Differences in Health Literacy Level in Terms of Covid-19 Vaccination Trends


Abstract views: 315 / PDF downloads: 184

Authors

DOI:

https://doi.org/10.5281/zenodo.7771533

Keywords:

Health literacy, Covid-19, Vaccination tendency, Socio-demographic difference, HLS-14 health literacy scale, Validity and reliability

Abstract

The low level of health literacy has become one of the prominent issues during the Covid-19 pandemic period. For this reason, it was aimed to determine the differences in the health literacy level of individuals in terms of Covid-19 vaccination tendencies and socio-demographic aspects.

The research includes the HLS-14 health literacy scale, which consists of functional, interactive and critical literacy sub-dimensions developed by Suka et al., (2013) and questions about the Covid-19 vaccination status of the participants. The population of the study consists of individuals between the ages of 18-65 living in the province of Konya within the scope of the Covid-19 vaccination program. In the study, 416 samples were obtained from patients who applied to a family health center in Konya between 1 December 2021 and 30 March 2022 using the non-probabilistic convenience sampling method.

In the study, the HLS-14 health literacy scale was found to be a valid and reliable scale. The average level of general health literacy of the participants is close to low as 2.10. In the study, 76.7% of the individuals were vaccinated against Covid-19; 43.3% preferred the two-dose Biontech vaccination method; 57.2% of them wanted to have the Turkovac vaccine; It was concluded that 54.8% of them were not sick due to the virus. In addition, 59.6% of them were not vaccinated before the disease; 33.2% of them were undecided despite the necessity of vaccination; It was found that 75.5% of them think that getting Covid-19 disease may be more harmful than being vaccinated. Presence of chronic disease was found to be associated with the tendency to have the turkovac vaccine, the need for vaccination, and the view that catching the Covid-19 disease is more harmful. A relationship was found between the state of having the Covid-19 disease and the pre-disease Covid-19 vaccination status. A relationship was found between the necessity of being vaccinated in order not to get Covid-19 disease. Socio-demographic differences in health literacy and vaccination trends are widely covered in the article.

References

Chong, Y. Y., Cheng, H. Y., Chan, H. Y. L., Chien, W. T., & Wong, S. Y. S. (2020). Covid-19 pandemic, infodemic and the role of eHealth literacy. International journal of nursing studies, 108, 103644.

Jordan, S., Hoebel, J. (2015). Health literacy of adults in Germany: Findings from the German Health Update (GEDA) study. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 58(9), 942-950.

Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2005). Health literacy and functional health status among older adults. Archives of internal medicine, 165(17), 1946-1952.

Ratzan, S. C.,& Parker, R. M., (2000). Health literacy. National library of medicine current bibliographies in medicine. Bethesda: National Institutes of Health, US Department of Health and Human Services.

Biasio, L. R., Carducci, A., Fara, G. M., Giammanco, G., & Lopalco, P. L. (2018). Health literacy, emotionality, scientific evidence: elements of an effective communication in public health. Human Vaccines & Immunotherapeutics, 14(6), 1515-1516.

Berkman, N. D., Sheridan S. L., Donahue, K. E., Halpern, D. J., Viera, A., Crotty, K., Holland, A., Brasure, M., Lohr, K. N., Harden, E., et al. (2011). Health literacy interventions and outcomes: An updated systematic review. Evid Rep Technol Assess (Full Rep). 2011;199:1–941.

Bostock, S., & Steptoe, A. (2012). Association between low functional health literacy and mortality in older adults: longitudinal cohort study. Bmj , 344 .

Lorini, C., Santomauro, F., Donzellini, M., Capecchi, L., Bechini, A., Boccalini, S., ... & Bonaccorsi, G. (2018). Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics, 14(2), 478-488.

Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., &Brand, H. (2012). Healthliteracyandpublichealth: a systematicreviewandintegration of definitionsandmodels. BMC publichealth, 12(1), 1-13.

Nutbeam, D. (2000). Healthliteracy as a publichealthgoal: a challengeforcontemporaryhealtheducationandcommunicationstrategiesintothe 21st century. Healthpromotioninternational, 15(3), 259-267.

