IDEAS home Printed from https://ideas.repec.org/a/pal/palcom/v11y2024i1d10.1057_s41599-024-03656-4.html
   My bibliography  Save this article

Addressing the role of eHealth literacy in shaping popular attitudes towards post-COVID-19 vaccination among Chinese adults

Author

Listed:
  • Wen Jiao

    (Soochow University)

  • Peter Johannes Schulz

    (University of Lugano
    Ewha Womans University)

  • Angela Chang

    (University of Lugano
    University of Macau)

Abstract

This study examined the influence of eHealth literacy on Chinese individuals’ attitudes towards post-COVID-19 vaccination and explored methods to address obstacles related to eHealth literacy that could affect their comprehension and willingness to get vaccinated. In 2022, a web-based cross-sectional survey was conducted to assess the vaccination-related knowledge, attitudes and intentions of 950 participants. Vaccination knowledge was established by employing validated measures and conducting a Mokken scale analysis. Causal-directed acyclic graphs were used to illustrate the current comprehension of the correlation between eHealth literacy and the desire to receive vaccinations. This study utilised causal mediation and multiple linear regression analysis to determine the relationships between eHealth literacy, vaccination knowledge, vaccination willingness and subjective health status. The primary finding of this study was that an individual’s comprehension of vaccination was a robust indicator of their inclination to receive vaccination. Moreover, eHealth literacy has an indirect effect on the propensity to get vaccinated by enhancing one’s understanding of vaccines. This study emphasises the significant role of eHealth literacy in enhancing vaccination awareness and willingness, particularly among Chinese adults with poorer health in the post-COVID-19 period. The results affirm the efficacy of employing eHealth technologies to bolster immunisation initiatives, amplify vaccine consciousness, and promote compliance. Moreover, this study emphasises the significance of additional research to assess and record the function of eHealth literacy in immunisation practices.

Suggested Citation

  • Wen Jiao & Peter Johannes Schulz & Angela Chang, 2024. "Addressing the role of eHealth literacy in shaping popular attitudes towards post-COVID-19 vaccination among Chinese adults," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
  • Handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-03656-4
    DOI: 10.1057/s41599-024-03656-4
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1057/s41599-024-03656-4
    File Function: Abstract
    Download Restriction: Access to full text is restricted to subscribers.

