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The Development and Preliminary Application of the Chinese Version of the COVID-19 Vaccine Literacy Scale

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  • Yihui Li

    (Department of Biomedical Informatics, School of Life Sciences, Central South University, Changsha 410013, China)

  • Yi Guo

    (Department of Biomedical Informatics, School of Life Sciences, Central South University, Changsha 410013, China)

  • Xusheng Wu

    (Shenzhen Health Development Research and Data Management Center, Shenzhen 518000, China)

  • Qingyuan Hu

    (Xiangya III Hospital, Central South University, Changsha 410013, China)

  • Dehua Hu

    (Department of Biomedical Informatics, School of Life Sciences, Central South University, Changsha 410013, China
    Xiangya III Hospital, Central South University, Changsha 410013, China)

Abstract

(1) Background: Vaccine literacy (VL) of the public is crucial to deal with anti-vaccination rhetoric. This study aims to (1) develop a Chinese COVID-19 Vaccine Literacy Scale and examine the factor structure and psychometric characteristics, and (2) explore the association between COVID-19 VL and sociodemographic characteristics and other variables; (2) Methods: An online cross-sectional survey was conducted among 362 Chinese residents from 23 May 2022 to 31 May 2022 using snowball sampling; (3) Results: Exploratory and confirmatory factor analysis indicated that the scale of 15 items, consisting of three factors, functional, interactive and critical vaccine literacy, explained 63.3% of the total variance. Cronbach’s α coefficient was 0.885 for the overall scale: 0.838, 0.891, and 0.857 for three subscales, respectively. The results showed a medium level of vaccine literacy (M = 3.71, SD = 0.72) and significant differences among functional, interactive, and critical vaccine literacy ( p < 0.001). The level of vaccine literacy grew with the level of education ( p < 0.001) and age ( p = 0.049). Men, participants who were single, or those living in rural areas had a lower level of vaccine literacy; (4) Conclusions: The Chinese COVID-19 VL Scale has adequate validity and reliability for assessing vaccine literacy among Chinese residents. A deep understanding of the factors that affect vaccine literacy is needed.

Suggested Citation

  • Yihui Li & Yi Guo & Xusheng Wu & Qingyuan Hu & Dehua Hu, 2022. "The Development and Preliminary Application of the Chinese Version of the COVID-19 Vaccine Literacy Scale," IJERPH, MDPI, vol. 19(20), pages 1-17, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13601-:d:948043
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    References listed on IDEAS

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    1. Ivana Gusar & Suzana Konjevoda & Grozdana Babić & Dijana Hnatešen & Maja Čebohin & Rahela Orlandini & Boris Dželalija, 2021. "Pre-Vaccination COVID-19 Vaccine Literacy in a Croatian Adult Population: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(13), pages 1-10, July.
    2. Nutbeam, Don, 2008. "The evolving concept of health literacy," Social Science & Medicine, Elsevier, vol. 67(12), pages 2072-2078, December.
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