Evidence map›Paper›PMID 40212310›Full record

ArticleFrontiers in psychology2025

Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudes.

Maruša Lubej, Andrej Kirbiš

Abstract read
In one paragraph

Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Maruša LubejDepartment of Sociology, Faculty of Arts, University of Maribor, Maribor, Slovenia.
Andrej KirbišDepartment of Sociology, Faculty of Arts, University of Maribor, Maribor, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Vaccination has substantially reduced the spread and severity of infectious diseases. Despite its efficacy, vaccine hesitancy remains a global challenge, often linked to inadequate health literacy and unfavorable vaccine attitudes. Understanding the mechanisms through which health literacy influences vaccine-related attitudes is crucial because it could inform policy interventions aimed at fostering more favorable vaccine attitudes. Method: The present cross-sectional study of Slovenian adults ( Results: Using mediation and moderated mediation models, we found that health literacy positively influences vaccine attitudes both directly and indirectly by reducing beliefs in myths. The relationship between health literacy and vaccine attitudes is moderated by healthcare training, with stronger positive effect among individuals with such training. Additionally, the negative effect of health literacy on beliefs in myths is stronger among individuals with higher education. Discussion: Our findings indicate that broader educational inequalities should be addressed to ensure that the positive effect of health literacy on vaccine attitudes is distributed more equitably across groups with different educational levels and fields of expertise.

Indexed as

health literacysociodemographicsocioeconomicvaccine attitudesvaccine hesitancyvaccine myths

Identifiers

PMID40212310
PMCPMC11983407

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.