Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic
Background: Low coverage of influenza vaccination in nursing home (NH) staff may be attributed to factors such as vaccine confidence (VC) and vaccine literacy (VL). Our study aimed to evaluate the role of VL and VC in predicting the intention to get the influenza vaccine in a sample of employees of...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Vaccines |
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| Online Access: | https://www.mdpi.com/2076-393X/11/8/1375 |
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| author | Francesca Collini Guglielmo Bonaccorsi Marco Del Riccio Mario Bruschi Silvia Forni Giacomo Galletti Fabrizio Gemmi Francesca Ierardi Chiara Lorini |
| author_facet | Francesca Collini Guglielmo Bonaccorsi Marco Del Riccio Mario Bruschi Silvia Forni Giacomo Galletti Fabrizio Gemmi Francesca Ierardi Chiara Lorini |
| author_sort | Francesca Collini |
| collection | DOAJ |
| description | Background: Low coverage of influenza vaccination in nursing home (NH) staff may be attributed to factors such as vaccine confidence (VC) and vaccine literacy (VL). Our study aimed to evaluate the role of VL and VC in predicting the intention to get the influenza vaccine in a sample of employees of NHs in Tuscany, Italy. Methods: Data from staff members in Tuscany were collected using an online questionnaire that examined influenza vaccination history, intentions, demographic information, health status, and VL. Statistical analyses explored the relationships between VC, VL, and vaccination intentions. Results: The study included 1794 respondents, (86.3%) and assistants/aides (58.1%), with a median age of 46 years. The intention to get vaccinated was significantly higher among those with health risk conditions, and there was a positive association between VC and VL, specifically its interactive/critical component. The mediation analysis showed that VC completely mediated the relationship between VL and the intention to get vaccinated, with significant effects observed in different subgroups. Conclusions: VC is a key factor that mediates the effect of VL on vaccine intention. These results suggest that interventions aimed at improving VL alone may not be sufficient to increase vaccine uptake unless VC is also addressed. |
| first_indexed | 2024-03-10T23:30:59Z |
| format | Article |
| id | doaj.art-bab316c8efc74028aab196161c1e0243 |
| institution | Directory Open Access Journal |
| issn | 2076-393X |
| language | English |
| last_indexed | 2024-03-10T23:30:59Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Vaccines |
| spelling | doaj.art-bab316c8efc74028aab196161c1e02432023-11-19T03:18:18ZengMDPI AGVaccines2076-393X2023-08-01118137510.3390/vaccines11081375Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 PandemicFrancesca Collini0Guglielmo Bonaccorsi1Marco Del Riccio2Mario Bruschi3Silvia Forni4Giacomo Galletti5Fabrizio Gemmi6Francesca Ierardi7Chiara Lorini8Quality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, ItalyQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, ItalyQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, ItalyQuality and Equity Unit, Regional Health Agency of Tuscany, 50141 Florence, ItalyDepartment of Health Sciences, University of Florence, 50134 Florence, ItalyBackground: Low coverage of influenza vaccination in nursing home (NH) staff may be attributed to factors such as vaccine confidence (VC) and vaccine literacy (VL). Our study aimed to evaluate the role of VL and VC in predicting the intention to get the influenza vaccine in a sample of employees of NHs in Tuscany, Italy. Methods: Data from staff members in Tuscany were collected using an online questionnaire that examined influenza vaccination history, intentions, demographic information, health status, and VL. Statistical analyses explored the relationships between VC, VL, and vaccination intentions. Results: The study included 1794 respondents, (86.3%) and assistants/aides (58.1%), with a median age of 46 years. The intention to get vaccinated was significantly higher among those with health risk conditions, and there was a positive association between VC and VL, specifically its interactive/critical component. The mediation analysis showed that VC completely mediated the relationship between VL and the intention to get vaccinated, with significant effects observed in different subgroups. Conclusions: VC is a key factor that mediates the effect of VL on vaccine intention. These results suggest that interventions aimed at improving VL alone may not be sufficient to increase vaccine uptake unless VC is also addressed.https://www.mdpi.com/2076-393X/11/8/1375vaccine literacyvaccine confidenceinfluenza vaccinationhuman influenzanursing homesmediation model |
| spellingShingle | Francesca Collini Guglielmo Bonaccorsi Marco Del Riccio Mario Bruschi Silvia Forni Giacomo Galletti Fabrizio Gemmi Francesca Ierardi Chiara Lorini Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic Vaccines vaccine literacy vaccine confidence influenza vaccination human influenza nursing homes mediation model |
| title | Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic |
| title_full | Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic |
| title_fullStr | Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic |
| title_full_unstemmed | Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic |
| title_short | Does Vaccine Confidence Mediate the Relationship between Vaccine Literacy and Influenza Vaccination? Exploring Determinants of Vaccination among Staff Members of Nursing Homes in Tuscany, Italy, during the COVID-19 Pandemic |
| title_sort | does vaccine confidence mediate the relationship between vaccine literacy and influenza vaccination exploring determinants of vaccination among staff members of nursing homes in tuscany italy during the covid 19 pandemic |
| topic | vaccine literacy vaccine confidence influenza vaccination human influenza nursing homes mediation model |
| url | https://www.mdpi.com/2076-393X/11/8/1375 |
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