    File URL: https://libkey.io/10.1057/s41599-024-03656-4?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Cornelia Betsch & Robert Böhm & Lars Korn & Cindy Holtmann, 2017. "On the benefits of explaining herd immunity in vaccine advocacy," Nature Human Behaviour, Nature, vol. 1(3), pages 1-6, March.
    2. Fulian Yin & Meiqi Ji & Zhongliang Yang & Zhaoliang Wu & Xinyu Xia & Tongtong Xing & Yuwei She & Zhiwen Hu, 2022. "Exploring the determinants of global vaccination campaigns to combat COVID-19," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-13, December.
    3. Angela Chang & Peter J. Schulz, 2018. "The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China," IJERPH, MDPI, vol. 15(7), pages 1-12, July.
    4. Renee Robinson & Elaine Nguyen & Melanie Wright & John Holmes & Catherine Oliphant & Kevin Cleveland & Mary A. Nies, 2022. "Factors contributing to vaccine hesitancy and reduced vaccine confidence in rural underserved populations," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-8, December.
    5. Ming Liu & Haomin Wu & Bingxuan Lin & Jingxia Zhang, 2023. "A small global village: the effects of collectivist, tight and Confucian cultures on the spread of COVID-19," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.
    6. Solís Arce, Julio S. & Warren, Shana S. & Meriggi, Niccolò F. & Scacco, Alexandra & McMurry, Nina & Voors, Maarten & Syunyaev, Georgiy & Malik, Amyn Abdul & Aboutajdine, Samya & Adeojo, Opeyemi & Anig, 2021. "COVID-19 vaccine acceptance and hesitancy in low- and middle-income countries," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 27, pages 1-1.
    7. Shin-Ae Hong, 2023. "COVID-19 vaccine communication and advocacy strategy: a social marketing campaign for increasing COVID-19 vaccine uptake in South Korea," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-9, December.
    8. Tingley, Dustin & Yamamoto, Teppei & Hirose, Kentaro & Keele, Luke & Imai, Kosuke, 2014. "mediation: R Package for Causal Mediation Analysis," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 59(i05).
    9. Diqiang Chen & Diefeng Peng & Marc Oliver Rieger & Mei Wang, 2021. "Institutional and cultural determinants of speed of government responses during COVID-19 pandemic," Palgrave Communications, Palgrave Macmillan, vol. 8(1), pages 1-9, December.
    10. van Schuur, Wijbrandt H., 2003. "Mokken Scale Analysis: Between the Guttman Scale and Parametric Item Response Theory," Political Analysis, Cambridge University Press, vol. 11(2), pages 139-163, April.
    11. Shasha Teng & Nan Jiang & Kok Wei Khong, 2022. "Using big data to understand the online ecology of COVID-19 vaccination hesitancy," Palgrave Communications, Palgrave Macmillan, vol. 9(1), pages 1-15, December.
    12. Edouard Mathieu & Hannah Ritchie & Esteban Ortiz-Ospina & Max Roser & Joe Hasell & Cameron Appel & Charlie Giattino & Lucas Rodés-Guirao, 2021. "A global database of COVID-19 vaccinations," Nature Human Behaviour, Nature, vol. 5(7), pages 947-953, July.
    13. Klaas Sijtsma, 2009. "On the Use, the Misuse, and the Very Limited Usefulness of Cronbach’s Alpha," Psychometrika, Springer;The Psychometric Society, vol. 74(1), pages 107-120, March.
    14. Jeffrey V. Lazarus & Katarzyna Wyka & Trenton M. White & Camila A. Picchio & Kenneth Rabin & Scott C. Ratzan & Jeanna Parsons Leigh & Jia Hu & Ayman El-Mohandes, 2022. "Revisiting COVID-19 vaccine hesitancy around the world using data from 23 countries in 2021," Nature Communications, Nature, vol. 13(1), pages 1-14, December.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Coromina, Lluís & Camprubí, Raquel, 2016. "Analysis of tourism information sources using a Mokken Scale perspective," Tourism Management, Elsevier, vol. 56(C), pages 75-84.
    2. Sahabi Kabir Sulaiman & Muhammad Sale Musa & Fatimah Isma’il Tsiga-Ahmed & Abdulwahab Kabir Sulaiman & Abdulaziz Tijjani Bako, 2024. "A systematic review and meta-analysis of the global prevalence and determinants of COVID-19 vaccine acceptance and uptake in people living with HIV," Nature Human Behaviour, Nature, vol. 8(1), pages 100-114, January.
    3. Polyzos, Efstathios & Fotiadis, Anestis & Huan, Tzung-Cheng, 2023. "From Heroes to Scoundrels: Exploring the effects of online campaigns celebrating frontline workers on COVID-19 outcomes," Technology in Society, Elsevier, vol. 72(C).
