Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey
Objective: To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics, characteristics related to COVID-19, health literacy (HL) skills related to booster dose. Methods: The inclusion criterion was the completion of the primary scheme as two doses of COVID-1...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-05-01
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| Series: | Asian Pacific Journal of Tropical Medicine |
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| Online Access: | https://journals.lww.com/10.4103/apjtm.apjtm_198_24 |
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| author | Hakan Tüzün Mehmet A. Özçelik Cansu Özbaş Mustafa N. İlhan |
| author_facet | Hakan Tüzün Mehmet A. Özçelik Cansu Özbaş Mustafa N. İlhan |
| author_sort | Hakan Tüzün |
| collection | DOAJ |
| description | Objective:
To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics, characteristics related to COVID-19, health literacy (HL) skills related to booster dose.
Methods:
The inclusion criterion was the completion of the primary scheme as two doses of COVID-19 vaccine. The study was conducted in January 2022 by applying face-to-face interview technique. Questions regarding HL were used to question the ability of individuals to access, understand, interpret and use information regarding the COVID-19 booster dose in their decisions.
Results:
A total of 1 210 people were included in this study with an mean age of (41.3±16.6) years, and 51.4% were women. In multivariate analysis, hesitation increased in the “moderately concerned” (aOR 2.65, 95% CI 1.09-6.45), “slightly concerned” (aOR 3.1, 95% CI 1.26-7.19), “not concerned at all” (aOR 5.69, 95% CI 2.27-14.28) groups compared to the group “extremely concerned” about COVID-19 transmission. Those with Sinovac-CoronaVac as their most recent vaccine had increased hesitation compared to those with Pfizer-BioNTech (aOR 3.68, 95% CI 2.05-6.61). The effect of HL skills including “accessing”, “understanding”, and “appraising” information on hesitation was not statistically significant (P>0.05). HL skill of “applying” was assessed with ability of information to help decision making. Whether the information is helpful for decision-making, the risk of hesitancy increased for those who stated that it “sometimes helps” (aOR 2.55; 95% CI 1.31-4.99) and “never helps” (aOR 11.62; 95% CI 3.03-44.58) compared to those who stated that it “always helps”.
Conclusions:
The increased propability of hesitation in those less concerned about COVID-19 transmission shows the importance of appropriately guiding individuals’ concern levels with a health communication strategy based on risk communication. The fact that the only HL skill with a significant effect in the multivariate model was “applying”, shows the critical role of this skill in influencing behavioral changes. |
| format | Article |
| id | doaj-art-d341dfbb5e144d0992f616335dd95330 |
| institution | DOAJ |
| issn | 2352-4146 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Asian Pacific Journal of Tropical Medicine |
| spelling | doaj-art-d341dfbb5e144d0992f616335dd953302025-08-20T03:19:27ZengWolters Kluwer Medknow PublicationsAsian Pacific Journal of Tropical Medicine2352-41462025-05-0118522523510.4103/apjtm.apjtm_198_24Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in TurkeyHakan TüzünMehmet A. ÖzçelikCansu ÖzbaşMustafa N. İlhanObjective: To examine the change in COVID-19 booster vaccine hesitancy according to descriptive characteristics, characteristics related to COVID-19, health literacy (HL) skills related to booster dose. Methods: The inclusion criterion was the completion of the primary scheme as two doses of COVID-19 vaccine. The study was conducted in January 2022 by applying face-to-face interview technique. Questions regarding HL were used to question the ability of individuals to access, understand, interpret and use information regarding the COVID-19 booster dose in their decisions. Results: A total of 1 210 people were included in this study with an mean age of (41.3±16.6) years, and 51.4% were women. In multivariate analysis, hesitation increased in the “moderately concerned” (aOR 2.65, 95% CI 1.09-6.45), “slightly concerned” (aOR 3.1, 95% CI 1.26-7.19), “not concerned at all” (aOR 5.69, 95% CI 2.27-14.28) groups compared to the group “extremely concerned” about COVID-19 transmission. Those with Sinovac-CoronaVac as their most recent vaccine had increased hesitation compared to those with Pfizer-BioNTech (aOR 3.68, 95% CI 2.05-6.61). The effect of HL skills including “accessing”, “understanding”, and “appraising” information on hesitation was not statistically significant (P>0.05). HL skill of “applying” was assessed with ability of information to help decision making. Whether the information is helpful for decision-making, the risk of hesitancy increased for those who stated that it “sometimes helps” (aOR 2.55; 95% CI 1.31-4.99) and “never helps” (aOR 11.62; 95% CI 3.03-44.58) compared to those who stated that it “always helps”. Conclusions: The increased propability of hesitation in those less concerned about COVID-19 transmission shows the importance of appropriately guiding individuals’ concern levels with a health communication strategy based on risk communication. The fact that the only HL skill with a significant effect in the multivariate model was “applying”, shows the critical role of this skill in influencing behavioral changes.https://journals.lww.com/10.4103/apjtm.apjtm_198_24covid-19vaccine hesitancybooster hesitancyhealth literacyrisk communication |
| spellingShingle | Hakan Tüzün Mehmet A. Özçelik Cansu Özbaş Mustafa N. İlhan Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey Asian Pacific Journal of Tropical Medicine covid-19 vaccine hesitancy booster hesitancy health literacy risk communication |
| title | Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey |
| title_full | Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey |
| title_fullStr | Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey |
| title_full_unstemmed | Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey |
| title_short | Determinants of COVID-19 vaccine booster hesitancy among outpatients completing the primary scheme in Turkey |
| title_sort | determinants of covid 19 vaccine booster hesitancy among outpatients completing the primary scheme in turkey |
| topic | covid-19 vaccine hesitancy booster hesitancy health literacy risk communication |
| url | https://journals.lww.com/10.4103/apjtm.apjtm_198_24 |
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