1. Why does health literacy matter, and for whom? Explaining the differentiating impact of health literacy on vaccine attitudesMaruša Lubej, Andrej Kirbiš, 2025, izvirni znanstveni članek Opis: 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 (n = 3,360) examined the impact of health literacy on vaccine attitudes, focusing on the mediating role of beliefs in vaccine myths and the moderating effects of gender, education, economic status, healthcare training, and self-rated health. 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.
Ključne besede: vaccine hesitancy, vaccine attitudes, vaccine myths, socioeconomic inequalities, sociodemographic inequalities
Objavljeno v DKUM: 28.03.2025; Ogledov: 0; Prenosov: 5
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2. The impact of cultural capital on vaccine attitudes among the Slovenian publicAndrej Kirbiš, 2022, izvirni znanstveni članek Opis: Education and highbrow cultural participation—two dimensions of cultural capital—have previously been identified as determinants of vaccine attitudes, though the links have been mainly inconsistent across studies. The present quantitative study aimed to examine the effects of two dimensions of cultural capital (institutionalized and embodied cultural capital) on the pro-vaccine attitudes of the Slovenian public. A cross-sectional quantitative study was performed in November 2019, a few months prior to the COVID-19 pandemic. The non-probability sample survey was collected by inviting respondents over the age of 18 to participate using the snowball technique via e-mail, digital social networks (Facebook, Twitter and Instagram) and University of Maribor social network profiles. The sample was obtained through an online survey tool 1ka.si (N = 661; Mage = 34.9 years). The impact of education and highbrow cultural participation on vaccine attitudes was examined, controlling for sociodemographic variables (gender, age and size of residential settlement) and economic variables (income and family economic status) in multivariate analyses. Bivariate analyses indicated that pro-vaccine attitudes were significantly more likely to be expressed by men, younger respondents, those with lower incomes, higher perceived family economic status, living in urban areas and by those who are more frequently engaged in highbrow cultural activities, while education had no impact on vaccine attitudes. The results did not substantially change when multiple regression models were employed. Our study indicated that cultural capital has an inconsistent impact on vaccine attitudes; while education has no impact, highbrow cultural participation increases pro-vaccine attitudes. The results suggest a multi-type approach is needed to address vaccine scepticism among the Slovenian public.
Ključne besede: cultural capital, vaccine attitudes, vaccine hesitancy, education, cultural participation
Objavljeno v DKUM: 12.04.2024; Ogledov: 266; Prenosov: 24
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3. The impact of socioeconomic status, perceived threat and healthism on vaccine hesitancyAndrej Kirbiš, 2023, izvirni znanstveni članek Opis: The ideology of healthism and low perceptions of the threat of vaccine-preventable diseases may explain the positive link between socioeconomic status (SES) and vaccine hesitancy in highincome countries. The present study aimed to examine the effect of three measures of SES (education, income and family economic status), the perceived threat of infectious diseases and two dimensions of healthism (personal responsibility for own health and distrust in healthcare institutions) on vaccine hesitancy, adjusting for sociodemographic variables. A cross-sectional quantitative study was performed in 2019. Non-probability sampling was employed by sending invitations to respondents over the age of 18 to participate in the study. The snowball technique was used, employing e-mails and digital social networks (Facebook, Twitter and Instagram). Data from 661 respondents were collected via 1 ka.si, an online survey tool. Multivariate regression analysis indicated that vaccine hesitancy was significantly more likely to be expressed by women (β = 0.29; p < 0.001), high-income respondents (β = 0.09; p < 0.01), those who have lower perceptions of the threat of vaccine-preventable diseases (β = 0.39; p < 0.001) and those scoring high on two healthism measures (expressing high perceived control of their own health (β = 0.18; p < 0.001) and high distrust in the Slovenian healthcare system and institutions (β = 0.37; p < 0.001)). The findings indicate that among the examined predictors, low perceived threat of vaccine-preventable diseases and low trust in the healthcare system are among the strongest predictors of vaccine hesitancy among the Slovenian public. Policymakers, physicians and other healthcare workers should be especially attentive to the public’s and patients’ perceptions of the risk of infectious diseases and distrust in medical institutions, including during doctor–patient communication and through public health campaigns and policies.
Ključne besede: vaccine hesitancy, vaccine attitudes, healthism, socioeconomic status, percieved threat
Objavljeno v DKUM: 15.03.2024; Ogledov: 311; Prenosov: 8
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