    4. Shi, Jingyuan & Kim, Hye Kyung & Salmon, Charles T. & Tandoc, Edson C. & Goh, Zhang Hao, 2024. "Cultural tightness–looseness and normative social influence in eight Asian countries: Associations of individual and collective norms with vaccination intentions," Social Science & Medicine, Elsevier, vol. 340(C).
    5. César Merino-Soto & Gina Chávez-Ventura & Verónica López-Fernández & Guillermo M. Chans & Filiberto Toledano-Toledano, 2022. "Learning Self-Regulation Questionnaire (SRQ-L): Psychometric and Measurement Invariance Evidence in Peruvian Undergraduate Students," Sustainability, MDPI, vol. 14(18), pages 1-17, September.
    6. Borisova, Ekaterina & Gründler, Klaus & Hackenberger, Armin & Harter, Anina & Potrafke, Niklas & Schoors, Koen, 2023. "Crisis experience and the deep roots of COVID-19 vaccination preferences," European Economic Review, Elsevier, vol. 160(C).
    7. Hwang, Eunju, 2022. "Prediction intervals of the COVID-19 cases by HAR models with growth rates and vaccination rates in top eight affected countries: Bootstrap improvement," Chaos, Solitons & Fractals, Elsevier, vol. 155(C).
    8. Natalie DeForest & Yuqi Wang & Zhiyi Zhu & Jacqueline S. Dron & Ryan Koesterer & Pradeep Natarajan & Jason Flannick & Tiffany Amariuta & Gina M. Peloso & Amit R. Majithia, 2024. "Genome-wide discovery and integrative genomic characterization of insulin resistance loci using serum triglycerides to HDL-cholesterol ratio as a proxy," Nature Communications, Nature, vol. 15(1), pages 1-17, December.
    9. Wood, Reed M. & Juanchich, Marie & Ramirez, Mark & Zhang, Shenghao, 2023. "Promoting COVID-19 vaccine confidence through public responses to misinformation: The joint influence of message source and message content," Social Science & Medicine, Elsevier, vol. 324(C).
    10. S. D. Sreeganga & Ajay Chandra & Arkalgud Ramaprasad, 2021. "Ontological Analysis of COVID-19 Vaccine Roll out Strategies: A Comparison of India and the United States of America," IJERPH, MDPI, vol. 18(14), pages 1-18, July.
    11. Conzo, Pierluigi & Aassve, Arnstein & Fuochi, Giulia & Mencarini, Letizia, 2017. "The cultural foundations of happiness," Journal of Economic Psychology, Elsevier, vol. 62(C), pages 268-283.
    12. Falco, Paolo & Zaccagni, Sarah, 2020. "Promoting social distancing in a pandemic: Beyond the good intentions," OSF Preprints a2nys, Center for Open Science.
    13. Enzo Loner, 2016. "A new way of looking at old things. An application of Guttman errors analysis to the study of environmental concern," Quality & Quantity: International Journal of Methodology, Springer, vol. 50(2), pages 823-847, March.
    14. Atanasov, Pavel & Witkowski, Jens & Ungar, Lyle & Mellers, Barbara & Tetlock, Philip, 2020. "Small steps to accuracy: Incremental belief updaters are better forecasters," Organizational Behavior and Human Decision Processes, Elsevier, vol. 160(C), pages 19-35.
    15. Shengkui Zhang & Yongbin Wang & Ying Zhu & Xiaoming Li & Yang Song & Juxiang Yuan, 2020. "Rotating Night Shift Work, Exposure to Light at Night, and Glomerular Filtration Rate: Baseline Results from a Chinese Occupational Cohort," IJERPH, MDPI, vol. 17(23), pages 1-14, December.
    16. Hilary Byerly Flint & Paul Cada & Patricia A. Champ & Jamie Gomez & Danny Margoles & James R. Meldrum & Hannah Brenkert-Smith, 2022. "You vs. us: framing adaptation behavior in terms of private or social benefits," Climatic Change, Springer, vol. 174(1), pages 1-17, September.
    17. Antonio R. Linero, 2022. "Simulation‐based estimators of analytically intractable causal effects," Biometrics, The International Biometric Society, vol. 78(3), pages 1001-1017, September.
    18. Shengkui Zhang & Han Wang & Yongbin Wang & Miao Yu & Juxiang Yuan, 2021. "Association of Rotating Night Shift Work with Body Fat Percentage and Fat Mass Index among Female Steelworkers in North China," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    19. Martin Huber & Yu‐Chin Hsu & Ying‐Ying Lee & Layal Lettry, 2020. "Direct and indirect effects of continuous treatments based on generalized propensity score weighting," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 35(7), pages 814-840, November.
    20. Xiaochuan Song, 2022. "Investigating Employees’ Responses to Abusive Supervision," Merits, MDPI, vol. 2(4), pages 1-20, November.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pal:palcom:v:11:y:2024:i:1:d:10.1057_s41599-024-03656-4. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: https://www.nature.com/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.