ArticleVaccines2022
Factors Associated with Limited Vaccine Literacy: Lessons Learnt from COVID-19.
Article in Vaccines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Factors influencing adolescents' decision-making about COVID-19 vaccination: a systematic review with qualitative synthesis.Frontiers in public health · 2025Pooled it
- Vaccine Literacy and Vaccination: A Systematic Review.International journal of public health · 2023Pooled it
- Vaccine literacy among Italian travelers: A web-based survey using a brief assessment tool.Human vaccines & immunotherapeutics · 2026Article
- Multilevel Analysis of Zero-Dose Children in Sub-Saharan Africa: A Three Delays Model Study.Vaccines · 2025Article
- Enhancing holistic patient care of black individuals diagnosed with HIV and comorbid chronic conditions.Exploratory research in clinical and social pharmacy · 2025Article
- Vaccine literacy, vaccination intention, and their correlation among adults in Mainland China: a cross-sectional study.Journal of health, population, and nutrition · 2024Article
- Health-related word recognition and pronunciation by patients in Gauteng, South Africa in English and native languages.African journal of primary health care & family medicine · 2024Article
- COVID-19 vaccine literacy: A scoping review.Human vaccines & immunotherapeutics · 2023Article
- Vaccination as a social practice: towards a definition of personal, community, population, and organizational vaccine literacy.BMC public health · 2023Review
- A complex intervention on vaccination uptake among older adults (≥ 60 years) in Germany - a study protocol with a mixed methods design.BMC primary care · 2023Article
- Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong.Vaccines · 2023Article
- Preference and Willingness to Pay for the Regular COVID-19 Booster Shot in the Vietnamese Population: Theory-Driven Discrete Choice Experiment.JMIR public health and surveillance · 2023Article
- Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes.Vaccines · 2022Article
- The Development and Preliminary Application of the Chinese Version of the COVID-19 Vaccine Literacy Scale.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Compared to many other developed countries, South Africa has a lower uptake of COVID-19 vaccinations. Although not widely researched, there is evidence that vaccine literacy (VL) is positively associated with vaccination uptake. Therefore, this study aimed to assess levels of VL among the adult population in South Africa, as well as to identify factors associated with limited VL. A cross-sectional, anonymous online survey was conducted during September 2021. The survey, which included the standardized Health Literacy about Vaccination in adulthood (HLVa) Scale, was widely advertised, yielding a total of 10,466 respondents. The average scores for the two HLVa sub-scales were relatively high: functional (M = 2.841, SD 0.799) and interactive-critical (M = 3.331, SD 0.559) VL. A proposed 'limited' VL score (score value ≤ 2.50) was observed in 40% of respondents for functional literacy and 8.2% of respondents for interactive-critical literacy. The main factors associated with limited VL included lower levels of education, lower socio-economic status, not being vaccinated against COVID-19, self-identifying as Black/African or Colored (i.e., people of mixed ethnic descent), having poorer health, and being a woman. The significant association between VL and vaccination uptake provides an impetus for policy makers such as the South African Department of Health to promote VL in the attempt to increase COVID-19 vaccination uptake.
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Registered trials
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.