Vaccination Literacy and Determinants of Vaccine Confidence Among University Students: Analyzing Attitudinal Barriers
Halima Abdigalimova 1,
Zhanerke Yerlanovna Bolatova 1 * ,
Zhaniya Dauletkaliyeva 1,
Gaukhar Kayupova 1,
Karina Nukeshtayeva 1,
Aliya Takuadina 2,
Nurbek Yerdessov 1,
Olzhas Zhamantayev 1,
Dinara Aubakirova 1 More Detail
1 School of Public Health, Karaganda Medical University, Karaganda, Kazakhstan
2 Department of Computer Science and Biostatistics, Karaganda Medical University, Karaganda, Kazakhstan
* Corresponding Author
OPEN ACCESS
154 Views
0 Downloads
Author Contributions: Conceptualization, Zh. B. and H. A.; methodology, K. N., Zh. B., Zh. D.; validation, H. A., G. K., formal analysis, Zh. B., G. K., O. Zh; investigation, H. A., K. N., Zh. B., Zh. D., G. K., A. T., N. Ye., O. Zh.; resources, N. Ye.; data curation, Zh. D.; writing – original draft preparation, Zh. B., K. N..; writing – review and editing, N. Ye., A. T.; visualization, N. Ye., D. A.; supervision, A.T. All authors have read and agreed to the published version of the manuscript.
ABSTRACT
Introduction: Vaccination literacy plays a critical role in shaping vaccine attitudes and acceptance, especially among university students who are exposed to diverse sources of information. This study aims to assess the level of vaccination literacy among students in Karaganda, Kazakhstan, and examine its determinants, including gender, academic field, and residence.
Methods: Using the HLS19-VAC questionnaire, we surveyed 1,327 students across different academic fields and analyzed vaccination literacy levels. A chi-square test assessed the association between literacy and demographic variables. Vaccination literacy was categorized as inadequate, problematic, adequate, or excellent.
Results: The majority of students demonstrated “adequate” or “excellent” vaccination literacy, with medical, female, and urban students exhibiting higher literacy levels. However, significant misconceptions regarding vaccine safety and side effects persisted, even among students with higher literacy. A positive association was observed between vaccination literacy and vaccine uptake, reinforcing the influence of informed literacy on health behavior.
Conclusion: The findings highlight the need for targeted educational efforts to address misconceptions and reduce literacy gaps among different demographic groups. Public health campaigns that counter vaccine myths and promote trust are essential for improving vaccine acceptance and supporting health outcomes within the university student population.
CITATION
Abdigalimova H, Bolatova ZY, Dauletkaliyeva Z, Kayupova G, Nukeshtayeva K, Takuadina A, et al. Vaccination Literacy and Determinants of Vaccine Confidence Among University Students: Analyzing Attitudinal Barriers. J Clin Med Kaz. 2024.
https://doi.org/10.23950/jcmk/15791
REFERENCES
- Zhou M, Liu L, Gu S, Peng X, Zhang C, Wu Q-F, Xu X-P, You H.Behavioral intention and its predictors toward COVID-19 booster vaccination among Chinese parents: applying two behavioral theories. International Journal of Environmental Research and Public Health. 2022; 19(12): 7520. https://doi.org/10.3390/ijerph19127520.
- Ameyaw E, Kareem Y, Seidu A, Yaya S. Decomposing the rural–urban gap in factors associated with childhood immunisation in sub-Saharan Africa: evidence from surveys in 23 countries. BMJ Global Health. 2021; 6(1): e003773. https://doi.org/10.1136/bmjgh-2020-003773.
- Atuheirwe M, Otim R, Male KJ, Ahimbisibwe S, Sackey JD, Sande OJ. Misinformation, knowledge and COVID-19 vaccine acceptance: a cross-sectional study among health care workers and the general population in Kampala, Uganda. BMC Public Health. 2024; 24(1): 203. https://doi.org/10.1186/s12889-024-17678-9.
- Mahmud MR, Reza R, Ahmed SMZ. The effects of misinformation on COVID-19 vaccine hesitancy in Bangladesh. Global Knowledge Memory and Communication. 2023; 72(1/2): 82–97. https://doi.org/10.1108/gkmc-05-2021-0080.
- Venkatesan K, Menon S, Haroon NN. COVID-19 vaccine hesitancy among medical students. Journal of Education and Health Promotion. 2022; 11(1): 218. https://doi.org/10.4103/jehp.jehp_940_21.
