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  11. Seasonal Influenza Vaccine Literacy And Hesitancy Of Elderly Czechs: An Analysis Using The 5c Model Of Psychological Antecedents

Seasonal Influenza Vaccine Literacy and Hesitancy of Elderly Czechs: An Analysis Using the 5C Model of Psychological Antecedents

Abanoub Riad1,2, Veronika Truksová1, Michal Koščík1,2

  • 1Department of Public Health, Faculty of Medicine, Masaryk University, Brno, Czechia.

International Journal of Public Health
|October 29, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

Low elderly influenza vaccination rates in the Czech Republic are linked to vaccine literacy and insurance. Improving these factors, especially confidence and addressing negative perceptions, is key to increasing uptake.

Area of Science:

  • Public Health
  • Vaccinology
  • Health Literacy

Background:

  • Seasonal influenza vaccination rates among the elderly in the Czech Republic are among the lowest in Europe.
  • This highlights a critical public health issue requiring investigation into contributing factors.
  • Understanding barriers to vaccination is essential for targeted intervention strategies.

Purpose of the Study:

  • To explore the influence of vaccine literacy and insurance coverage on influenza vaccination status in the elderly population (aged 55 and older).
  • To assess the role of the 5C model (confidence, complacency, constraints, calculation, collective responsibility) and negative perceptions in vaccination decisions.
  • To examine the mediating effects of psychological factors on the relationship between insurance coverage and vaccination uptake.

Main Methods:

Keywords:
Czech Republicagedhealth literacyinfluenza

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  • An analytical cross-sectional study was conducted in Summer 2023.
  • A self-administered questionnaire assessed vaccine literacy (functional, interactive, critical), negative perceptions, and the 5C model.
  • Mediation analyses were employed to evaluate indirect effects.

Main Results:

  • Vaccination rates differed significantly based on insurance coverage, chronic conditions, medication use, and prior vaccinations (COVID-19, pneumococcal).
  • Higher vaccine literacy, particularly interactive and critical skills, was observed in vaccinated individuals.
  • Confidence and collective responsibility promoted vaccination, while complacency and constraints acted as barriers. Negative perceptions, confidence, and collective responsibility mediated the insurance coverage-vaccination status link.

Conclusions:

  • Improving vaccine literacy and addressing psychological factors are vital for increasing influenza vaccination rates in the elderly.
  • Policy interventions should focus on enhancing vaccine literacy, building public confidence, and mitigating negative perceptions.
  • Targeted strategies addressing these determinants can help overcome low vaccination uptake in this demographic.
vaccination hesitancy