Suka, M., Odajima, T., Kasai, M., Igarashi, A., Ishikawa, H., Kusama, M., ... & Sugimori, H. (2013). The 14-item health literacy scale for Japanese adults (HLS-14). Environmental health and preventive medicine, 18 (5), 407-415.

Türkoğlu, N., Kılıç, D, (2021).Sağlık Okuryazarlığı Ölçeği’ninTürkçeye uyarlanması: geçerlilik ve güvenilirlik çalışması. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 24(1), 25-33.

McCray, A. T. (2005). Promoting health literacy. Journal of the American Medical Informatics Association, 12(2), 152-163.

Schumacker, R. E., & Lomax, R. G. (2010). A Beginner’s Guide to. Structural Equation Modeling (3rd Edition), New York: Taylor & Francis Group.

Uzun, N. B., GELBAL, S., & ÖĞRETMEN, T. (2010). TIMSS-R fen başarısı ve duyuşsal özellikler arasındaki ilişkinin modellenmesi ve modelin cinsiyetler bakımından karşılaştırılması. Kastamonu Üniversitesi Kastamonu Eğitim Dergisi, 18(2), 531-544.

Adams, RJ, Appleton, SL, Hill, CL, Dodd, M., Findlay, C., & Wilson, DH (2009). Risks associated with low functional health literacy in an Australian population. Medical Journal of Australia, 191 (10), 530-534.

Özdemir, H., Alper, Z., Uncu, Y., Bilgel, N., (2010). Health literacy among adults: a study from Turkey. Health education research, 25(3), 464-477.

Montelpare, W.J. (2021). Principles of Health- or what the health are you thinking? Epidemics Pandemics Spread Illn. 2021, in press

Rappuoli, R., Santoni, A., Mantovani. A., (2019).Vaccines: An achievement of civilization, a humanright, ourhealthinsuranceforthe future. J ExpMed.216(1), 7–9.

World Health Organization. Update on covid-19 vaccine development. [Erişim Tarihi: 20 Nisan 2022]. Erişim adresi: https://www.who.int/docs/default-source/coronaviruse/risk-commsupdates/update45-vaccines-developement.pdf?sfvrsn=13098bfc_5

Wood S, Schulman K, (2021). Beyond Politics Promoting Covid-19 Vaccination in the United States. MalinaD, ed. N Engl J Med, 384(7):e23. https://doi:10.1056/NEJMms2033790

World Health Organization. SAGE, Working Group. “Report of the SAGE workinggroup on vaccinehesitancy”. [Erişim Tarihi: 20 Nisan 2022]. Erişim adresi: https://www.who.int/immunization/sage/meetings/2014/october/1_Report_WORKING_GRO UP_vaccine_hesitancy_final.pdf

McKee, C., Bohannon, K., (2016).ExploringtheReasonsBehindParentalRefusal of Vaccines.J Pediatr PharmacolTher, 21(2):104–109.

Huang, C.,Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... &Cao, B. (2020). Clinicalfeatures of patientsinfectedwith 2019 novelcoronavirus in Wuhan, China. Thelancet, 395(10223), 497-506.

Erkekoğlu, P., Köse, S. B. E., Balcı, A., Yirün, A., (2020). Aşı kararsızlığı ve covid-19’un etkileri. Literatür Eczacılık Bilimleri Dergisi, 9, 208-220.

Ricotta, EE, Kwan, JL, Smith, BA, & Evans, NG (2021). Chronic diseases: Perceptions about Covid-19 risk and vaccination. MedRxiv.doi: https://doi.org/10.1101/2021.03.17.21253760

https://www.turkiyeraporu.com/arastirma/koronavirus-asisi-olmayidusunuyor-musunuz-2-4230/ Erişim tarihi: 12 Nisan 2022.

Abdel-Latif, M. M., (2020). The enigma of health literacy and COVİD-19 pandemic. Public Health, 185, 95.