- Saied SM, Saied EM, Kabbash IA, Abdo SAE. Vaccine hesitancy: beliefs and barriers associated with COVID‐19 vaccination among Egyptian medical students. Journal of Medical Virology. 2021; 93(7): 4280–4291. https://doi.org/10.1002/jmv.26910.
- Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. Journal of Public Health. 2021; 43(3): 445–449. https://doi.org/10.1093/pubmed/fdaa230.
- Tavolacci M, Déchelotte P, Ladner J. COVID-19 vaccine acceptance, hesitancy, and resistancy among university students in France. Vaccines. 2021; 9(6): 654. https://doi.org/10.3390/vaccines9060654.
- Doğan R, Çuvadar A, Narzullayeva R. Ebelik öğrencilerinin COVID-19 kontrolüne i̇lişkin algıları ile COVID-19 aşısına yönelik tutumları arasındaki i̇lişki. Sağlık Profesyonelleri Araştırma Dergisi. 2023; 5(3): 167–177. https://doi.org/10.57224/jhpr.1261722.
- Badua AR, Caraquel KJ, Cruz M, Narvaez RA. Vaccine literacy: a concept analysis. International Journal of Mental Health Nursing. 2022; 31(4): 857–867. https://doi.org/10.1111/inm.12988.
- Lorini C, Santomauro F, Donzellini M, Capecchi L, Bechini A, Boccalini S, Bonanni P, Bonaccorsi G. Health literacy and vaccination: A systematic review. Human vaccines & immunotherapeutics. 2017; 14(2): 478–488. https://doi.org/10.1080/21645515.2017.1392423.
- Aimagambetova G, Babi A, Issa T. What factors are associated with attitudes towards HPV vaccination among Kazakhstani women? Exploratory analysis of cross-sectional survey data. Vaccines. 2022; 10(5): 824. https://doi.org/10.3390/vaccines10050824.
- Issa T, Babi A, Akilzhanova A, Nurgaliyeva K, Abugalieva Z, Azizan A, Aimagambetova G. Knowledge and awareness of human papillomavirus infection and human papillomavirus vaccine among Kazakhstani women attending gynecological clinics. Plos One. 2021; 16(12): e0261203. https://doi.org/10.1371/journal.pone.0261203.
- Shon E, Lee L. Effects of vaccine literacy, health beliefs, and flu vaccination on perceived physical health status among under/graduate students. Vaccines. 2023; 11(4): 765. https://doi.org/10.3390/vaccines11040765.
- Arias A, Ladner J, Tavolacci M. Perception and coverage of conventional vaccination among university students from Rouen (Normandy), France in 2021. Vaccines. 2022; 10(6): 908. https://doi.org/10.3390/vaccines10060908.
- Jiang F, Zhao Y, Bai J, Yang X, Zhang J, Lin D, Li X. Perceived health literacy and COVID-19 vaccine acceptance among Chinese college students: a mediation analysis. Plos One. 2022; 17(9): e0273285.
- Xin M, Luo S, Wang S, Zhao J, Zhang G, Li L, Lau JT. The roles of information valence, media literacy and perceived information quality on the association between frequent social media exposure and COVID-19 vaccination intention. American Journal of Health Promotion. 2022; 37(2): 189–199. https://doi.org/10.1177/08901171221121292.
- Riad A, Pokorná A, Antalová N, Krobot M, Zviadadze N, Serdiuk I, Koščík M, Klugar M. Prevalence and drivers of COVID-19 vaccine hesitancy among Czech university students: national cross-sectional study. Vaccines. 2021; 9(9): 948. https://doi.org/10.3390/vaccines9090948.
- The HLS19 Consortium of the WHO Action Network M-POHL (2022): The HLS19-VAC Instrument to measure Vaccination Literacy. Factsheet. Vienna: Austrian National Public Health Institute, 2022.
- Badua AR, Caraquel KJ, Cruz M, Narvaez RA. Vaccine literacy: a concept analysis. International Journal of Mental Health Nursing. 2022; 31(4): 857–867. https://doi.org/10.1111/inm.12988.
- Njoku A, Joseph M, Felix R. Changing the narrative: structural barriers and racial and ethnic inequities in COVID-19 vaccination. International Journal of Environmental Research and Public Health. 2021; 18(18): 9904. https://doi.org/10.3390/ijerph18189904.
