Evidence map›Paper›PMID 41847868›Full record

ArticleEuropean journal of public health2026

Willingness to receive a COVID-19 booster vaccine: the role of health literacy and the 7Cs model.

María Falcon, Carmen Rodríguez-Blázquez, Martina Fernández-Gutiérrez, Maria João Forjaz, Pilar Bas-Sarmiento, María Romay-Barja

Abstract read
In one paragraph

Article in European journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

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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

6 authors.

María FalconDepartment of Legal and Forensic Medicine, University of Murcia, Murcia, Spain.
Carmen Rodríguez-BlázquezNational Epidemiology Centre, Carlos III Health Institute, Madrid, Spain.ORCID 0000-0003-3829-0675
Martina Fernández-GutiérrezDepartment of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain.
Maria João ForjazHealth Services Research on Chronic Patients Network (REDISSEC), Madrid, Spain.ORCID 0000-0003-3935-962X
Pilar Bas-SarmientoDepartment of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain.
María Romay-BarjaNational Epidemiology Centre, Carlos III Health Institute, Madrid, Spain.

Funding

Carlos III Health Institute
6 · The paper itself

Abstract

Vaccination is a modifiable behaviour resulting from a complex decision-making process influenced by a wide range of factors, including the '7Cs' model (confidence, complacency, constraints, calculation, collective responsibility, compliance, and conspiracy) and the ability to find, understand, evaluate and use vaccine information. This work aimed to analyse the intention to receive a booster dose of the COVID-19 vaccine in Spain in the subsequent rollout of the COVID-19 vaccination campaign and how it was influenced by COVID-19 vaccination health literacy and the '7Cs' determinants of vaccine hesitancy. A descriptive cross-sectional study was conducted in February 2022 using an online survey. The sample comprised 1067 participants aged 18 or older, representative of the Spanish general population. Willingness to receive an additional booster dose of the COVID-19 vaccine was assessed using a single yes/no answer question. Determinants of vaccine readiness were evaluated through seven statements aligned with the 7Cs model, adapted to the COVID-19 context. A multivariable logistic regression showed that vaccination intention was influenced by Confidence (OR = 3.79; 95% CI = 2.58-5.58), Calculation (OR = 0.63; 95% CI = 0.45-0.90), Collective Responsibility (OR = 0.52; 95% CI = 0.32-0.86), Compliance (OR = 2.10; 95% CI = 1.42-3.09), Conspiracy (OR = 0.46; 95% CI = 0.29-0.74), and vaccine related HL (OR = 1.03; 95% CI = 1.02-1.06). Fostering vaccination health literacy, strengthening trust in science and health professionals, fighting misinformation and enhancing collective responsibility are relevant aspects for designing effective vaccination campaigns.

Indexed as

COVID-19COVID-19 VaccinesHealth LiteracyImmunization, SecondaryVaccination HesitancyAdolescentAdultAgedCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansIntentionMaleMiddle AgedSpainCOVID-19 Vaccines

Identifiers

PMID41847868
PMCPMC13017779

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LicenceCC BY-NC
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Registered trials

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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.