ArticleJMIR formative research2022
Contributions of Trustworthiness, Health Literacy, and Self-Efficacy in Communicating With COVID-19 Vaccine-Hesitant Audiences: Web-Based Survey Study.
Article in JMIR formative research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 22 citations in OpenAlex.
- From Confidence to Coverage: A Multi-Stakeholder Perspective on Vaccination in Central and Eastern Europe.Vaccines · 2026Article
- Trust in Cancer Information Sources During and After the COVID-19 Pandemic.JAMA network open · 2026Article
- Health literacy reductionism: when individual deficits become the default explanation.Health promotion international · 2026Article
- Factors influencing vaccination willingness in the context of the COVID-19 pandemic: data from the CoCo-Fakt study.BMC public health · 2026Article
- Development and validation of an instrument to assess public perception of cancer primary prevention information.Archives of public health = Archives belges de sante publique · 2026Article
- Reframing Sustainable and Planetary Health Through the Fundamentals of Care: A Conceptual Nursing Perspective.Nursing inquiry · 2026Article
- Influence of maternal risk perception and vaccination knowledge on childhood vaccination intentions.BMC public health · 2025Article
- Promoting Rural-Residing Parents' Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation.Vaccines · 2024Article
- Diet-Nutrition Information Seeking, Source Trustworthiness, and Eating Behavior Changes: An International Web-Based Survey.Nutrients · 2023Article
- Individual and structural determinants of COVID-19 vaccine uptake in a marginalized community in the United States.Vaccine · 2023Article
- Associations between Health Literacy, Trust, and COVID-19 Vaccine Hesitancy: The Case of Hong Kong.Vaccines · 2023Article
- COVID-19 vaccine refusal associated with health literacy: findings from a population-based survey in Korea.BMC public health · 2023Article
- Prevalence and Correlates of COVID-19 Vaccine Information on Family Medicine Practices' Websites in the United States: Cross-sectional Website Content Analysis.JMIR formative research · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLarge-scale health communication challenges during the COVID-19 pandemic, such as widespread misinformation and distrust in health care professionals, have influenced reluctance to take the COVID-19 vaccine, also known as vaccine hesitancy. Trust in health professionals, adequate health literacy, and high self-efficacy are key components of actively pursuing preventative and protective health care measures. These factors may be associated with intentions to seek and complete a COVID-19 vaccine dosing.
objectiveThe objective of this analysis was to identify factors associated with COVID-19 vaccine hesitancy.
methodsIn February 2021, US adults (N=5872) responded to a web-based survey on COVID-19 vaccine hesitancy and components of health communication (trust in sources of health information, health literacy, and self-efficacy). Multivariable logistic regression models were used to explore associations between these factors and vaccine hesitancy while adjusting for key demographics. We hypothesized that low levels of trust, health literacy, and self-efficacy would be associated with increased vaccine hesitancy.
resultsThe adjusted odds of vaccine hesitancy was greater among those who placed little to no trust in health professionals compared to those who held a lot of trust (adjusted odds ratio [AOR] 8.54, 95% CI 6.52-11.19). The odds of vaccine hesitancy was also greater among those who felt frustrated about finding health information compared to those who did not (AOR 2.10, 95% CI 1.62-2.70). Participants who had little to no confidence in receiving health advice or information had greater odds of vaccine hesitancy compared to those who had a lot of confidence (AOR 3.05, 95% CI 2.34-3.97).
conclusionsThis study underscores the importance of trust between health professionals and their patients, and a need for improving health literacy regarding vaccines. Perceptions of mistrust and low levels of health literacy were associated with high levels of vaccine hesitancy, providing empirical support of framing these factors as perceived barriers to vaccine uptake.
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