ArticleVaccine2022
The effect of health literacy on COVID-19 vaccine hesitancy among community population in China: The moderating role of stress.
Article in Vaccine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.
- Barriers and facilitators of HPV vaccination in sub-saharan Africa: a systematic review.BMC public health · 2023Pooled it
- The Moderating Role of Demographic Variables in the Effect of Health Literacy on Anti-Vaccination Sentiment.Vaccines · 2026Article
- Older people's health literacy on COVID-related health behaviours during the pandemic - Results from the SWEOLD 2021 study in Sweden.Scandinavian journal of public health · 2026Article
- Psychosocial and Social Security Risks Linked to Vaccine Misinformation in Romania: Implications for Vaccination Acceptance and Public Policy.Behavioral sciences (Basel, Switzerland) · 2026Article
- Parenting health literacy and nurturing care ability: the mediating role of parenting stress.BMJ paediatrics open · 2026Article
- Patient use, understanding, and behaviour toward patient information leaflets for medicines: a cross-sectional study of adults in Italy.Archives of public health = Archives belges de sante publique · 2026Article
- Psychosocial Determinants of Vaccine Hesitancy and Vaccination Behavior Among Older Adults in China: A Large Cross-Sectional Study.International journal of public health · 2026Article
- Competing Theories on Global and Regional Vaccine Inequities: A Scoping Literature Review Within the Context of the COVID-19 Pandemic.Vaccines · 2025Review
- Psychological distress and COVID-19 vaccine hesitancy among parents of in-school children after the end of the zero-COVID-19 policy: A city-wide survey in South China.Human vaccines & immunotherapeutics · 2025Article
- COVID-19 vaccine attitude, vaccine literacy, and religious attitudes: a cross-sectional study in Turkiye.BMC public health · 2025Article
- The associations between childhood vaccine history and COVID-19 vaccine uptake among older adults in 28 high-income countries.Research square · 2025Article
- Investigating post-COVID-19 confidence in emergency use authorization vaccines: A hypothetical case of mpox.PLoS neglected tropical diseases · 2025Article
- Article
- Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudes.Frontiers in psychology · 2025Article
- Article
- Understanding Vaccine Hesitancy: A Comparison of Sociodemographic and Socioeconomic Predictors with Health Literacy Dimensions.Vaccines · 2024Article
- Article
- The effect of perceived social support and health literacy on parental COVID-19 vaccine hesitation in preschool children: a cross-sectional study.Scientific reports · 2024Article
- Community Level Correlates of COVID-19 Booster Vaccine Hesitancy in the United States: A Cross-Sectional Analysis.Vaccines · 2024Article
- COVID-19 vaccine literacy: A scoping review.Human vaccines & immunotherapeutics · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe public's hesitant attitude is a major subjective barrier in promoting vaccination against COVID-19 to build herd immunity. The current study aimed to address how individual factors such as health literacy and perceived stress affect people's vaccine hesitancy of COVID-19 vaccine, and to provide insights for tailoring vaccine-promotion strategies.
methodsWith structured questionnaires, an online survey was conducted to address the relationship between the health literacy, perceived stress, and COVID-19 vaccine hesitancy among community population in mainland, China. Moderated analysis was conducted to test the effect of health literacy on vaccine hesitancy among people with different levels of perceived stress.
results560 responses were collected in total. 39.8% of the participants reported vaccine hesitancy, and this rate was higher among younger people and female. Moreover, people with higher level of health literacy showed reduced vaccine hesitancy, while this effect was only significant among those with low or moderate level of stress. For people with high level of stress, no significant effect of health literacy was found.
conclusionsThe findings suggest that increasing people's health literacy could lead to reduced vaccine hesitancy in community sample. However, this effect disappeared when the stress level was high, suggesting other promotion services may need to be developed to increase the acceptance of COVID-19 vaccine. In conclusion, vaccine promotion strategies should be tailored for different populations, with taking account of individual's health literacy and perceived stress.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.