Yılmaz, V., Çelik, H. E., & Yağızer, C. (2009). Çevresel duyarlılık ve çevresel davranışın ekolojik ürün satın alma davranışına etkilerinin yapısal eşitlik modeliyle araştırılması. Anadolu Üniversitesi Sosyal Bilimler Dergisi,9(2),1-14. https://hdl.handle.net/11421/275

Van Der Heide, I., Wang, J., Droomers, M., Spreeuwenberg, P., Rademakers, J., & Uiters, E. (2013). The relationship between health, education, and health literacy: results from the Dutch Adult Literacy and Life Skills Survey. Journal of health communication, 18(sup1), 172-184.

Özdemir, Y. (2018).Aile Sağlığı Merkezlerine Başvuran Hastaların Sağlık Okuryazarlık Düzeylerinin Belirlenmesi: Kahramanmaraş İli Örneği. Hacettepe Üniversitesi Sosyal Bilimler Enstitüsü, Yüksek Lisans Tezi, 2018, Ankara (Danışman: Prof. Dr. İsmet Şahin).

Mollakhalili, H., Papi, A., Zare-Farashbandi, F., Sharifirad, G., & HasanZadeh, A. (2014). A survey on health literacy of inpatient's educational hospitals of Isfahan University of Medical Sciences in 2012. Journal of education and health promotion, 3.

Sun, X., Shi, Y., Zeng, Q., Wang, Y., Du, W., Wei, N., ... & Chang, C. (2013). Determinants of health literacy and health behavior regarding infectious respiratory diseases: a pathway model. BMC public health, 13(1), 1-8.

Rudd, RE (2007). Health literacy skills of US adults. American journal of health behavior, 31 (1), S8-S18.

Johri, M., Subramanian, S. V., Sylvestre, M. P., Dudeja, S., Chandra, D., Koné, G. K., ... & Pahwa, S. (2015). Association between maternal health literacy and child vaccination in India: a cross-sectional study. J Epidemiol Community Health, 69(9), 849-857.

Lorini, C., Collini, F., Gasparini, F., Paolini, D., Grazzini, M., Ierardi, F., ... & Bonaccorsi, G. (2020). Health literacy, vaccine confidence and influenza vaccination uptake among nursing home staff: a cross-sectional study conducted in Tuscany. Vaccines, 8(2), 154.

Toçi, E., Burazeri, G., Kamberi, H., Jerliu, N., Sørensen, K., & Brand, H. (2014). Socio-economic correlates of functional health literacy among patients of primary health care in Kosovo. Public Health, 128(9), 842-848.

Jovic-Vranes, A., Bjegovic-Mikanovic, V., Marinkovic, J., Kocev, N. (2011). Health literacy in a population of primary health-care patients in Belgrade, Serbia. International journal of public health, 56(2), 201-207.

Van Duong, T., Lin, C. Y., Chen, S. C., Huang, Y. K., Okan, O., Dadaczynski, K., & Lai, C. F. (2021). Oxford COVİD-19 Vaccine Hesitancy in School Principals: Impacts of Gender, Well-Being, and Coronavirus-Related Health Literacy. Vaccines, 9(9), 985. https://doi.org/10.3390/ vaccines9090985

Robertson, E., Reeve, KS, Niedzwiedz, CL, Moore, J., Blake, M., Green, M., ... & Benzeval, MJ (2021). Predictors of COVİD-19 vaccine hesitancy in the UK household longitudinal study. Brain, behavior, and immunity, 94, 41-50.

Stojanovic, J., Boucher, V. G., Gagne, M., Gupta, S., Joyal-Desmarais, K., Paduano, S., ... & Lavoie, K. L. (2021). Global trends and correlates of Covid-19 vaccination hesitancy: Findings from the care study. Vaccines, 9(6), 661.

Luyten, J., Bruyneel, L., & van Hoek, A. J. (2019). Assessing vaccine hesitancy in the UK population using a generalized vaccine hesitancy survey instrument. Vaccine, 37(18), 2494-2501.

Carpiano, R. M., Polonijo, A. N., Gilbert, N., Cantin, L., & Dubé, E. (2019). Socioeconomic status differences in parental immunization attitudes and child immunization in Canada: Findings from the 2013 Childhood National Immunization Coverage Survey (CNICS). Preventive medicine , 123, 278-287.

Zajenkowski, M., Jonason, P. K., Leniarska, M., & Kozakiewicz, Z. (2020). Who complies with the restrictions to reduce the spread of COVİD-19?: Personality and perceptions of the covid-19 situation. Personality and individual differences, 166, 110199.

