TY - JOUR
T1 - Cognitive and Cultural Factors That Affect General Vaccination and COVID-19 Vaccination Attitudes
AU - Keselman, Alla
AU - Arnott Smith, Catherine
AU - Wilson, Amanda J.
AU - Leroy, Gondy
AU - Kaufman, David R.
N1 - Funding Information: This work was: in part, carried out by staff of the National Library of Medicine (NLM), National Institutes of Health, with support from NLM. Publisher Copyright: © 2022 by the authors.
PY - 2023/1
Y1 - 2023/1
N2 - The development of COVID-19 vaccines is a major scientific accomplishment that has armed communities worldwide with powerful epidemic control tools. Yet, COVID-19 vaccination efforts in the US have been marred by persistent vaccine hesitancy. We used survey methodology to explore the impact of different cognitive and cultural factors on the public’s general vaccination attitudes, attitudes towards COVID-19 vaccines, and COVID-19 vaccination status. The factors include information literacy, science literacy, attitudes towards science, interpersonal trust, public health trust, political ideology, and religiosity. The analysis suggests that attitudes towards vaccination are influenced by a multitude of factors that operate in a complex manner. General vaccination attitude was most affected by attitudes towards science and public health trust and to a lesser degree by information literacy, science literacy, and religiosity. Attitudes towards COVID-19 vaccines were most affected by public health trust and to a lesser extent by general trust, ideology and attitudes towards science. Vaccination status was most influenced by public health trust. Possible mediating effects of correlated variables in the model need to be further explored. The study underscores the importance of understanding the relationship between public health trust, literacies, and sociocultural factors.
AB - The development of COVID-19 vaccines is a major scientific accomplishment that has armed communities worldwide with powerful epidemic control tools. Yet, COVID-19 vaccination efforts in the US have been marred by persistent vaccine hesitancy. We used survey methodology to explore the impact of different cognitive and cultural factors on the public’s general vaccination attitudes, attitudes towards COVID-19 vaccines, and COVID-19 vaccination status. The factors include information literacy, science literacy, attitudes towards science, interpersonal trust, public health trust, political ideology, and religiosity. The analysis suggests that attitudes towards vaccination are influenced by a multitude of factors that operate in a complex manner. General vaccination attitude was most affected by attitudes towards science and public health trust and to a lesser degree by information literacy, science literacy, and religiosity. Attitudes towards COVID-19 vaccines were most affected by public health trust and to a lesser extent by general trust, ideology and attitudes towards science. Vaccination status was most influenced by public health trust. Possible mediating effects of correlated variables in the model need to be further explored. The study underscores the importance of understanding the relationship between public health trust, literacies, and sociocultural factors.
KW - COVID-19
KW - information literacy
KW - misinformation
KW - science literacy
KW - trust
KW - vaccination hesitancy
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U2 - https://doi.org/10.3390/vaccines11010094
DO - https://doi.org/10.3390/vaccines11010094
M3 - Article
SN - 2076-393X
VL - 11
JO - Vaccines
JF - Vaccines
IS - 1
M1 - 94
ER -