- Jiang F, Zhao Y, Bai J, Yang X, Zhang J, Lin D, Li X. Perceived health literacy and COVID-19 vaccine acceptance among Chinese college students: a mediation analysis. Plos One. 2022; 17(9): e0273285. https://doi.org/10.1371/journal.pone.0273285.
- Kittipimpanon K, Maneesriwongul W, Butsing N, Visudtibhan P, Leelacharas S. COVID-19 vaccine literacy, attitudes, and vaccination intention against COVID-19 among Thai older adults. Patient Preference and Adherence. 2022; 16, 2365–2374. https://doi.org/10.2147/ppa.s376311.
- Sirikalyanpaiboon M, Ousirimaneechai K, Phannajit J, Pitisuttithum P, Jantarabenjakul W, Chaiteerakij R, Paitoonpong L. COVID-19 vaccine acceptance, hesitancy, and determinants among physicians in a university-based teaching hospital in Thailand. BMC Infectious Diseases. 2021; 21(1). https://doi.org/10.1186/s12879-021-06863-5.
- Maki W, Ishitsuka K, Yamaguchi K, Morisaki N. Vaccine literacy, COVID-19 vaccine-related concerns, and intention to recommend COVID-19 vaccines of healthcare workers in a pediatric and maternity hospital: a cross-sectional study. Vaccines. 2022; 10(9): 1482. https://doi.org/10.3390/vaccines10091482.
- Murthy B, Sterrett N, Weller D, Zell E, Reynolds L, Toblin R, Murthy N, Kriss J, Rose C, Cadwell B, Wang A, Ritchey MD, Gibbs-Scharf L, Qualters JR, Shaw L, Brookmeyer KA, Clayton H, Eke P, Adams L, Zajac J, Patel A, Fox K, Williams C, Stokley S, Flores S, Barbour KE, Harris LQ. Disparities in COVID-19 vaccination coverage between urban and rural counties — united states, december 14, 2020–april 10, 2021. MMWR Morbidity and Mortality Weekly Report. 2021; 70(20). https://doi.org/10.15585/mmwr.mm7020e3.
- Biasio L, Bonaccorsi G, Lorini C, Pecorelli S. Assessing COVID-19 vaccine literacy: a preliminary online survey. Human Vaccines & Immunotherapeutics. 2020; 17(5): 1304–1312. https://doi.org/10.1080/21645515.2020.1829315.
- Zhang F, Zhang H, Li Y, Peng S, Jiang Y, Huihui J. The effect of health literacy on COVID-19 vaccine hesitancy: the moderating role of stress. medRxiv. 2021.06.16.21258808. https://doi.org/10.1101/2021.06.16.21258808.
- Feinberg I, Yoon J, Holland D, Lyn R, Scott L, Maloney K, Rothenberg R. The relationship between health literacy and COVID-19 vaccination prevalence during a rapidly evolving pandemic and infodemic. Vaccines. 2022; 10(12): 1989. https://doi.org/10.3390/vaccines10121989.
- Bell S, Clarke R, Mounier-Jack S, Walker J, Paterson P. Parents’ and guardians’ views on the acceptability of a future COVID-19 vaccine: a multi-methods study in England. Vaccine. 2020; 38(49): 7789–7798. https://doi.org/10.1016/j.vaccine.2020.10.027.
- Shengelia M, Verulava T. Factors associated with COVID-19 vaccine hesitancy in Georgia. Journal of Health Science and Medical Research. 2024; 42(3): e20241023. https://doi.org/10.31584/jhsmr.20241023.
- Bogart LM, Dong L, Gandhi P, Klein DJ, Smith TL, Ryan S, Ojikutu BO. COVID-19 vaccine intentions and mistrust in a national sample of black Americans. Journal of the National Medical Association. 2022; 113(6): 599–611. https://doi.org/10.1016/j.jnma.2021.05.011.
- Nash R, Elmer S, Thomas K, Osborne R, MacIntyre K, Shelley B, Murray L, Harpur S, Webb D. Healthlit4kids study protocol; crossing boundaries for positive health literacy outcomes. BMC Public Health. 2018; 18(1). https://doi.org/10.1186/s12889-018-5558-7.
- Hurstak E, Farina FR, Paasche-Orlow MK, Hahn EA, Henault LE, Moreno P, Weaver C, Marquez M, Serrano E, Thomas J, Griffith JW. COVID-19 vaccine confidence mediates the relationship between health literacy and vaccination in a diverse sample of urban adults. Vaccines. 2023; 11(12): 1848. https://doi.org/10.3390/vaccines11121848.