Lane, S., MacDonald, N. E., Marti, M., & Dumolard, L. (2018). Vaccine hesitancy around the globe: Analysis of three years of WHO/UNICEF Joint Reporting Form data-2015–2017. Vaccine, 36(26), 3861-3867.

White, S., Chen, J., & Atchison, R. (2008). Relationship of preventive health practices and health literacy: a national study. American journal of health behavior, 32(3), 227-242.

Moran, M. B., Chatterjee, J. S., Frank, L. B., Murphy, S. T., Zhao, N., Chen, N., & Ball-Rokeach, S. (2017). Individual, cultural and structural predictors of vaccine safety confidence and influenza vaccination among hispanic female subgroups. Journal of immigrant and minority health, 19(4), 790-800.

Casigliani, V., Arzilli, G., Menicagli, D., Scardina, G., & Lopalco, P. L. (2020). Vaccine hesitancy and Health Literacy: We need to change our paradigm. European Journal of Public Health, 30(Supplement_5), ckaa165-032.

Kukreti, S., Lu, MY, Lin, YH, Strong, C., Lin, CY, Ko, NY, ... & Ko, WC (2021). Willingness of Taiwan's healthcare workers and outpatients to vaccinate against COVİD-19 during a period without community outbreaks. Vaccines, 9 (3), 246.

Szmyd, B., Karuga, FF, Bartoszek, A., Staniecka, K., Siwecka, N., Bartoszek, A., ... & Radek, M. (2021). Attitude and behaviors towards SARS-CoV-2 vaccination among healthcare workers: A cross-sectional study from Poland. Vaccines, 9 (3), 218.

Polack, F. P., Thomas, S. J., Kitchin, N., et al. (2020). SafetyandEfficacy of the BNT162b2 mRNA Covid-19 Vaccine. N Engl J Med, 383(27), 2603-2615. https://doi:10.1056/NEJMoa2034577

Kessels, R., Luyten, J., Tubeuf, S. (2021). Willingness to get vaccinated against Covid-19 and attitudes toward vaccination in general. Vaccine, 39(33), 4716-4722.

Odone, A., Dallagiacoma, G., Frascella, B., Signorelli, C., & Leask, J. (2021). Current understandings of the impact of mandatory vaccination laws in Europe. Expert Review of Vaccines, 20 (5), 559-575.

Longchamps, C., Ducarroz, S., Crouzet, L., Vignier, N., Pourtau, L., Allaire, C., ... & ECHO Study Group. (2021). Covid-19 vaccine hesitancy among persons living in homeless shelters in France. Vaccine, 39(25), 3315-3318.

Kricorian, K., Civen, R., & Equils, O. (2022). COVİD-19 vaccine hesitancy: Misinformation and perceptions of vaccine safety. Human Vaccines & Immunotherapeutics, 18(1), 1950504, https://DOI:10.1080/21645515.2021.1950504

Dror, A. A., Eisenbach, N., Taiber, S., Morozov, N. G., Mizrachi, M., Zigron, A., Srouji, S., & Sela, E. (2020). Vaccine hesitancy: The next challenge in the fight against COVID-19. European Journal of Epidemiology, 35(8), 775–779. https://doi.org/10.1007/s10654-020-00671-y

Dodd, R. H., Cvejic, E., Bonner, C., Pickles, K., McCaffery, K. J., Ayre, J., Batcup, C., Copp, T., Cornell, S., Dakin, T., Isautier, J. M., Nickel, B., & Sydney Health Literacy Lab, C.-G. (2020). Willingness to vaccinate against COVID-19 in Australia. The Lancet Infectious Diseases. https://doi.org/10.1016/S1473-3099(20)30559-4

Published

2023-03-25

How to Cite

Yücel, Şebnem, Özdemir, A., & Yücel, R. (2023). Differences in Health Literacy Level in Terms of Covid-19 Vaccination Trends. Euroasia Journal of Mathematics, Engineering, Natural & Medical Sciences, 10(26), 10–28. https://doi.org/10.5281/zenodo.7771533

Issue

Section

Articles