Clémentine Courdi, Sahar Ramazan Ali, Mathieu Pelletier-Dumas, Dietlind Stolle, Anna Dorfman, Jean-Marc Lina, Éric Lacourse, Roxane de la Sablonnière
How level of understanding and type of used sources relate to adherence to COVID-19 public health measures in Canada
Scientific reports
high rate covid19 vaccination critical reduce morbidity mortality related infection control covid19 pandemic understanding factors influence vaccine confidence inform policies programs aimed vaccine promotion examined impact health literacy covid19 vaccine confidence among diverse sample adults living two major metropolitan areas questionnaire data adults participating observational study conducted boston chicago september 2018 march 2021 examined using path analyses determine whether health literacy mediates relationship demographic variables vaccine confidence measured adapted vaccine confidence index avci participants n 273 average 49 years old 63 female 4 nonhispanic asian 25 hispanic 30 nonhispanic white 40 nonhispanic black using nonhispanic white race reference category black race hispanic ethnicity associated lower avci 076 95 ci 100 050 052 95 ci 080 027 total effects model excluding covariates lower education also associated lower avci using college reference 073 12th grade less 95 ci 093 047 073 collegeassociatestechnical degree 95 ci 105 039 health literacy partially mediated effects black hispanic participants lower education indirect effects 019 019 black race hispanic ethnicity 027 12th grade less 015 collegeassociatestechnical degree lower levels education black race hispanic ethnicity associated lower scores health literacy turn associated lower vaccine confidence findings suggest efforts improve health literacy may improve vaccine confidence turn may improve vaccination rates vaccine equity nct03584490