 0.002) were predictors of intention. Racial/ethnic minority parents exhibited weaker vaccination intentions (β^ = -0.053, p = 0.028) than non-Hispanic White parents. Conclusions Parents’ attitudes and norms influence their vaccination intentions. Despite the survey predating widespread child vaccine availability, findings are pertinent given the need to increase and sustain pediatric vaccinations against COVID-19. Interventions promoting positive vaccine attitudes and prosocial norms are warranted. Tailored interventions and diverse communication strategies for parental subgroups may be useful to ensure comprehensive and effective vaccination initiatives.

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